• Sr. Patient Account Representative - Billing…

    Queen's Health System (Honolulu, HI)


    RESPONSIBILITIES

    I. JOB SUMMARY/RESPONSIBILITIES:

    • Provides work leadership and guidance to the Patient Account Representatives. Monitors work queues and assigns and coordinates work assignments to ensure optimal workflow and operational efficiencies.

    • Serves as a resource regarding patient billing inquiries, including insurance verification and eligibility, authorizations, and patient liabilities.

    • Provides administrative support to management, including assisting with patient account representative schedules as needed.

    • Performs duties of a Patient Account Representative as needed.

    II. TYPICAL PHYSICAL DEMANDS:

    • Seeing, hearing, speaking, finger dexterity.

    • Continuous: sitting

    • Occasional: standing.

    • Infrequent: walking, stooping/bending, kneeling, twisting, reaching above shoulder level, reaching above head, lifting and carrying up to 10 pounds.

    III. TYPICAL WORKING CONDITIONS:

    • Not substantially subjected to adverse environmental conditions.

    IV. MINIMUM QUALIFICATIONS:

    A. EDUCATION/CERTIFICATION AND LICENSURE:

    • High School diploma or equivalent.

    • Associate’s degree in business preferred.

    • Completion of Healthcare Administration Billing and Coding program preferred.

    B. EXPERIENCE:

    • Three (3) years Patient Accounts Representative experience; or two (2) years Patient Account Representative experience with a certificate or diploma in Healthcare Administration Billing and Coding.

    • Prior supervisory experience and/or demonstrated knowledge and ability to lead staff.

    • Experience to demonstrate:

    o Knowledge and understanding of different payor types (i.e. Medicare, Medicaid, Commercial, HMO, Workers’ Compensation, Capitation, TPL, Third Party payer requirements).

    o Knowledge of third-party reimbursement and Hawaii regulatory requirements related to reimbursement.

    o Knowledge of medical terminology.

    o Ability to manage, prioritize and execute a variety of tasks.

    o Ability to communicate effectively in English both orally and in writing.

    o Ability and skill in conducting training.

    • Proficiency with Microsoft Office applications (i.e. Word, Excel, PowerPoint) and automated systems.

     

    Equal Opportunity Employer/Disability/Vet