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Form of workJob Description
The Patient Account Representative V assists in a variety of duties, including:
- Training new employees
- Providing technical advice to lower level Patient Account Representatives
- Handling resolution of patient complaints and complex billing issues (e.g. split billing, payer issues, denials from regulatory changes, etc.),
- Processing claims to ensure maximum reimbursement is received,
- Auditing and reviewing the work for completeness, accuracy and adherence to applicable policies and procedures
Required Qualifications: To qualify, you must meet all of the following requirements. Please note that unless specifically indicated, the required education and experience may not be gained concurrently. In addition, qualifying work experiences are credited based on a 40-hour workweek.
Education: High school diploma or equivalent.
General Experience: Two (2) years of typing, stenographic, clerical work, cashiering, data input, customer service skills or any combination of these experiences which duties demonstrated knowledge of English grammar, spelling, arithmetic, standard office equipment; and the ability to read and understand oral and written instructions, carry out procedures in clerical work systems, speak and write simply and directly, observe difference in copy and proofread words and numbers quickly and accurately, and operate various kinds of office equipment; and ability to deal effectively with others in eliciting information and providing service.
Substitution of Education for General Experience: An Associate’s or Bachelor’s from an accredited college or university may substitute for all of the General Experience required. Evidence of the appropriate training (e.g. official transcript or diploma) should be submitted with the application to be given credit for education. A legible photocopy will be accepted. However, HMC reserves the right to request an official copy.
Specialized Experience: Three (3) years work experience performing medical billing and collections in a hospital or long term care facility; interviewing patients and/or responsible persons to secure financial information, arranging for method of payment and extension of credit, and determining financial status; reviewing accounts for delinquent payments and contacting payer to seek payment.
Substitution of Specialized Experience: Work experience performing billing and collections in an organization (i.e., financial institution, retail, or hotel); interviewing persons to secure financial information, arranging for method of payment, extension of credit, reviewing accounts for delinquent payments and contacting payer to seek payment may substitute for one year of Specialized Experience.
Applicants for Patient Account Representative V must demonstrate possession of Supervisory Aptitude. Supervisory aptitude is the demonstration of aptitude or potential for the performance of supervisory duties through successful completion of regular or special assignments which involve some supervisory responsibilities or aspects; by serving as a group or team leader, previous work experience in a position that demonstrates or performs supervisory functions or in similar work in which opportunities for demonstrating supervisory capabilities exist; by completion of training courses in supervision accompanied by application of supervisory skills in work assignments; or by favorable appraisals by a supervisor indicating the possession of supervisory potential.
As the Big Island’s leading providers of inpatient and outpatient care, the East Hawaii Region of Hawai`i Health Systems Corporation (HHSC), consisting of Hilo Medical Center, Hale Ho′ola Hamakua, Ka′u Hospital, and the Yukio Okutstu State Veterans Home, delivers a full range of services and programs. Our three hospitals include 290 beds and over 1,700 employees. Our medical staff is comprised of 250 physicians, physician assistants and Advanced Practice Registered Nurses, representing 33 specialties. East Hawaii Health is our network of clinics offering primary and specialty care. Hilo Medical Center functions as a Level III Trauma Center, which includes the second busiest emergency room in the state, providing 24-hour care and serving more than 50,000 patients annually. Hale Ho′ola Hamakua and Ka′u Hospital are designated as Critical Access Hospitals. To learn more about the East Hawaii Region, please watch our Video Yearbook or visit www.hilomedicalcenter.org, www.halehoolahamakua.org or www.kauhospital.org.
Benefits- 13 paid holidays each year (14 during election years)
- 21 paid vacation days per year
- 21 paid sick days per year
- Medical, dental, vision, and prescription plans
- Employee Assistance Program
- Participation in the State of Hawaii’s retirement system
- Potential eligibility for various student loan repayment & scholarship programs
Offers of employment will be contingent on successfully passing a pre-employment examination, which includes drug screen and other regulatory medical requirements such as, but not limited to, a tuberculosis (TB) screen. The cost for drug screening and blood draw for QuantiFERON and Titers, shall be borne by the Hawaii Health Systems Corporation.
PRE-EMPLOYMENT ASSESSMENTAs part of our recruitment process for this position, we require candidates to take a series of pre-employment assessments after they have submitted their applications. Please look for an email confirmation containing instructions for the pre-assessment. Note: if you have completed the pre-employment assessments within the past six months, you may not be required to complete the assessments, unless otherwise advised by a member of the HR team.
Shift DetailsMust be available to work shifts, weekends and holidays as necessary based on hospital operations. Services are provided 24/7.
Equal Opportunity EmployerEast Hawaii Region (Hilo Medical Center, Hale Ho’ola Hamakua and Ka’u Hospital) is a drug free workplace and an Equal Opportunity Employer.
