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6 Patient Account Representative Jobs in Wailuku, HI

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Ohana Pacific Management Company, Inc.
Wailuku, HI | Full Time
$41k-51k (estimate)
1 Month Ago
Kaiser Permanente
Wailuku, HI | Other
$41k-51k (estimate)
5 Months Ago
Kaiser Permanente
Wailuku, HI | Full Time
$42k-54k (estimate)
1 Month Ago
LHH
Wailuku, HI | Full Time
$40k-49k (estimate)
2 Months Ago
Comprise IT Solutions
Wailuku, HI | Contractor
$42k-56k (estimate)
2 Months Ago
Patient Account Representative
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$41k-51k (estimate)
Other | Hospital 5 Months Ago
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Kaiser Permanente is Hiring a Patient Account Representative Near Wailuku, HI

Job Summary:
Patient Account Representatives perform billing and follow up for hospital or professional claims. This includes accurate and timely submission of claims and insurance follow up, according to State & Federal regulation and payer guidelines. Also resolves denials and does reimbursement analysis to ensure maximum reimbursement was received according to payer contractual agreements.
Essential Responsibilities:
  • Performs accurate and timely billing of insurance claims in accordance with policies and procedures of Maui Health and in compliance with State/Federal regulations, payer health plan guidelines, and third-party payer requirements.
  • Expedites larger dollar accounts to ensure revenue optimization for prompt payment.
  • Follows up timely on payment with insurance companies, agencies, payers and/or patients; researches and takes action as required on outstanding accounts.
  • Audit payments and appeals (as needed) to ensure Maui Health has received corrected, expected payment from payers in accordance with contract terms.
  • Responds to patient and insurance inquiries promptly and courteously.
  • Performs audits as needed for quality control and to ensure efficient follow up.
  • Collects monies owing for all services rendered, including third party payers, employers, and guarantors.
  • Document all actions into account notes.
  • Resolves payer denials, including submission of appeals as needed.
  • Communicates timely and appropriately with Team Lead/Supervisor to identify and resolve payer/claim submission issues.
  • Analyzes and takes appropriate action steps according to MHS protocols.
  • Strives to achieve targeted benchmarks and exceed collection goals for prompt account resolution.

Qualifications:

Basic Qualifications:

Experience


  • Minimum one (1) year collections or administrative experience.


Education


  • High school diploma.


License, Certification, Registration


  • N/A



Additional Requirements:


  • Demonstrated ability to perform diversified clerical functions and basic accounting procedures.

  • Demonstrated ability to motivate debtors to pay.

  • Demonstrated knowledge of and skill in adaptability, change management, conflict resolution, customer service, influence, interpersonal relations, oral communication, problem solving, teamwork, and written communication.



Preferred Qualifications:


  • Minimum one (1) year experience medical insurance claims processing, demonstrating knowledge of Medicaid, Medicare, & Commercial payer requirements.

  • Post high school coursework in accounting.

  • An Associates Degree or Bachelors Degree in Business Administration, Finance, Accounting or Healthcare-related field may be substituted for one (1) year experience as a Patient Account Representative.

  • Knowledge of medical terminology, CPT-4 and ICD-10-CM coding.

  • 10-key by touch.

Job Summary

JOB TYPE

Other

INDUSTRY

Hospital

SALARY

$41k-51k (estimate)

POST DATE

12/15/2022

EXPIRATION DATE

07/10/2024

HEADQUARTERS

LOMITA, CA

SIZE

>50,000

FOUNDED

2007

CEO

THELMA NERI

REVENUE

$50M - $200M

INDUSTRY

Hospital

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The job skills required for Patient Account Representative include Billing, Data Entry, Effective Communication, Life Insurance, Computer Systems, etc. Having related job skills and expertise will give you an advantage when applying to be a Patient Account Representative. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Patient Account Representative. Select any job title you are interested in and start to search job requirements.

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The following is the career advancement route for Patient Account Representative positions, which can be used as a reference in future career path planning. As a Patient Account Representative, it can be promoted into senior positions as a Patient Accounts Supervisor that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Patient Account Representative. You can explore the career advancement for a Patient Account Representative below and select your interested title to get hiring information.

If you are interested in becoming a Patient Account Representative, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Patient Account Representative for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

Quotes from people on Patient Account Representative job description and responsibilities

A patient account representative manages several tasks related to patient accounts for hospital and clinical facilities.

12/26/2021: Saint Paul, MN

Patient account representatives maintain patient financial files to ensure all medical bills are paid.

02/26/2022: Kingsport, TN

Patient account representatives perform tasks associated with medical billing.

01/29/2022: Topeka, KS

Patient account representatives work at a lot of medical facilities.

02/01/2022: Alamogordo, NM

The Patient Account Representative Collections ensures the timely receipt of claim payments and minimizes bad debt accrual.

02/20/2022: Twin Falls, ID

Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on Patient Account Representative jobs

Attain Additional Licenses, Certifications, and Registrations as Needed.

03/13/2022: Everett, WA

Become a Responsible Support When Needed.

01/30/2022: Casper, WY

Earn a Master’s Degree (Optional).

01/12/2022: Indianapolis, IN

Get experimental with different positions.

02/07/2022: Columbus, MS

Join a Professional Organization.

03/04/2022: Galveston, TX

Step 3: View the best colleges and universities for Patient Account Representative.

Butler University
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