Patient Accounts Representative (Hawaii–Aleutian Time Zone)

Nimble; Honolulu, Northern (HI, KY); Hybrid; USD 42,000 - 62,000; Full time

Benefits offered by this job

3 Weeks PTO + 9 Holidays

Job summary

nimble solutions is seeking a remote Billing/Front End Services professional to support a client in Honolulu, HI, working Hawaii-Aleutian Time Zone hours. The role focuses on accurate cost estimates, insurance verification, prior authorizations, and patient financial counseling.

The ideal candidate has a high school diploma, strong Excel skills, and excellent communication abilities to ensure compliant, timely billing processes in a fast-growing, healthcare-focused environment.

Qualifications

• High School Diploma or equivalent.
• Basic computer knowledge with Excel experience.
• Detail oriented with strong written and oral communication.

Responsibilities

• Calculate and provide accurate, timely cost estimates for scheduled procedures based on patient insurance, benefits, and historical data.
• Verify insurance eligibility, benefits, and coverage levels to determine patient financial responsibility.
• Review and provide accurate prior authorizations based on insurance and clinical data.
• Communicate with patients regarding estimated financial liability and discuss payment options.
• Secure necessary pre-certifications and authorizations, ensuring documentation is accurate.
• Log in and out of multiple systems including practice management systems to research questions.
• Adhere to HIPAA privacy regulations when handling calls.
• Obtain patient payment information over the phone and process payments.
• Escalate issues to a supervisor when needed.
• Follow client-specific protocols during patient billing cycles.
• Respond promptly to requests and follow up on outstanding items.

Skills

Excel experience

Communication skills

Attention to detail

Time management

Organizational skills

HIPAA compliance

Education

High School Diploma

Tools

Practice management systems

Job description

Fully Remote Honolulu, HI Front End Services

Job Type

Full-time

Description

Why work at nimble?

This is a great opportunity to join a well-established and market-leading brand serving a high-growth end market while gaining valuable experience working closely with Executive leadership. As an organization, we are in high-growth mode through acquisition, with a laser focus on building a positive culture.

Who we are!

nimble solutions is a leading provider of revenue cycle management solutions for ambulatory surgery centers (ASCs), surgical clinics, surgical hospitals, and anesthesia groups. Our tech-enabled solutions allow surgical organizations to streamline their revenue cycle processes, reduce administrative burden, and improve financial outcomes. Join more than 1,100 surgical organizations that trust nimble solutions and its advisors to bring deep insights and actionable intelligence to maximize their revenue cycle.

We provide services in nearly every US state and our team of experts works around the globe managing over $10 billion in net revenue as we continue to build and innovate a world class organization with people like you.

Together, we embrace challenges, fuel innovation, and strive to exceed expectations. Healthcare means a lot more to us, we care about creating an environment where our coworkers, clients, and communities’ social, financial, and physical health is at the forefront of everything we do.

What you’ll be doing!

• Calculate and provide accurate, timely cost estimates for scheduled procedures based on patient insurance, benefits, and historical data
• Verify insurance eligibility, benefits, and coverage levels (Medicare, Medicaid, Commercial) to determine patient financial responsibility
• Review and provide accurate, timely prior authorization submission for scheduled procedures based on patient insurance, benefits, and clinical data
• Communicate directly with patients regarding their estimated financial liability and discuss payment options or financial counseling needs
• Secure necessary pre-certifications and authorizations, ensuring all documentation is accurate
• Log in and out of multiple systems (including practice management systems) to research and answer patient’s questions, accurately and with detail
• When handling incoming, returning or placing outbound calls, adhere to HIPAA privacy regulations
• Obtain patient payment information over the phone, process the payment and appropriately note the account
• Escalate issues effectively to a supervisor or management for assistance
• Responsible for ensuring all client specific protocols are followed during the patient billing cycles
• Respond to requests, professionally and promptly, and follow up with outstanding requests in a similar matter

Requirements

Who you are!

• High School Diploma or equivalent
• Mandatory compliance with strict patient confidentiality policies
• Detail oriented
• Basic computer knowledge, with Excel experience
• Strong organizational & time management skills
• Good written and oral communication skills

Logistics:

• This is a remote role supporting a client in Honolulu, HI and will be required to work Hawaii-Aleutian Time Zone hours
• 8-hour shift, Hawaii-Aleutian Time Zone
• Monday - Friday
• 3 Weeks PTO + 9 Company Paid Holidays (includes day after Thanksgiving and Christmas Eve)