NEW JOB OPENING
PATIENT ACCOUNTING REPRESENTATIVE
IN Wailuku, HI, USA!

• Required Level of Education: High School

• Preferred Level of Education: Certified Medical Biller or Associates Degree in related field.



• Office Location (if remote, please provide the Client Site address): Wailuku HI

• Any Travel for this role?: No



Location: REMOTE (must reside on any Hawaii island)





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

• Specific Systems Knowledge Required: Outlook, Microsoft Office

• Specific Systems Knowledge Preferred: Epic and Change Health Care

• Any Required Certifications?: No



• Expected Shift: Mon – Fri 7:30 am – 4:00 pm

• Interview Process: Panel Interview





Qualifications:



• 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

• Anything else important we need to know to fill your role?: Experience in this related field would be choice.





Overview:



-Patient Accounting Representative

-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/personnel; obtains complete and valid information; ensures collectability and maximum reimbursement of revenues. Maintains familiarity and open communication with state, federal and community agencies, insur

• **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.**