LOCATION : KONA COMMUNITY HOSPITAL | Patient Accounting POSITION STATUS : 1.00 | Permanent SALARY RANGE : BU03 | SR06 SALARY RATE: $37,692 (Annual Salary) based on the FTE JOB DUTIES : A. Direct Patient Service 1. Generates outpatient secondary claims to third-party payers daily, utilizing the host information system's nightly reports.
Checks all figures and information regarding patient data and services provided for errors and omissions and performs account maintenance against source documents. Charges the appropriate rate with respect to the type of services offered as indicated by the daily charge posting reports. Reconciles download audit reports against electronic claims import accounts to balance total charges and the number of claims received on import.
Calculates and populates payment and adjustment data for claims and attaches reimbursement reports for forwarding to the payer. 2. Processes payments received in the mail by identifying patient name, account numbers, Insurance Company, and Plan numbers utilizing AR Payer Transfer, creating daily spreadsheet payment logs for data entry by recording all payment data, and balancing spreadsheet totals against deposit totals. 3.
Retrieves all inbound phone calls to the department relating to patients’ accounts. Responds to balance inquiries, insurance inquiries, verifies demographic and insurance accuracy on accounts, verifies charges against source documents, forwards credit card transaction calls to the cashier, and redirects unresolved inquiries to the credit and collections staff for research and callback. Refers uninsured and underinsured callers to the Patient Financial Counselors for payment arrangement or Charity Care eligibility determination. 4.
Opens and disseminates any non-patient-related correspondence to appropriate staff, responds to patient or third-party inquiries regarding patient services following HIPAA guidelines. Prepares and indexes all patient-related correspondence for scanning and delivers it to the scanning vendor daily. B.
Indirect Patient Service 1. Coordinates with Patient Access (Admitting) staff for follow-up and correction on returned mail pertaining to patient statements with missing or incorrect addresses. 2. Distributes daily and monthly reports, orders, and maintains printer supplies. 3.
Prints hardcopy UB04s and distributes daily to billers and collectors. 4. Daily postage metering and coordination with the Administrative Services Officer II to reload postage. C.
Other Duties 1. Resolves the majority of issues independently; works cooperatively with other staff members, departments, and outside services. Consults with the Patient Financial Services Manager on issues requiring further consideration. 2.
Maintains good public relations to enable making satisfactory credit arrangements and tactfully correct any misunderstanding that very often arises in matters involving finances. 3. Maintains the strictest confidentiality of all facility and facility-related employee/patient information. 4. Perform other duties as assigned.
THE MINIMUM QUALIFICATION REQUIREMENTS ARE: Applicants must meet all of the following requirements. Please note that unless specifically indicated; the required education and experiences may not be gained concurrently. In addition, qualifying work experiences are based on a 40-hour work week.
III. EDUCATION, EXPERIENCE, CERTIFICATION, LICENSURE A.
Graduation from high school or GED, preferred. B.
General
One-half (1/2) year of work experience, which demonstrated knowledge of arithmetic and spelling and possession of the abilities to follow oral and written directions, to write and dictate, and to observe differences in words and numbers quickly and accurately. Specialized
One (1) year of work involved in posting to accounting records and other systematizing of fiscal information, i.e., computing, classifying, and recording numerical data to keep sets of financial accounting records complete and to derive reports therefrom. Such experience must have demonstrated knowledge of standard accounting classification and terminology pertinent to accounts maintenance operations, office practices, and procedures relating to the processing and recording of transactions and accounting information.
C. Certification: None D.
None IV. DESIRED SKILLS Knowledge of: Arithmetic; spelling; the operation and operational maintenance of common office appliances and equipment, including adding machines and calculators; and office practices and procedures relating to the processing and recording of transactions and accounting information. Ability to: Carry out a variety of standard accounts clerical routines; perform clerical assignments requiring uniform mental attention; learn and apply pertinent statutory provisions; rules, regulations, policies and procedures; learn and use a variety of instructions furnished in written, oral, diagrammatic or schedule form; operate and maintain various common office appliances posting or accounting machine and simple electronic data processing equipment; prepare simply narrative and numerical reports; perform arithmetic operations quickly and accurately; speak and write simply and directly, and deal tactfully with others; and for some positions, supervise others in the performance of moderately complex clerical work.
V. WORKING CONDITIONS/PHYSICAL REQUIREMENTS Applicants must meet the health and physical requirements deemed necessary to effectively and safely perform the essential functions of the position with or without reasonable accommodation. ALL CIVIL SERVICE JOB VACANCIES WILL BE POSTED FOR A MINIMUM OF TEN (10) CALENDAR DAYS The Hawaii Health Systems Corporation is an equal opportunity employer and complies with applicable state and federal laws relating to employment practices QUALITY OF
Possession of the required amount of experience will not in itself be accepted as proof of qualification for the position. Overall paid or unpaid experience must have been of such scope and responsibility as to conclusively demonstrate that you have the ability to perform the duties of this position. Provide a detailed description of your duties and responsibilities.
If you worked on a part-time basis, indicate the average number of hours worked per week. Please note that experience will be based on a 40-hour workweek. Note: We will not postpone the recruitment process because of your failure to provide accurate and complete information concerning your qualifications.
MERIT OR CIVIL SERVICE SYSTEM: You must meet the minimum qualification requirements, including education, experience, other public employment requirements for State Civil Service employment, and HHSC Standards of Fitness. Only those applicants that are scheduled for an interview with the hiring manager will be contacted. CITIZENSHIP AND RESIDENCE REQUIREMENT: Applicants must be a citizen, national or permanent resident alien of the United States or a non-citizen eligible under the federal law for unrestricted employment and at the time of appointment intend to reside in the State of Hawaii during the course of employment with the Hawaii Health Systems Corporation.
VETERAN’S PREFERENCE: If you are claiming Veteran’s Preference, you must submit a copy of your DD214 and/or other substantiating documents specifying the periods of your service. HEALTH AND PHYSICAL
- Applicants must meet the health and physical requirements deemed necessary to effectively and safely perform the essential functions of the position with or without reasonable accommodation. Hawaii Health Systems Corporation is committed to making reasonable accommodations on a case-by-case basis. Applicants seeking reasonable accommodations should be ready to discuss the accommodation sought so that a determination can be made that such accommodation is reasonable and would not cause the employer undue hardship. MEDICAL/PHYSICAL EXAMINATION REQUIREMENT: Offers of employment will be contingent on successfully passing a pre-employment physical examination, which includes drug screen and other regulatory medical requirements such as, but not limited to, two-step tuberculosis (TB) screen. The cost for physical examinations, except the cost for drug screening, shall be borne by the applicant and not the Hawaii Health Systems Corporation. CRIMINAL/BACKGROUND, CREDENTIALING CHECKS: Applicable checks will be conducted periodically, and any associated costs may be borne by the applicant. Applicable checks may include, but are not limited to, state and federal criminal history records, child abuse and neglect registry check, adult protective services registry and sex offender registry records, etc. If a job offer is made or employment is begun prior to completion of all applicable checks, any offer of employment or continued employment is contingent upon satisfactory return of all required checks. IMPORTANT APPLICATION/EMPLOYMENT INFORMATION Administrative Review, subsequent appeals : If you do not agree with a decision made by the Employment Office as to your non-qualification or non-selection for a position, you may complete a Request for Administrative Review form (available on the HHSC website) or you may submit a written request within twenty (20) days from the date of your sent notice to the Regional Chief Executive Officer/Designee. Your letter requesting the Administrative Review must include: 1) The job title(s) and recruitment number(s), 2) the specific reason(s) you are requesting the review noting if there is statute or rule violation, and 3) any additional information you want to submit to substantiate your request. If you do not submit your request within the twenty (20) days deadline, no Administrative Review will be conducted. Since the Administrative Review is a prerequisite to subsequent steps, failure to utilize this process will make you ineligible for subsequent appeals. The administrative review, formal complaint and/or appeals hearing will not necessarily postpone the recruitment process and/or rescind a selection. If you do not agree with the Administrative Review, you may file a Formal Compliant and then, if you are still not satisfied, you can appeal to the HHSC Merit Appeals Board. CONTACT INFORMATION : KONA COMMUNITY HOSPITAL is located at 79
- 1019 Haukapila Street Kealakekua, HI 96750. For employment opportunities, please contact (808) 322
- 4458, email: konajobs@hhsc.org or visit our website at https://www.hhsc.org/. Persons with Disabilities may contact the Recruitment Office to discuss special needs in applying at (808) 322
- 4458, konajobs@hhsc.org.