NEW JOB OPENING
PATIENT ACCOUNTS RECEIVABLE & INSURANCE COLLECTIONS REPRESENTATIVE
IN Wailuku, HI, USA!

Education:

High School Diploma or equivalent (Required)

Associate's Degree (Preferred)



Preferred License/Certification:

• Medical Billing Certification (Preferred)



Required Skills

• Critical Thinker, Multi-tasker, Teachable, Technology savvy

• Top Three things Worker will be doing: Insurance Collector and Denials, sending insurance requested information, reporting Insurance trends

• Top Three Skillsets needed: Critical Thinker, Multi-tasker, Teachable, Technology savvy



Preferred Skills:

• Experience with Epic EMR.

• Experience with ePremis.



Interview Process:

Panel Interview via Teams







• Will the worker need to be Remote local to the office or Remote anywhere in the US: Preferably in the state of Hawaii

• How many years of related experience are you looking for in your ideal candidate?: 1 year

• Specific Systems Knowledge Required: Outlook, EMR System, Teams (comparable) Microsoft Office





Position details:



• Patient Accounting Representative Job Summary Under indirect supervision, processes insurance claims, reports and billing for compensation of patients and members for medical disability benefits; processes applications from medical/life insurance, supplemental benefits and assigned accounts; obtains background information; makes arrangements to obtain monies owing; performs other collection responsibilities as needed; abides by state collection and credit regulations; interprets and complies with state/federal regulations, laws and guidelines in reference to third party payers; processes VRs for billing; maintains current knowledge of Client Health Plan benefits and policies; acts as Client representative.

• Major Responsibilities/Essential Functions, Receives, reviews, and controls requests for medical information, visit records, nurse/doctor notes, and other pertinent documents; verifies completeness and accuracy; ensures efficiency in processing of claims; obtains medical charts and other data pertaining to request. Audits, abstracts, and summarizes pertinent data from patient medical records, nurse/doctor notes, and other documents; processes insurance claims and reports in compliance with state/federal regulations, laws, guidelines, and Client Health Plan policies; obtains physician signature and/or signs as provider representative; prepares service charge letters and invoices referring to fee schedule. Performs follow-up with insurance companies, agencies, and/or patients; researches and takes action as required. Prepares and audits visit records and nurse/doctor notes using various fee schedules; prepares documents (e.g. charges, payments, adjustments) with Charge Description Master codes, required billing coding conventions, and batch totals. Communicates and corresponds effectively with insurance carriers, intermediaries, members, doctors, outside providers and patients; provides in-service orientation to other departments/p

• **Only those lawfully authorized to work in the designated country associated with the position will be considered.**

• **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.**