Patient Account Representative, Business Services (DLS Oahu)

RESPONSIBILITIES

Diagnostic Laboratory Services, Inc. (DLS) is Hawaii's largest locally owned and operated clinical and anatomic pathology laboratory. DLS is proud to serve the communities of Hawaii, Guam and Saipan and utilizes state-of-the-art testing and value-based informatics to promote optimal patient care to positively impact patient lives.

SCHEDULE

Regular Full-Time

Must be available Monday through Friday from 8:30 am to 5:00 pm

Must be flexible with schedule changes to meet operational needs.

HIRING RANGE

$20.00 to $25.36 hourly

Actual pay commensurate with experience

JOB SUMMARY

Responsible for billing activities including but not limited to medical billing, rebilling of denials, payments, collecting on delinquent accounts, records retention, processing medical records requests, and assisting with other administrative duties.

DUTIES AND RESPONSIBILITIES

1. Listed below are major duties and responsibilities of this position. Essential job functions are identified with an *.

2. Responds to billing inquiries from the insurance carrier, patient and clients via telephone, in writing or in person. (50%)*

3. Manages the departments' incoming telephone calls while providing excellent customer service.

4. Updates accounts and rebills medical claims, patient statements or client invoices as appropriate.

5. Processes credit card payments.

6. Comprehensively document all account activity accurately and timely.

7. Contacts patient or payors for additional information when necessary.

8. Performs activities related to billing reconciliation and analysis. (45%)*

9. Analyzes and corrects errors from error processing queues.

10. Generates and analyzes various reports and takes appropriate action.

11. Reports payments to collection agencies.

12. Completes follow-up of claims on a timely basis according to productivity guidelines.

13. Reviews payment denials and discrepancies identified through EOB, remittance advices or payor correspondence and take appropriate action to correct these accounts.

14. Resubmits claims to payors as necessary via electronic, fax or hard copy.

15. Contacts insurance companies to verify patient's eligibility.

16. Assists with training of new staff and cross training of current staff. (5%)

17. Provides backup coverage as operationally needed.

18. Performs other duties as required.

19. Job Expectations:

20. Demonstrates clear, audience-focused and effective communication with Aloha.

21. Reads, interprets and writes documents, such as policies, standard operating procedures and reports.

22. Creates a positive work culture and environment.

23. Models organizational values and contributes to quality improvements to support innovation.

24. Builds collaborative relationships with teammates: shares ideas, supports others to achieve goals and has each other's backs.

25. Follows all safety and health regulations and works in accordance with DLS safety policies and procedures to ensure a safe and secure working environment.

26. Provides excellent customer service to our internal and external customers with compassion and respect.

27. Maintains and values the importance of attendance at work.

28. Stays current on information and requirements to perform the job while embracing continuous learning to improve skills and knowledge.

29. Maintains a high level of confidentiality of information.

30. Uses sound judgement, analytical skills and innovation while problem solving and takes appropriate and timely actions.

31. Demonstrates flexibility and adaptability by adjusting to shifts in priorities, demands, and procedures.

JOB DEMANDS

Typical Physical Demands:

• Requires corrected vision and hearing to normal range.

• Able to sit and operate a PC up to two (2) hours continuously.

• Able to key up to four (4) hours a day intermittently.

• Able to lift, carry, push or pull items weighing up to thirty-five (35) pounds occasionally.

Typical Working Conditions:

• Work environment includes conditions common to administrative offices.

• Generally works in an indoor, air-conditioned environment.

QUALIFICATIONS

Education:

Required:

• High School diploma or equivalent.

Experience:

Required:

• Six (6) months customer service or public contact experience.

• Six (6) months medical billing or collections experience or completion of DLS Billing Externship.

Preferred:

• Experience with filing and/or processing medical insurance claims.

• Experience with alphanumeric data entry.

• Prior work experience with Xifin.

Skills:

Required:

• Ability to process and maintain high volume of work and multi-task assignments.

• Ability to communicate effectively in English, both in verbal and written form.

• Strong analytical and problem-solving skills.

• Ability to set priorities and make independent decisions with minimal supervision.

• Ability to work independently and as part of a team.

• Proficient with Microsoft Office Suite or similar software.

• Ability to manage time and other resources effectively.

• Ability to handle disputes and resolve conflict.

• Excellent customer service skills.

• Excellent phone etiquette skills.

Equal Opportunity Employer/Disability/Vet