Job Responsibilities
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.
Typical Physical Demands : Standing, sitting, walking, seeing, hearing, speaking, finger dexterity, repetitive arm / hand motions and gripping of an object.
Typical Working Conditions : Not substantially subjected to adverse environmental conditions.
Minimum Qualifications : Education / Certification and Licensure : High School diploma or equivalent. 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
Patient Account Representative • Honolulu, HI, US