Professional Billing Specialist
Company: The Queen's Medical Center
Posted on: January 11, 2022
Responsibilities 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 balances are paid in a timely manner.
Performs accurate and timely billing of patient accounts in
accordance with policies and procedures of The Queens Health
Systems (QHS) and in compliance with federal, state, insurance
carriers, health plans and other third party payor requirements, as
assigned. Ensures accurate claims submission to optimize revenue
for the Medical Center, as assigned. Responds to patient and
insurance inquiries promptly and courteously. II. TYPICAL PHYSICAL
DEMANDS: Essential: standing, sitting, walking, seeing, hearing,
speaking, finger dexterity, repetitive arm/hand motions and
gripping of an object. Operates various office equipment such as
computer, copier, facsimile, telephone, typewriter, etc. III.
TYPICAL WORKING CONDITIONS: Not substantially subjected to adverse
environmental conditions. Some exposure to communicable diseases
and other conditions common to a hospital and office environment.
IV. MINIMUM QUALIFICATIONS:A. EDUCATION/CERTIFICATION AND
LICENSURE: High school diploma or equivalent education. Associates
or Bachelors degree in business administration, finance, accounting
or healthcare related field preferred. B. EXPERIENCE: One (1) year
professional billing experience, preferably in a comparable
organization. An Associates or Bachelors degree in business
administration, finance, accounting or healthcare related field may
be substituted for one (1) year experience in professional billing.
Knowledge of Medicaid, Medicare, Third Party payer requirements,
SNF/ICF, ICD-10 and DRGs. Knowledge of medical terminology.
Experience and/or background to demonstrate effective written and
verbal communication skills in English. Experience with Windows
applications, such as Word, Excel, etc., demonstrated proficiency
in using mouse and keyboard. Experience with computer based
applications, preferably in SMS and/or EPIC systems.Equal
Employment Opportunity Equal Opportunity Employer / Disability /
Keywords: The Queen's Medical Center, Honolulu , Professional Billing Specialist, Accounting, Auditing , Honolulu, Hawaii
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