PATIENT ACCOUNTG REP
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.
- Minimum one (1) year collections or administrative experience.
- High school diploma.
- N/A
- 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.
- 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.
Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.
Navigating the Hiring Process
We're here to support you!
Having trouble with your account or have questions on the hiring process?
Please visit the FAQ page on our website for assistance.
Need help with your computer and browser settings?
Please visit the Technical Information page for assistance or reach out to the web manager at kp-hires@kp.org.
Do you need a reasonable accommodation due to a disability?
Reasonable accommodations may be available to facilitate access to, or provide modifications to the following:
- Online Submissions
- Pre-Hire Assessments
- Interview Process
If you have a disability-related need for accommodation, please submit your accommodation request and someone will contact you.
Jobs For You
- Nursing Attendant Los Angeles, California, Onsite, Part-time, Day
- Case Manager Utilization RN-PD Lancaster, California, Onsite, Per Diem, Day
- Ward Clerk Transcriber Los Angeles, California, Onsite, Call-in/On-Call, Day
You have no recently viewed jobs
You currently have no saved jobs
Join Our Talent Community
Join our Talent Network today to receive email notifications about our career opportunities that match your skills.
Connect With Us