Patient Account Representative - Payment Posting (Full-Time, 40 Hours, Day)

The Queen's Health Systems; Honolulu (HI); On-site; USD 42,000 - 54,000; Full time

Job summary

The Queen's Health Systems in Hawaii seeks a detail‑oriented Patient Accounts Representative to manage payer and patient payments, ensuring timely billing and accurate posting. You will follow up on outstanding accounts, expedite large balances, and respond to inquiries with professionalism.

Candidates should have strong communication, familiarity with Medicaid/Medicare, and experience with Windows applications; EPIC systems experience is preferred, with healthcare background a plus.

Qualifications

• One (1) year recent experience as Patient Accounts Representative in an acute care setting.
• Experience with Medicaid, Medicare and third-party payer requirements.
• Strong written and verbal English communication.
• Experience with Windows applications (Word, Excel).
• Healthcare billing or coding program may substitute for one year experience.

Responsibilities

• Follows-up on payment with insurance payers and patients on outstanding accounts.
• Expedites larger dollar accounts to ensure prompt payment and monitors timely billing.
• Identifies and audits payments to ensure correct/expected payment per contract terms.
• Responds to patient and insurance inquiries promptly and courteously.

Skills

Communication skills

MS Word/Excel

Medical terminology

Education

High School diploma or equivalent

Tools

EPIC

Job description

RESPONSIBILITIES

I. JOB SUMMARY/RESPONSIBILITIES:

• Follows-up on payment with insurance payers and patients on outstanding accounts.
• Expedites larger dollar accounts to ensure prompt payment. Monitors to ensure all insurance are billed in a timely manner.
• Identifies, posts and/or audits payments to ensure QMC has received correct/expected payment from payers in accordance with contract terms. Processes correspondence received from payers and patients.
• Responds to patient and insurance inquiries promptly and courteously.

II. TYPICAL PHYSICAL DEMANDS:

• Standing, sitting, walking, seeing, hearing, speaking, finger dexterity, repetitive arm/hand motions and gripping of an object.

III. TYPICAL WORKING CONDITIONS:

• Not substantially subjected to adverse environmental conditions.

IV. MINIMUM QUALIFICATIONS:

A. EDUCATION/CERTIFICATION AND LICENSURE:

• High School diploma or equivalent.

B. EXPERIENCE:

• One (1) year recent experience as Patient Accounts Representative, preferably in an acute care facility, demonstrating knowledge of Medicaid, Medicare, Third Party payer requirements, SNF/ICF, ICD-9 and DRG’s. An associate’s or bachelor’s degree in business administration, finance, accounting or healthcare related field and/or completion of a healthcare administration billing and coding program may be substituted for one (1) year experience as a patient accounts representative.
• Experience and/or background to demonstrate effective written and verbal communication skills in English.
• Experience with Windows applications, such as Word, Excel, etc., with demonstrated proficiency in using a mouse and keyboard.
• Experience to demonstrate knowledge of medical terminology.
• Experience with computer based applications, SMS and/or EPIC systems preferred.

Equal Opportunity Employer/Disability/Vet