Patient Account Rep, Payment Posting - Revenue Integrity (Full-Time, Day)

The Queen’s Health System was Founded in 1859 by Queen Emma and King Kamehameha IV to address health care needs of the people of Hawai‘i during a time when epidemics plagued the island of O‘ahu. The Queen's Health System is committed to delivering high-quality, compassionate care when and where it is needed. Our top priority is the health, safety, and wellness of the people of Hawai’i.

Queen's has become the health care leader throughout Hawai‘i and the Pacific Basin, delivering comprehensive health care services and programs to Native Hawaiians and all people of Hawai‘i. E Komo Mai! Join us as we continue to fulfill the intent of Queen Emma and King Kamehameha IV to provide in perpetuity quality health care services to improve the well-being of Native Hawaiians and all of the people of Hawai‘i.

Organizational Commendations: Level I Trauma Center: As the state’s designated trauma facility, The Queen's Medical Center (Honolulu) is reverified as a Level 1 Trauma Center by the American College of Surgeons. Magnet® Recognition

• The Queen’s Medical Center is the first and only hospital in Hawaii to achieve Magnet® recognition from the American Nurses Credentialing Center. Nationally recognized healthcare organization: The Queen's Medical Center (Honolulu campus) has been recognized as the top hospital in Hawai'i for the 2023-2024 Best Hospitals rankings and ratings. Moloka’i General Hospital has also been named one of the top 20 critical access hospitals (CAHs) for quality in the country by the Chartis Center for Rural Health for Best Practice in Quality. Employee-centered: Queen’s offers a generous compensation and benefits package that includes a pension plan and a 401(k) program with an employer match.

I. 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. II. TYPICAL PHYSICAL DEMANDS:
• Standing, sitting, walking, seeing, hearing, speaking, finger dexterity, repetitive arm/hand motions and gripping of an object. III. TYPICAL WORKING CONDITIONS:
• Not substantially subjected to adverse environmental conditions. IV.

MINIMUM QUALIFICATIONS

A. EDUCATION/CERTIFICATION AND LICENSURE:

• High School diploma or equivalent. B. 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 Your Health. Our Legacy Our Mission: To fulfill the intent of Queen Emma and King Kamehameha IV to provide in perpetuity quality health care services to improve the well-being of Native Hawaiians and all of the people of Hawai‘i. Our Values: C ompassion guides our actions A loha inspires us in all that we do R espect and understanding are essential for the dignity of all E xcellence is our quest