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Patient Account Rep - Payment Follow up (Full-Time, 40, Day Shift)

The Queen's Health Systems

Honolulu, HIFull-timeSeen 6 days agoSeen in employer's feed 6 days ago

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At a glance

Compensation
No compensation found
Location
Honolulu, HI
Schedule
Full-time
Work Authorization
Not specified

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Job overview

The Patient Account Rep follows up with insurance payers and patients on outstanding accounts, expedites larger-dollar accounts, and monitors timely insurance billing. The role identifies, posts, and audits payments against expected amounts and contract terms, processes correspondence, and responds promptly and courteously to patient and insurance inquiries. A high school diploma or equivalent and one year of relevant experience are listed, with specified education or training substitutions.

Skills & qualifications

RequiredNice to have

Skills

Payment Follow-UpInsurance BillingPayment AuditingWritten CommunicationVerbal CommunicationWindows ApplicationsMicrosoft WordMicrosoft ExcelMouse and Keyboard ProficiencyMedical TerminologySMSEPIC

Qualifications

High School Diploma or EquivalentOne Year Patient Accounts Experience or Education/Training SubstituteEnglish Communication Experience

Full 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

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