Medical Billing Clerk
Billing specialist job in Honokaa, HI
SUMMARY DESCRIPTIONThe Medical Billing Clerk is responsible for ensuring timely completion of all billing functions. This position is also responsible for the data entry and maintenance of all patient accounts and recording of payments. This individual must demonstrate a clear understanding of computers and all facets of medical billing. The Medical Billing Clerk will work closely with Front Office Staff and interface with Billing Manager and Chief Financial Officer regarding specific execution of assigned duties. REPRESENTATIVE DUTIES
The following duties are typical for the Medical Billing Clerk. Incumbents may not perform all of the listed duties and/or may be required to perform additional or different duties from those set forth below to address business needs and changing business practices.
Demonstrate positive interpersonal relations in dealing with physicians, patients, patient families, visitors, co-workers, in a professional and confidential manner.
Embrace the philosophy of continuous quality improvement.
Embrace and project the values of HKH: personal accountability, integrity, fairness, consistency and respect.
Demonstrate the ability to maintain confidentiality and to protect personal health information.
Demonstrate outstanding customer service skills consistently.
Demonstrate the ability to work and interact as a team member.
Apply problem solving and conflict resolution skills where needed.
Demonstrate culturally competent patient centered care.
EDUCATION, EXPERIENCE & QUALIFICATION GUIDELINES
Any combination of education and experience that would likely provide the required knowledge and abilities is qualifying.
High School Graduate or GED equivalent
Demonstrated proficiency with basic computer systems
Demonstrated proficiency in operation of multi-line phone systems
Demonstrated ability to work effectively as a team member
Demonstrated ability working effectively with electronic and paper medical records
Demonstrated ability working with volume mailings
Valid Hawaii Driver's License
Clean driving abstract
Knowledge of basic accounting
Familiar with basic Medical terminology.
Proficient data entry and typing skills.
Knowledge of Microsoft Office programs, including email.
Excellent written and oral communication skills.
Ability to interact appropriately and effectively with a wide variety of ages and cultures.
Ability to provide consistent excellent customer service skills to internal and external customers
Demonstrated excellent teamwork capabilities.
Demonstrated organizational capabilities.
Ability to multi-task effectively and calmly.
Understand basic patient flow within the clinic.
Demonstrated aptitude and ability to learn multiple processes.
Performance Requirements
Courteous, honest and professional at all times.
Able to communicate and relate well with physicians, clinical support staff and other HKH employees.
Able to provide innovative input into the development of the clinic and its processes.
Maintains appropriate licensure and certification including meeting and/or exceeding continuing education requirements where applicable.
Efficient, organized and accurate.
Responsible for the full range of third party and patient billing duties
Ensures timely input of patient billing data into the computer system with limited or no errors, utilizing Billing Reports to provide ongoing Quality Improvement.
Accurately maintains all patient accounts and record of payments.
Ensures proper billing of patient charges to various payers.
Possesses a clear understanding and detailed knowledge of different types of insurances, their respective billing requirements, and knowledge of how Payers submit payments to the Health Center.
Demonstrates detailed knowledge of State and Federal rules and regulations related to billing Insurance Claims.
Demonstrates detailed knowledge in self-pay, sliding fee collections.
Demonstrates detailed knowledge of Medicare/Medicaid requirements and HMO/PPO contracts
Demonstrates detailed knowledge of handling principles and various billing documents and claim forms.
Responsible to work system generated claims, edits, attaches records, and all system reports.
Assists Billing Manager in reviewing procedure codes annually.
Appropriately responds to billing inquiries from patients, insurance companies and departments within the Health Center
Appropriately identifies and resolves issues regarding account adjustments, re-billing insurance, and/or collecting from patients as appropriate.
Demonstrates detailed knowledge of Medical insurance terminology, referrals, authorizations and pre-certification used by third party payers
Review aged A/R monthly on a regularly scheduled basis and appropriately route claims requiring special attention.
Maintains an accurate system of follow up on all activities that require special attention.
Identifies issues affecting reimbursement and cash collections and communicate issues in a timely manner to Billing Manager or CFO
Responsible for preparation for end closing and the generation of month end reports as assigned.
Responsible for collections of delinquent accounts.
Accurately maintains record of all collections and related activities.
Responsible for Insurance and patient Refunds.
Assists with cross-training of billing staff as assigned.
Consistently maintains a clean and organized work area.
All other duties as assigned.
PHYSICAL DEMANDS AND WORKING ENVIRONMENT
The conditions herein are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.
Working Conditions:
Environment: Work is performed primarily in a standard office environment with extensive employee and public contact and frequent interruptions. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
Physical: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Primary functions require sufficient physical ability and mobility to work in an office setting; to stand or sit for prolonged periods of time; to occasionally stoop, bend, kneel, crouch, reach, and twist; to lift, carry, push, and/or pull light to moderate amounts of weight; to operate office equipment requiring repetitive hand movement and fine coordination including use of a computer keyboard.
Vision: See in the normal visual range with or without correction.
Hearing: Hear in the normal audio range with or without correction.
Work Schedule: This is a non exempt position . The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements and criteria considered necessary to successfully perform the job.
Confidentiality: As an employee of Hamakua-Kohala Health Clinic, you are bound by principles of medical ethics. You have both a legal and moral obligation to protect the privacy of our patients. In the course of your work, you will have access to confidential information regarding patients, and/or the practices' confidential business. It is essential that you refrain from any discussions regarding personal information about a patient, a patient's condition, a patient's finances, proprietary company information, personnel salaries, and/or the practices' confidential business with any third person. This includes, but is not limited to, other employees, your spouse, family or friends. CONFIDENTIALITY IS SO IMPORTANT THAT ANY BREACH OF THIS POLICY WILL BE CONSIDERED GROUNDS FOR TERMINATION. Review and signature of the Agreement is a condition of employment.
EEO STATEMENT
Hamakua-Kohala Health provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Hamakua-Kohala Health complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Hamakua-Kohala Health expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Hamakua-Kohala Health's employees to perform their job duties may result in discipline up to and including discharge.
OTHER DUTIES
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Auto-ApplyBilling Specialist
Billing specialist job in Urban Honolulu, HI
We are looking for a meticulous and experienced Billing Specialist to support the billing operations of a dynamic legal firm on a contract basis. This role is based in Honolulu, Hawaii, and requires a candidate with a strong background in managing high-volume billing processes, particularly in detail-focused services or legal environments. The ideal individual will excel in ensuring accurate invoicing, adhering to client-specific requirements, and collaborating effectively with various stakeholders. To apply, please call us at 808-531-8056. Preference will be given to applicants currently residing in Hawaii due to the nature of the job requirements.
Responsibilities:
- Manage the full billing cycle for a high volume of client accounts, ensuring invoices are processed accurately and on time.
- Review and modify pre-bill documents (proformas) in collaboration with attorneys to prepare finalized client invoices.
- Submit invoices in accordance with client-specific billing guidelines and deadlines, ensuring compliance.
- Investigate and resolve billing discrepancies, rejections, or adjustments in coordination with clients and internal teams.
- Maintain detailed and organized records of all billing activities to support audits and compliance requirements.
- Work closely with the accounts receivable team to address outstanding balances and reconcile account discrepancies.
- Respond promptly to billing-related inquiries from attorneys, clients, and other stakeholders, providing clear and precise communication.
- Assist with month-end reporting tasks and provide billing data to leadership for analysis.
- Ensure proper handling of billing software, including Aderant, and troubleshoot issues as needed.
Requirements - Minimum of 3 years of billing experience, preferably in a legal or detail-oriented services environment.
- Proficiency in billing software, with experience using Aderant being highly desirable.
- Strong understanding of billing functions and accounts receivable processes.
- Advanced skills in Microsoft Excel, including data analysis and reporting.
- Excellent attention to detail, with the ability to identify and resolve billing issues efficiently.
- Strong written and verbal communication skills for interacting with attorneys, clients, and colleagues.
- Ability to manage multiple priorities and meet strict deadlines in a fast-paced environment.
- Problem-solving skills to analyze and address billing discrepancies independently.
Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.
Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.
All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
© 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking "Apply Now," you're agreeing to Robert Half's Terms of Use (https://www.roberthalf.com/us/en/terms) .
Professional Billing Specialist - Rev Cycl _Prof Billing_QHS (Full-Time, Day Shift, 40 Hours)
Billing specialist job in Urban Honolulu, HI
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 Queen's 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.
- Associate's or Bachelor's 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 Associate's or Bachelor's 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 DRG's.
- 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 Opportunity Employer/Disability/Vet
Billing Specialist - Pharmacy
Billing specialist job in Urban Honolulu, HI
Hawai'i Pacific Health is a not-for-profit health care network with over 70 locations statewide including medical centers, clinics, physicians and other caregivers serving Hawai'i and the Pacific Region with high quality, compassionate care. Its four medical centers - Kapi'olani, Pali Momi, Straub and Wilcox - specialize in innovative programs in women's health, pediatric care, cardiovascular services, cancer care, bone and joint services and more. Hawai'i Pacific Health is recognized nationally for its excellence in patient care and the use of electronic health records to improve quality and patient safety.
The Pharmacy department is responsible for compounding and dispensing pharmaceuticals, supplies, medications and large-to-small volume parenteral, as well as providing drug information and education. We strive to ensure that our patients and clients receive safe and effective medication by applying the highest standards of modern pharmaceutical care.
As the Pharmacy Billing Specialist, you will help to ensure that the Pharmacy department provides outstanding pharmaceutical knowledge and services to our patients and their families. You will perform day-to-day functions related to pharmacy coding and billing; participate in the resolution of pharmacy billing issues and collaborate with system personnel to develop protocols that minimize potential problems. You will also ensure that all pharmacy processes are completed in a timely manner and that projected incoming revenue is captured and reconciled against prescription records. We are looking for someone with strong organizational and communication skills, attention to administrative and financial integrity and a commitment to delivering the highest quality health care to Hawai'i's people.
**Location:** Harbor Court
**Work Schedule:** Day - 8 Hours
**Work Type:** Full Time Regular
**FTE:** 1.000000
**Bargaining Unit:** Non-Bargaining
**Exempt:** No
**Req ID** 31205
**Pay Range:** 28.18 - 29.66 USD per hour
**Category:** Pharmacy
**Minimum Qualifications:** High school or equivalent. Formal course work or training as a Pharmacy Technician or in Accounting. Two (2) years' experience as a Pharmacy Technician.
**Preferred Qualifications:** One (1) year experience in patient accounting or pharmacy billing.
EOE/AA/Disabled/Vets
Hawai'i Pacific Health offers a comprehensive and competitive total rewards package that includes pay and benefits. Rate of pay for selected candidates will be determined by various factors including knowledge, skills, abilities, relevant experience and training, as well as internal peer equity.
Billing Specialist (Full-time) - Lanihuli Patient Service Center, Hilo, HI
Billing specialist job in Hilo, HI
We're not just a workplace - we're a Great Place to Work certified employer!
Proudly certified as a Great Place to Work, we are dedicated to creating a supportive and inclusive environment. At Sonic Healthcare USA, we emphasize teamwork and innovation. Check out our job openings and advance your career with a company that values its team members!
Quality is in our DNA- is it in yours?
You are a superhero when it comes to customer service. You've got problem-solving instincts, a passion for patient care, and the drive to keep things running smoothly. You're also looking for great benefits, the support of an all-star team, and an opportunity to grow your career.
Join our front line of #HealthcareHeroes! Our mission is to advance the health and well-being of our communities as a leader in clinical laboratory solutions.
LOCATION: Hilo, Hawaii
Status: Full-Time
Onsite- Opportunity
Days: Monday - Friday
Hours: 8:30 am- 4:30 pm
Base Pay: $20.89 - $22.98
In this role, you will-
Perform customer/client account research, review delinquent accounts, and work with customers/clients to establish a mutually agreeable re-payment plan in accordance with Accounts Receivable guidelines. The billing Specialist takes inbound calls (as needed) and makes outbound calls.
Initiate contact with customers/clients regarding their account status
Submit past-due notifications to patients
Follow-up on missed re-payment arrangements
Coordinate with local Sales collaboration in handling client accounts
Track and monitor delinquent accounts to ensure account status moves current and payment application is consistent
Report and refer seriously delinquent accounts to designated Administrative leadership for potential service provider agreement default and cut-off
Work on other projects as assigned
All you need is:
High School diploma or GED
Typing (min 35 wpm) and 10 Key. MUST be able to demonstrate proficiency.
Requires a positive demeanor and professional phone etiquette and disposition that is fair and consistent with all clients they support.
Must handle consumer and commercial collections professionally and pay attention to detail and record keeping.
Ability to work with minimal direction; seeking additional help/information from the Client Support Manager and/or Supervisor or Team Leader.
Knowledge of computer technology and terminology.
Perform duties promptly and accurately-the ability to work under deadlines.
Maintain confidentiality of information.
Ability to read and comprehend English.
This position is Working Onsite.
Bonus points if you've got:
Minimum of six (6) months of related experience or equivalent combination of experience and education
Experience with medical/insurance billing and Customer Service
Experience in a multitasking environment
We'll give you:
Appreciation for your work
A feeling of satisfaction that you've helped people
Opportunity to grow in your profession
Free lab services for you and your dependents
Work-life balance, including Paid Time Off and Paid Holidays
Competitive benefits including medical, dental, and vision insurance
Help saving for retirement with a 401(k) plus a company match
A sense of belonging - we're a community!
We also want you to know:
This role will provide routine access to protected health information (PHI). Employees will be trained on reasonable safeguards and are expected to maintain strict confidentiality and abide by all applicable privacy and security standards. Employees are expected only to access PHI when required to fulfill job duties.
In 2008 Clinical Labs of Hawaii became a member of Sonic Healthcare Ltd. Sonic is headquartered in Sydney, Australia. Since its establishment in 1987, Sonic Healthcare has grown to become the world's third largest pathology/laboratory medicine company with operations in eight countries. Sonic's success stems from the belief that a global culture of Medical Leadership leads to the delivery of outstanding medical services. Learn more about our medical leadership, values, and foundation principles below
Scheduled Weekly Hours:
40
Work Shift:
1st Shift (United States of America)
Job Category:
Accounts Receivable
Company:
Clinical Laboratories of Hawaii, LLP
Sonic Healthcare USA is an equal opportunity employer that celebrates diversity and is committed to an inclusive workplace for all employees. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, age, national origin, disability, genetics, veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
Sonic Healthcare USA is an equal opportunity employer that celebrates diversity and is committed to an inclusive workplace for all employees. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, age, national origin, disability, genetics, veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
Auto-ApplySr. Specialist, Account Management
Billing specialist job in Urban Honolulu, HI
**_What Account Management contributes to Cardinal Health_** Account Management is responsible for cultivating and maintaining on-going customer relationships with an assigned set of customers. Provides new and existing customers with the best possible service and recommendations in relation to billing inquiries, service requests, improvements to internal and external processes, and other areas of opportunity. Provides product service information to customers and identifies upselling opportunities to maintain and increase income streams from customer relationships.
**_Responsibilities_**
+ Oversee assigned Medical Products and or Lab Distribution customer(s) as it pertains to supply chain health and general service needs
+ Bridge relationships between the customer's supply chain team and internal Cardinal Health teams to ensure flawless service
+ Support customer expectations and requirements through proactive account reviews, and regular engagement and review of key initiatives
+ Prevent order disruption to customer through activities such as: elimination of potential inventory issues, substitution maintenance, core list review, and product standardization and conversions
+ Resolve open order issues by reviewing open order and exception reports, analyzing trends, and partnering with customer to take alternative actions as needed
+ Advocate for customer and partner across Cardinal Health servicing teams to bring rapid and effective resolution to customer's issues, requests and initiatives
+ Track, measure, and report key performance indicators monthly
+ Build and maintain long-term trusted relationships with customer to support retention and growth of the account
**_Qualifications_**
+ Bachelor's degree or equivalent work experience, preferred
+ 2-4 years professional experience; direct customer facing experience preferred
+ Customer service, pricing and/or collections experience a plus
+ Strong command of MS Office applications (Excel, PowerPoint, Word and Outlook)
+ Demonstrated ability to work in a fast-paced, collaborative environment
+ Highly motivated, creative, able to operate effectively within a team
+ Strong communication skills
**_What is expected of you and others at this level_**
+ Applies working knowledge in the application of concepts, principles, and technical capabilities to perform varied tasks
+ Works on projects of moderate scope and complexity
+ Identifies possible solutions to a variety of technical problems and takes actions to resolve
+ Applies judgment within defined parameters
+ Receives general guidance may receive more detailed instruction on new projects
+ Work reviewed for sound reasoning and accuracy
**Anticipated salary range:** $57,000-81,600
**Bonus eligible** : No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close** : 12/17/2025 *if interested in opportunity, please submit application as soon as possible
_The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity._
\#LI-LH3
\#LI-Remote
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
Account Representative - State Farm Agent Team Member
Billing specialist job in Aiea, HI
Job DescriptionBenefits:
Salary Plus Commission/Bonus
License Reimbursement
Bonus based on performance
Competitive salary
Flexible schedule
Health insurance
Opportunity for advancement
Paid time off
Training & development
ROLE DESCRIPTION:
As Account Representative - State Farm Agent Team Member for Thomas Jansson - State Farm Agent, you are vital to our daily business operations and customers success. You grow our agency through meaningful customer relations and acting as a liaison between customer needs and agency departments. You improve the lives of our customers by proactively marketing relevant products and services.
Grow your career as you better your community. As an attentive, sociable, and sales-minded professional, we are eager to have you on our team.
RESPONSIBILITIES:
Provide information about insurance products and services.
Assist customers with policy applications and renewals.
Handle customer inquiries and provide timely responses.
Maintain accurate records of customer interactions.
QUALIFICATIONS:
Communication and interpersonal skills.
Detail-oriented and able to multitask.
Experience in customer service or sales preferred.
Hospital Based Patient Advocate
Billing specialist job in Urban Honolulu, HI
Make a real difference in patients' lives-join Elevate Patient Financial Solutions as a Hospital Based Patient Advocate and help guide individuals through their healthcare financial journey. This full-time position is located 100% onsite at a hospital in Honolulu, HI, with a Monday-Friday schedule from 8 AM to 4:30 PM.
Bring your passion for helping others and grow with a company that values your impact. In 2024, our Advocates helped over 823,000 patients secure the Medicaid coverage they needed. Elevate's mission is to make a difference. Are you ready to be the difference?
As a Hospital Based Patient Advocate, you play a vital role in guiding uninsured hospital patients through the complex landscape of medical and disability assistance. This onsite, hospital-based role places you at the heart of patient financial advocacy-meeting individuals face-to-face, right in their hospital rooms, to guide them through the process of identifying eligibility and applying for financial assistance. Your presence and empathy make a real difference during some of life's most vulnerable moments.
Job Summary
The purpose of this position is to connect uninsured hospital patients to programs that will cover their medical expenses. As a Patient Advocate, you will play a critical role in assisting uninsured hospital patients by evaluating their eligibility for various federal, state, and county medical or disability assistance programs through bed-side visits and in-person interactions. Your primary objective will be to guide patients face-to-face through the application process, ensuring thorough completion and follow-up. This role is crucial in ensuring that uninsured patients are promptly identified and assisted, with the goal of meeting our benchmark that 98% of patients are screened at bedside.
Essential Duties and Responsibilities
* Screen uninsured hospital patients at bedside in an effort to determine if patient is a viable candidate for federal, state, and/or county medical or disability assistance.
* Complete the appropriate applications and following through until approved.
* Detailed, accurate and timely documentation in both Elevate PFS and hospital systems on all cases worked.
* Provide exceptional customer service skills at all times.
* Maintain assigned work queue of patient accounts.
* Collaborate in person and through verbal/written correspondence with hospital staff, case managers, social workers, financial counselors.
* Answer incoming telephone calls, make out-bound calls, and track all paperwork necessary to submit enrollment and renewal for prospective Medicaid patients.
* Maintain structured and timely contact with the applicant and responsible government agency, by phone whenever possible or as structured via the daily work queue.
* Assist the applicant with gathering any additional reports or records, meeting appointment dates and times and arrange transportation if warranted.
* Conduct in-person community visits as needed to acquire documentation.
* As per established protocols, inform the client in a timely manner of all approvals and denials of coverage.
* Attend ongoing required training to remain informed about current rules and regulations related to governmental programs, and apply updated knowledge when working with patients and cases.
* Regular and timely attendance.
* Other duties as assigned.
Qualifications and Requirements
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or abilities.
* Some college coursework preferred
* Prior hospital experience preferred
* Adaptability when dealing with constantly changing processes, computer systems and government programs
* Professional experience working with state and federal programs
* Critical thinking skills
* Ability to maneuver throughout the hospital and patients' rooms throughout scheduled work shift.
* Proficient experience utilizing Microsoft Office Suite with emphasis on Excel and Outlook
* Effectively communicate both orally and written, to a variety of individuals
* Ability to multitask to meet performance metrics while functioning in a fast-paced environment.
* Hospital-Based Patient Advocates are expected to dress in accordance with their respective Client's Dress Code.
* Hybrid positions require home internet connections that meet the Company's upload and download speed criteria. Hybrid employees working from home are expected to comply with Elevate's Remote Work Policy, including but not limited to working in a private and dedicated workspace where confidential information can be shared in accordance with HIPAA and PHI requirements.
Benefits
ElevatePFS believes in making a positive impact not only within our industry but also with our employees -the organization's greatest asset! We take pride in offering comprehensive benefits in a vast array of plans that contribute to the present and future well-being of our employees and their families.
* Medical, Dental & Vision Insurance
* 401K (100% match for the first 3% & 50% match for the next 2%)
* 15 days of PTO
* 7 paid Holidays
* 2 Floating holidays
* 1 Elevate Day (floating holiday)
* Pet Insurance
* Employee referral bonus program
* Teamwork: We believe in teamwork and having fun together
* Career Growth: Gain great experience to promote to higher roles
The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, location, specialty and training. This pay scale is not a promise of a particular wage.
The job description does not constitute an employment agreement between the employer and Employee and is subject to change by the employer as the needs of the employer and requirements of the job change.
ElevatePFS is an Equal Opportunity Employer
#IND123
Account Representative - State Farm Agent Team Member
Billing specialist job in Waimea, HI
Job DescriptionBenefits:
Simple IRA
Bonus based on performance
Competitive salary
Flexible schedule
Health insurance
Opportunity for advancement
Paid time off
Training & development
ROLE DESCRIPTION:
As Account Representative - State Farm Agent Team Member for Cheryl Kim - State Farm Agent, you are vital to our daily business operations and customers success. You grow our agency through meaningful customer relations and acting as a liaison between customer needs and agency departments. You improve the lives of our customers by proactively marketing relevant products and services.
Grow your career as you better your community. As an attentive, sociable, and sales-minded professional, we are eager to have you on our team.
RESPONSIBILITIES:
Provide information about insurance products and services.
Assist customers with policy applications and renewals.
Handle customer inquiries and provide timely responses.
Maintain accurate records of customer interactions.
QUALIFICATIONS:
Communication and interpersonal skills.
Detail-oriented and able to multitask.
Experience in customer service or sales preferred.
Accounts Receivable Representative
Billing specialist job in Urban Honolulu, HI
Independently process group and direct payments received from walk-in members and groups while providing all customers with an exceptional customer-focused and positive HMSA Center experience. Ensure that the experience meets the customer's needs and exceeds their expectations. Communicate and promote HMSA's brand message and commitment to service excellence.
Effectively and independently analyze and research inquiries from customers (internal and external) relating to billing and payments processed by cashiers. Handle customer inquiries (internal and external) by responding to their needs quickly and efficiently. Requires broad understanding of HMSA's business, including the Hawaii Health Connector, HMSA online storefront, LRSP, QNXT, and ancillary systems. Provide quality service in line with HMSA's mission and vision.
Assist in bill production for individual subscribers and groups, including cycle billing and demand billing. Performs reconciliations and audits to ensure the billing system, A/R system, and electronic bill presentment system are in balance. Independently resolves any identified variances.
Process mailed-in group and direct payments from members and groups. Process rejected and unprocessed payments from Bank of Hawaii Lockbox. Process miscellaneous payments from other departments: Medicaid, Workshops, Administrative Services Only, Long Term Care, etc. Process medical refund checks (HMSA or other) mailed-in by members and providers. Process miscellaneous checks from Finance & Accounting units. Process member Automatic Dues Payment Set-up (DPS) and mailing notification letters. Process QNXT Unapplied Cash Payments. Balance and reconcile deposits, and record payments to various general ledger accounts.
Review and conduct analyses to assist the department in maintaining an efficient delinquency and cancellation process for individual subscribers and groups. Includes monitoring delinquent subscribers and groups, generating and mailing delinquency and cancellation letters, and ensuring that cancelled accounts are reconciled accurately.
Process routine enrollment and group or subscriber maintenance transactions submitted in the HMSA Centers.
Processes returned checks, agent fee bills, and issues petty cash. Balance cash daily and replenish till monthly. Record expenses to proper operating expense general ledger account. Make corrections as needed.
Performs all other miscellaneous responsibilities and duties as assigned or directed
Patient Access Scheduling Representative, Full Time, Days, Kailua Primary Care
Billing specialist job in Kailua, HI
Located in Kailua, Adventist Health Castle has been one of the area's leading healthcare providers since 1963. We are comprised of a 160-bed hospital, eight medical offices, home care services, urgent cares and a vast scope of services located throughout O'ahu. In 2017, Adventist Health Castle was recognized with the Malcolm Baldrige National Quality Award, the nation's highest presidential honor for performance excellence. O'ahu is known for its ideal climate, diverse culture and picturesque landscape. The allure of Castle's laid-back lifestyle is complimented by its close-knit and proud community.
Job Summary:
Facilitates patient medical and financial clearance using medical and healthcare knowledge, clinical judgment, and communication skills to assist in resolving difficulties surrounding patient access, authorization of services and coordination of scheduled programs. Applies substantial knowledge of the job and experience to complete a wide range of activities with varying difficulty. Regularly works with sensitive and confidential information, often involving the interpretation of policies and procedures to guide use.
Job Requirements:
Education and Work Experience:
* High School Education/GED or equivalent: Preferred
* Associate's/Technical Degree or equivalent combination of education/related experience: Preferred
* Two years' healthcare experience: Preferred
Essential Functions:
* Coordinates and schedules patient care for all wellness programs. Facilitates communication between patient scheduling staff and all user departments, physicians, physician office staff, patient clients.
* Answers telephone inquiries regarding physician referrals and covers front desk duties when needed. Maintains patient scheduling data base.
* Collaborates with patient financial services (PFS) to ensure appropriate authorizations are obtained in accordance with PFS policy and procedure. Submits documentation for retro-authorization as appropriate, files and appeal for denial of services.
* Develops monthly Wellness newsletter, updating website and developing promotional flyers. Actively participates in training. Performs other duties as assigned by department leadership.
* Performs other job-related duties as assigned.
Organizational Requirements:
Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.
Adventist Health participates in E-Verify. Visit ******************************************** for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.
Auto-ApplyAccount Representative - State Farm Agent Team Member
Billing specialist job in Lihue, HI
Job DescriptionBenefits:
Life Insurance
License Reimbursement
Salary PLUS Commission
Bonus based on performance
Competitive salary
Dental insurance
Flexible schedule
Health insurance
Opportunity for advancement
Paid time off
Training & development
Vision insurance
ROLE DESCRIPTION:
As Account Representative - State Farm Agent Team Member for Eric Kaneda - State Farm Agent, you are vital to our daily business operations and customers success. You grow our agency through meaningful client relations and acting as a liaison between customer needs and agency departments. You improve the lives of our customers by proactively marketing relevant products and services.
Grow your career as you better your community. As an attentive, sociable, and sales-minded professional, we are eager to have you on our team.
RESPONSIBILITIES:
Provide information about insurance products and services.
Assist clients with policy applications and renewals.
Handle client inquiries and provide timely responses.
Maintain accurate records of client interactions.
QUALIFICATIONS:
Strong communication and interpersonal skills.
Detail-oriented and able to multitask.
Experience in customer service or sales preferred.
Residential Account Specialist (Hilo)
Billing specialist job in Hilo, HI
PURPOSE STATEMENT:
The Residential Account Specialist markets and sells gas products and services to new and existing residential markets in order to meet the Company's growth and profitability objectives. They will function as the primary interface between Hawaiʻi Gas and assigned customers. They will also perform operations-related functions.
Responsibilities
ESSENTIAL FUNCTIONS/RESPONSIBILITIES:
Identifies potential clients using innovative approaches and standard practices. Devises and implements sales strategies to gain new residential accounts, including the effective use of proposals, energy comparison data, analyses and presentations consistent with company guidelines. Implements sales programs and campaigns, as directed.
Develops and employs account management strategies and processes to maximize retention and growth of gas loads within assigned account base.
Builds, maintains, and enhances relations with customers to support the company's priority on improving and enhancing the customer's experience.
Ensures customer service application and intake forms are completed accurately and on time using the systems provided (principally the Company CRM and CIS).
Follows proper procedures and processes when establishing new accounts to include the completion of all required paperwork, coordinating the installation and turn-on of system, and evaluating the feasibility of all new projects to ensure that all financial and technical requirements are met.
Designs new gas service systems, utilizing assistance from Engineering, Distribution, and LPG Supply & Distribution when required or necessary.
Promptly responds to customer inquiries and continually updates customers on a wide range of matters relating to rates, company practices, PUC tariffs and schedules, servicing policies, applicable codes and regulatory requirements, gas system specifications, etc.
Assists Operations in a variety of tasks relating to residential customer needs, including but not limited to tank relocation, load increases tank sizing, field evaluation of accounts, and on-call supervisor rotation.
Keeps current with new residential gas appliances, equipment and technologies as well as trends, processes and developments in the energy industry.
Provides expertise in understanding customer's energy needs and identifying and pursuing opportunities for installation of additional gas appliances and replacement of non-gas appliances with gas-fired appliances.
Represents the Company and participates in appropriate local professional, business and community activities/associations. Establishes and maintains relations with key industry personnel; develops relations with engineers, architects, developers, contractors and gas appliance and equipment dealers.
Assists in analyzing market conditions, identifying trends, and developing sales forecasts, etc.
OTHER FUNCTIONS/RESPONSIBILITIES:
Complies with all safety rules and cooperates in the fullest in the promotion of safety and safe work habits, to include the reporting of any unsafe conditions or acts. Maintains all EH&S training on a current basis.
Complies with all applicable corporate and Hawaii Gas policies and procedures.
Maintains assigned work area and equipment in a clean, orderly and safe manner; performs housekeeping duties as required and/or instructed. Works in a safe and responsible manner.
Performs all other related duties as instructed by manager.
Qualifications
Required Education and/or Work Experience:
High school diploma or GED.
Two (2) years successful and progressive experience in the gas or energy industry to include outside sales, cold calling, contract negotiations, proposal writing, and account management. Other relevant experience may be considered.
Proficient with Microsoft suite of tools (specifically, Outlook, Word, Excel, and Power Point), MS Project, and customer service software.
Working knowledge of NFPA 58, gas utility systems, local zoning laws, and plumbing, building and fire codes.
Experience with bid submittals, specifically, government bids (city, county, state and federal).
Preferred Education and/or Work Experience
:
Bachelor's or master's degree in business administration, Marketing or Engineering or equivalent combination of related experience and education.
Technical knowledge in a field related to the energy industry, such as energy management, HVAC equipment, distributed generation, and end-use gas and electric equipment (motors, engines, heat pumps, water heaters, boilers, cooking equipment, etc.).
Knowledge of Hawaii's energy market, designated sales territory and various cultures, including business protocols.
The knowledge and capability to plan, design and manage new gas services, which includes load calculation/diversification, drawings, sizing (lines, tanks, meters, regulators, gas pressures, etc.), fire suppression systems and permitting.
Required Licensure, Certification, Registration or Designation:
A valid Hawaii driver's license.
Access to an insured vehicle with current registration.
Preferred Licensure, Certification, Registration or Designation
:
Certified Energy Manager, other certification in energy or equivalent related experience and education.
Sales certifications.
Certification in finance or equivalent related experience and education.
Other advanced education or certification(s) which apply to the energy, utility, project management industry and job function.
Auto-ApplyAccounts Receivable Specialist II
Billing specialist job in Kailua, HI
Job Description
Bring your accounting expertise to Kama‘aina Kids, one of Hawai‘i's most respected nonprofit childcare organizations. We're looking for an Accounts Receivable Specialist II to support our Preschool Division from our Corporate Office in Kailua.In this role, you'll take ownership of receivables processes, maintain accurate records, and help ensure the financial health of our programs. You'll collaborate with a professional, supportive finance team that values accuracy, communication, and teamwork.
Position Title: Accounts Receivable Specialist II
Reports to: Accounts Receivable Manager
Location: Corporate Office 156C Hamakua Drive Kailua HI 96734
Schedule: Full-Time Monday - Friday
Hourly: $23-28 (DOE)
Position Overview
Kama‘aina Kids is seeking an experienced Accounts Receivable Specialist II to join our Corporate Office in Kailua. This role oversees receivables for our Preschool Division, ensuring accurate, efficient, and timely financial operations that support our statewide programs.
The ideal candidate is an analytical, dependable professional who brings a strong foundation in accounting, thrives on accuracy, and enjoys building positive working relationships with families, vendors, and colleagues. You'll play a key role in maintaining the financial health and integrity of our organization.
Key Responsibilities
Manage and process all accounts receivable transactions for assigned programs.
Monitor, reconcile, and report on billing and payment activity.
Collaborate with Center Directors and families to resolve account inquiries.
Prepare monthly reports and assist with audit documentation.
Ensure accuracy, consistency, and confidentiality of all financial data.
Research and resolve discrepancies between vendors, sites, and corporate records.
Contribute to continuous improvement of AR procedures and internal controls.
Qualifications
Associate degree in Accounting required; Bachelor's degree strongly preferred.
Minimum 3 years of accounts receivable or accounting experience.
Proficient in Microsoft Excel and accounting software systems.
Experience with ProCare or similar childcare management systems a plus.
Strong attention to detail, organizational skills, and communication abilities.
Proven ability to support and mentor accounting team members.
Physical Requirements
Ability to lift up to 40 lbs as needed.
About Kama‘aina Kids
At Kama‘aina Kids, we are more than Hawai‘i's largest childcare provider - we are a mission-driven organization dedicated to serving children, families, and communities across the islands. Our programs nurture the whole child, laying the foundation for lifelong learning and success.
Why You'll Love Working With Us
Make a Meaningful Impact: Your work supports programs that help shape Hawai‘i's future generations.
Collaborative Culture: Join a professional, supportive team that values integrity, teamwork, and service.
Growth & Development: Access training, mentorship, and leadership opportunities to advance your career.
Education Assistance: Receive up to $2,000 per year toward college coursework and up to $150/month for student loan repayment.
Competitive Benefits: Enjoy comprehensive health coverage, retirement savings plans, and generous paid time off.
Visit our Career Site for full benefits info.
Be Part of Something Bigger
When you join Kama‘aina Kids, you're not just taking on a job - you're becoming part of a statewide ‘ohana committed to excellence, community, and growth. Bring your expertise, initiative, and heart for service to a place where your work truly matters.
Apply today and help us continue making a difference - one keiki, one family, and one community at a time.
Kama'aina Kids is an equal opportunity employer and proud to support Hawai‘i's future educators and youth development leaders. We celebrate and support the diverse cultures, perspectives, and experiences within our workforce ‘ohana.
Keywords: Accounting, Accounts Receivables, Finance, AR, Invoicing, Reconciliation, Kailua, Hawai‘i.
Account Representative - State Farm Agent Team Member
Billing specialist job in Hilo, HI
Job DescriptionOverview If you enjoy talking to people, are driven to achieve, have a passion for being the best, this opportunity may be for you. The position is designed to give on the job training while working with a full-time mentor in the agents office to build and cultivate customer relationships as a Sales Representative - State Farm Agent Team Member. I am seeking an energetic professional interested in helping our business grow through value-based conversations and remarkable customer experience. If you are a motivated self-starter who thrives in a fast-paced environment, then this is your opportunity.
What Youll Do:
Drive Sales: Use your expertise and people skills to sell a variety of insurance products tailored to the unique needs of each customer.
Build Relationships: Establish trust and rapport with customers, following up to ensure satisfaction and uncover new sales opportunities.
Provide Expert Service: Educate customers on their insurance options, explain policy details, and guide them through the process with exceptional customer service that keeps them coming back.
Collaborate with Your Agent: While you work independently, youll also work with your agent to set goals and align on strategy, ensuring you have the support to reach your targets.
Experience & Skills:
Proven sales success with a self-motivated, results-driven approach.
Skilled in customer-focused insurance sales and relationship management.
Passionate about helping clients secure their future with top-tier service.
Adaptable, independent, and effective in both solo and team settings.
Compensation & Benefits:
Base Pay: Start at $18/hr
Commissions: Uncapped performance-based incentives when licensed.
Bonus: Monthly, quarterly, annual performance bonuses.
Comprehensive Benefits: Health, dental, and vision insurance, paid time off, 401(k), 401 (k) matching, profit sharing, and parental leave.
Licensing Requirements
Must be willing to obtain necessary state insurance licenses (Property & Casualty, Life & Health) through study and testing.
Job Type: Full-time
Hours: 40 hours per week, Monday to Friday
Ready to Take Control of Your Future?
If youre a motivated, results-oriented sales professional who wants to take your career to the next level, apply now! Well be in touch with next steps to help you start your journey with State Farm.
Experienced AR Medical Specialist in Office in Honolulu, HI
Billing specialist job in Urban Honolulu, HI
Job DescriptionBenefits:
Competitive salary
Dental insurance
Health insurance
Paid time off
Training & development
Vision insurance
Opportunity for advancement
Location: Honolulu, HI
Job Type: Full-Time, In-Office
Department: Accounts Receivable, Medical Billing
Reports to: Billing Supervisor or Office Manager
Job Overview: We are seeking a highly skilled and experienced Accounts Receivable Medical Specialist to join our growing team in Honolulu, HI. The ideal candidate will have a strong background in medical billing and accounts receivable processes. This position is based in our office, requiring in-person attendance for daily operations.
Key Responsibilities:
Medical Billing & Accounts Receivable: Manage and process medical claims, ensuring accurate and timely submission to insurance companies.
Insurance Verification & Follow-Up: Verify Patient insurance coverage and follow up on any outstanding or denied claims.
Patient Billing: Work closely with patients to resolve billing issues and answer questions regarding their accounts, providing exceptional customer service.
Denial Management: Review and resolve claim denials, including researching coding or billing issues, appealing decisions, and re-submitting claims when necessary.
Collaboration: Work Closely with the clinical and administrative teams to ensure smooth billing operations and address any billing-related concerns.
Compliance & Documentation: Ensure that all billing practices are compliant with federal regulations, including HIPAA, and maintain accurate documentation of all AR-related activities.
Qualifications:
Experience: Minimum 3-5 years of experience in medical billing and accounts receivable, with a focus on general healthcare services.
Education: High school diploma or equivalent required. Certification in medical billing or coding preferred.
Software Proficiency: Experience with medical billing software and practice management systems. Familiarity with EPIC, NextGen, or similar platforms a plus.
Communication Skills: Strong verbal and written communication skills, with the ability to interact professionally with insurance companies, patients, and internal teams.
Detail-Oriented: High attention to detail and accuracy, with the ability to handle complex billing situations and resolve issues independently.
Organizational Skills: Ability to manage multiple tasks, prioritize workloads, and meet deadlines ina a fast-paced environment.
Customer Service: Excellent customer service skills, with a patient and solutions-oriented approach to addressing billing inquiries.
Patient Account Rep
Billing specialist job in Lawai, HI
Job DescriptionAbout Us
Lāna'i Community Health Center (LCHC), located on the island of Lāna'i, is deeply rooted in a unique history of transitions and cultural diversity. This island has undergone economic and lifestyle shifts driven by changing ownership over the years. These transitions have shaped the island's residents, creating a community of great cultural richness, with a significant population of immigrants.
LCHC serves the entire population of Lāna'i, with a special emphasis on those living at or below 200% of the federal poverty level and the underinsured or uninsured. The center provides services in a culturally sensitive manner, offering translation services when needed, and ensures that no one is denied care due to an inability to pay.
As a Federally Qualified Health Center, LCHC accepts all insurances, helping patients navigate their coverage. LCHC is dedicated to improving the physical, mental, emotional, intellectual, and spiritual welfare of the community, working towards the vision of innovative healthcare with a culturally sensitive, holistic, and patient-centered approach. We are committed to building healthy families in a supportive environment.
Located centrally in Lāna'i City, at 333 Sixth St., LCHC is a 501(c)(3) nonprofit organization, ensuring that comprehensive healthcare is accessible to all residents, reflecting the island's unique history and diversity.
Role Overview
The Patient Account Rep is a vital member of our team. The individual in this role will engage with patients and staff both over the phone and in person. The primary responsibilities revolve around delivering financial, clerical, and administrative services to ensure the prompt, accurate, and efficient handling of accounts. Adherence to LCHC policies and procedures is paramount, with a focus on continuous improvement. The role aligns with the LCHC patient care philosophy, emphasizing culturally sensitive Patient Centered Medical Home care integrated with behavioral health, outreach, and case management. Maintaining strict confidentiality, compliance with HIPAA laws, and embodying the organization's commitment to patient care, teaching, research, workshops, education sessions, and outreach are integral components of this position.
Qualifications
High school diploma or equivalent.
Previous experience in a similar administrative or financial role.
Proficiency in basic office software (e.g., Microsoft Office Suite).
Excellent communication skills for effective interaction with patients and colleagues.
Understanding of healthcare billing and account management practices.
Familiarity with HIPAA regulations and confidentiality protocols.
Requirements
Full-time availability with flexibility for occasional adjustments based on organizational needs.
Ability to multitask and prioritize responsibilities in a dynamic healthcare environment.
Commitment to upholding and improving established policies and procedures.
Willingness to engage in workshops, education sessions, and outreach activities as required by the organization.
Adherence to the LCHC patient care philosophy and dedication to providing inclusive, culturally sensitive care.
Benefits
Medical, Dental, Vision
PTO Accrual
Holiday Pay
401K Plan Plus Employer Matching
Educational Assistance Program
Employee Assistance Program
AT&T Discount on Wireless Services
Hawaii Air Ambulance - Hawaii Life Flight `Ohana Plus Program
Continuing Education Benefits & Student Loan Repayment Program
Salary
$19 per hour
Background & Drug Screening Disclaimer
The Lanai Community Health Center is an Equal Opportunity employer and enforces a drug-free workplace, zero tolerance, random and pre-employment drug testing applies. We also conduct background screenings on all potential candidates to ensure the accuracy and completeness of the information provided during the hiring process. This screening may include, but is not limited to, criminal history, education verification, employment history, and reference checks. Your application submission implies your acknowledgement and consent to undergo background checks and drug screenings as part of the employment process at Lanai Community Health Center.
Medical Billing Clerk
Billing specialist job in Honokaa, HI
SUMMARY DESCRIPTION The Medical Billing Clerk is responsible for ensuring timely completion of all billing functions. This position is also responsible for the data entry and maintenance of all patient accounts and recording of payments. This individual must demonstrate a clear understanding of computers and all facets of medical billing. The Medical Billing Clerk will work closely with Front Office Staff and interface with Billing Manager and Chief Financial Officer regarding specific execution of assigned duties. REPRESENTATIVE DUTIES
The following duties are typical for the Medical Billing Clerk. Incumbents may not perform all of the listed duties and/or may be required to perform additional or different duties from those set forth below to address business needs and changing business practices.
Demonstrate positive interpersonal relations in dealing with physicians, patients, patient families, visitors, co-workers, in a professional and confidential manner.
Embrace the philosophy of continuous quality improvement.
Embrace and project the values of HKH: personal accountability, integrity, fairness, consistency and respect.
Demonstrate the ability to maintain confidentiality and to protect personal health information.
Demonstrate outstanding customer service skills consistently.
Demonstrate the ability to work and interact as a team member.
Apply problem solving and conflict resolution skills where needed.
Demonstrate culturally competent patient centered care.
EDUCATION, EXPERIENCE & QUALIFICATION GUIDELINES
Any combination of education and experience that would likely provide the required knowledge and abilities is qualifying.
High School Graduate or GED equivalent
Demonstrated proficiency with basic computer systems
Demonstrated proficiency in operation of multi-line phone systems
Demonstrated ability to work effectively as a team member
Demonstrated ability working effectively with electronic and paper medical records
Demonstrated ability working with volume mailings
Valid Hawaii Driver's License
Clean driving abstract
Knowledge of basic accounting
Familiar with basic Medical terminology.
Proficient data entry and typing skills.
Knowledge of Microsoft Office programs, including email.
Excellent written and oral communication skills.
Ability to interact appropriately and effectively with a wide variety of ages and cultures.
Ability to provide consistent excellent customer service skills to internal and external customers
Demonstrated excellent teamwork capabilities.
Demonstrated organizational capabilities.
Ability to multi-task effectively and calmly.
Understand basic patient flow within the clinic.
Demonstrated aptitude and ability to learn multiple processes.
Performance Requirements
Courteous, honest and professional at all times.
Able to communicate and relate well with physicians, clinical support staff and other HKH employees.
Able to provide innovative input into the development of the clinic and its processes.
Maintains appropriate licensure and certification including meeting and/or exceeding continuing education requirements where applicable.
Efficient, organized and accurate.
Responsible for the full range of third party and patient billing duties
Ensures timely input of patient billing data into the computer system with limited or no errors, utilizing Billing Reports to provide ongoing Quality Improvement.
Accurately maintains all patient accounts and record of payments.
Ensures proper billing of patient charges to various payers.
Possesses a clear understanding and detailed knowledge of different types of insurances, their respective billing requirements, and knowledge of how Payers submit payments to the Health Center.
Demonstrates detailed knowledge of State and Federal rules and regulations related to billing Insurance Claims.
Demonstrates detailed knowledge in self-pay, sliding fee collections.
Demonstrates detailed knowledge of Medicare/Medicaid requirements and HMO/PPO contracts
Demonstrates detailed knowledge of handling principles and various billing documents and claim forms.
Responsible to work system generated claims, edits, attaches records, and all system reports.
Assists Billing Manager in reviewing procedure codes annually.
Appropriately responds to billing inquiries from patients, insurance companies and departments within the Health Center
Appropriately identifies and resolves issues regarding account adjustments, re-billing insurance, and/or collecting from patients as appropriate.
Demonstrates detailed knowledge of Medical insurance terminology, referrals, authorizations and pre-certification used by third party payers
Review aged A/R monthly on a regularly scheduled basis and appropriately route claims requiring special attention.
Maintains an accurate system of follow up on all activities that require special attention.
Identifies issues affecting reimbursement and cash collections and communicate issues in a timely manner to Billing Manager or CFO
Responsible for preparation for end closing and the generation of month end reports as assigned.
Responsible for collections of delinquent accounts.
Accurately maintains record of all collections and related activities.
Responsible for Insurance and patient Refunds.
Assists with cross-training of billing staff as assigned.
Consistently maintains a clean and organized work area.
All other duties as assigned.
PHYSICAL DEMANDS AND WORKING ENVIRONMENT
The conditions herein are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.
Working Conditions:
Environment: Work is performed primarily in a standard office environment with extensive employee and public contact and frequent interruptions. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
Physical: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Primary functions require sufficient physical ability and mobility to work in an office setting; to stand or sit for prolonged periods of time; to occasionally stoop, bend, kneel, crouch, reach, and twist; to lift, carry, push, and/or pull light to moderate amounts of weight; to operate office equipment requiring repetitive hand movement and fine coordination including use of a computer keyboard.
Vision: See in the normal visual range with or without correction.
Hearing: Hear in the normal audio range with or without correction.
Work Schedule
:
This is a non exempt position. The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements and criteria considered necessary to successfully perform the job.
Confidentiality: As an employee of Hamakua-Kohala Health Clinic, you are bound by principles of medical ethics. You have both a legal and moral obligation to protect the privacy of our patients. In the course of your work, you will have access to confidential information regarding patients, and/or the practices' confidential business. It is essential that you refrain from any discussions regarding personal information about a patient, a patient's condition, a patient's finances, proprietary company information, personnel salaries, and/or the practices' confidential business with any third person. This includes, but is not limited to, other employees, your spouse, family or friends. CONFIDENTIALITY IS SO IMPORTANT THAT ANY BREACH OF THIS POLICY WILL BE CONSIDERED GROUNDS FOR TERMINATION. Review and signature of the Agreement is a condition of employment.
EEO STATEMENT
Hamakua-Kohala Health provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Hamakua-Kohala Health complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Hamakua-Kohala Health expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Hamakua-Kohala Health's employees to perform their job duties may result in discipline up to and including discharge.
OTHER DUTIES
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Managed Care Representative - Maternal Fetal Med Perinat FDC
Billing specialist job in Urban Honolulu, HI
Kapi'olani Medical Center for Women & Children is Hawai'i's only maternity, newborn and pediatric specialty hospital. It is well recognized as Hawai'i's leader in the care of women, infants and children. With 253 beds, the not-for-profit hospital delivers 6,000 babies a year, and is also a medical teaching and research facility. Specialty services for patients throughout Hawai'i and the Pacific Region include intensive care for infants and children, 24-hour emergency pediatric and adult care, critical care air transport and high-risk perinatal care. Over 1,400 employees and more than 700 physicians provide specialty care at Kapi'olani. The hospital is home to the Kapi'olani Women's Center and the Women's Cancer Center, and offers numerous community programs and services, such as specialty pediatric clinics, the Kapi'olani Child Protection Center and the Sex Abuse Treatment Center.
As Hawai'i's premier maternity specialty hospital, Kapi'olani opened the Fetal Diagnostic Center in 1990. It is the state's first obstetrical center to provide comprehensive diagnostic services for pregnant women. Our staff is comprised of Maternal Fetal Medicine Specialists (physicians with specialized training and experience in the care of pregnant women and their fetuses, including high-risk pregnancies), technologists, genetic counselors and clinical nurses, all of whom are committed to helping our patients have the healthiest baby possible in a caring and nurturing environment.
If you have strong organizational and communication skills, you might be the ideal candidate to be our next Managed Care Representative. In this role, you will provide managed care and business process support to the outpatient clinics. We are looking for someone responsible and qualified, with strong attention to protocol and planning and a commitment to delivering the highest quality health care to Hawai'i's people.
**Location:** Kapiolani Medical Center for Women and Children, Honolulu, HI
**Work Schedule:** Day - 8 Hours
**Work Type:** Part Time Regular
**FTE:** 0.800000
Bargaining Unit: UPW
**Exempt:** No
**Req ID** 25887
**Pay Range:** 24.73 - 26.03 USD per hour
**Category:** Administrative
**Minimum Qualifications:** High School or equivalent. One (1) year clerical experience in a health care setting. Experience with managed care and government health plans.
**Preferred Qualifications:** Associate's degree. Physician Billing or Coding course. Experience in an outpatient clinic or physician's office.
EOE/AA/Disabled/Vets
Hawai'i Pacific Health offers a comprehensive and competitive total rewards package that includes pay and benefits. Rate of pay for selected candidates will be determined by various factors including knowledge, skills, abilities, relevant experience and training, as well as internal peer equity.
Please be advised the Hawai'i Teamsters & Allied Workers, Local 996 (Teamsters) at Kapi'olani Medical Center for Women & Children is conducting a strike beginning Friday, October 17, 2025.
Accounts Receivable, Customer Service Operations
Billing specialist job in Urban Honolulu, HI
**Remote Hours: Monday - Friday, 7:00 AM - 3:30 PM PST (or based on business need)** **_What Accounts Receivable Specialist contributes to Cardinal Health_** Account Receivable Specialist is responsible for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims, following up on unpaid and denied claims, posting payments, managing accounts receivable, assisting patients with payment plans, and maintaining accurate and confidential patient records in compliance with regulations like HIPAA.
+ Demonstrates knowledge of financial processes, systems, controls, and work streams.
+ Demonstrates experience working collaboratively in a finance environment coupled with strong internal controls.
+ Possesses understanding of service level goals and objectives when providing customer support.
+ Demonstrates ability to respond to non-standard requests from vendors and customers.
+ Possesses strong organizational skills and prioritizes getting the right things done.
**_Responsibilities_**
+ Submitting medical documentation/billing data to insurance providers
+ Researching and appealing denied and rejected claims
+ Preparing, reviewing, and transmitting claims using billing software including electronic and paper claim processing
+ Following up on unpaid claims within standard billing cycle time frame
+ Calling insurance companies regarding any discrepancy in payment if necessary
+ Reviewing insurance payments for accuracy and completeness
**_Qualifications_**
+ HS, GED, bachelor's degree in business related field preferred, or equivalent work experience preferred
+ 2 + years' experience as a Medical Biller or within Revenue Cycle Management preferred
+ Strong knowledge of Microsoft Excel
+ Ability to work independently and collaboratively within team environment
+ Able to multi-task and meet tight deadlines
+ Excellent problem-solving skills
+ Strong communication skills
+ Familiarity with ICD-10 coding
+ Competent with computer systems, software and 10 key calculators
+ Knowledge of medical terminology
**_What is expected of you and others at this level_**
+ Applies basic concepts, principles, and technical capabilities to perform routine tasks
+ Works on projects of limited scope and complexity
+ Follows established procedures to resolve readily identifiable technical problems
+ Works under direct supervision and receives detailed instructions
+ Develops competence by performing structured work assignments
**Anticipated hourly range:** $22.30 per hour - $32 per hour
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 10/5/2025 *if interested in opportunity, please submit application as soon as possible.
The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
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