Job Details

LOCATION: KONA COMMUNITY HOSPITAL | Patient Accounting

POSITION STATUS: 1.00 | Permanent

SALARY RANGE: BU03 | SR11

SALARY RATE: $43,272 (Annual Salary) based on the Full Time Employment

JOB DUTIES:

A. Billing & Collection responsibilities

1. Bills outpatients on appropriate claim forms (i.e., Hospital Claim form, UB-92 (Uniform Billing), Medicaid Drug Claim Form 204, Physical Claim Form HCFA 1500.

2. Follow up on assigned accounts.

3. Files claims on appropriate forms.

4. Follow up with the appropriate payor; obtain payments

5. Meets deadlines.

6. Work with patients in qualifying for charity care; resolve overpayments and charge corrections.

7. Verifies services as needed and works with departments to obtain missing charges or make corrections as necessary.

8. Answers inquiries pertaining to accounts either by telephone or through correspondence.

9. Interviews patients and/or responsible parties to obtain financial information to determine the ability to pay.

10. Contacts the patient or the responsible party who is delinquent in making payment or fulfilling promises.

11. Re-files claims with Medicare, Medicaid, HMSA, and other insurance carriers if claims are not settled within 60 days from the date of the initial claim.

12. Works closely with admitting resolving all billing/collections issues.

13. Receives and assists in investigating complaints and questions relating to hospital bills.

14. Identifies the issues impeding the collectability of an account, from the quality of admissions data to the inappropriate payor billing.

15. Discusses, with the appropriate Account Clerks, the nature of the complaint or question and the history of events leading up to the hospital charges.

16. Documents, updates, and corrects all communication regarding the account history in the billing system.

17. Requests, from the appropriate Account Clerks, for information needed for the re-filing of claims whenever necessary.

18. Retrieves accounts that have been written off or cancelled when reinstatement becomes necessary.

19. Prepares journal entries for review by the Patient Financial Services Manager and Accounting Manager to adjust accounts when necessary.

B. Other Duties and Responsibilities 20%

1. Maintain good public relations by tactfully clarifying misunderstandings that arise.

2. Communicates and interacts with patients and families positively and courteously.

3. Considers age-specific needs when serving or assisting patients:

___ Infants (0-2 years) ___ Adults (19-70 years)

___ Pediatrics (3-12 years) ___ Older Adults (greater than 70)

___ Adolescents (12-18 years)

4. Maintains the strictest confidentiality of all facility and facility-related employee/patient information.

5. Compliance with mandatory in-service requirements, e.g., patient rights, crisis prevention, annual mandatory health and safety, etc.

6. Participates in activities of the department, i.e., JCAHO, Safety, Performance Improvement, and Infection Control.

7. Adheres to hospital rules and regulations, policies, and procedures.

8. Attends mandatory in-services unless excused in advance by supervisor.

9. Plans and organizes workload and is aware and flexible to the acute needs of the section.

10. Performs 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.

Other information:

EDUCATION REQUIREMENT: High school diploma or equivalent.

GENERAL EXPERIENCE: Two (2) years of typing, stenographic, clerical work, cashiering, data input, customer service skills or any combination of these experiences which duties demonstrated knowledge of English grammar, spelling, arithmetic, standard office equipment; and the ability to read and understand oral and written instructions, carry out procedures in clerical work systems, speak and write simply and directly, observe differences in copy and proofread words and numbers quickly and accurately, and operate various kinds of office equipment; and ability to deal effectively with others in eliciting information and providing service.

SUBSTITUTION OF EDUCATION FOR GENERAL EXPERIENCE: An Associate's or Bachelor's from an accredited college or university may substitute for all of the General Experience required.

QUALITY OF EXPERIENCE: The number of years of experience required for any grade level represents the minimum amount of time necessary to qualify for the appropriate position, but length of time is not in itself qualifying. The applicant's work experience must also have been of a quality and scope sufficient to enable him to perform satisfactorily assignments typical of the grade level for which he/she is being considered.

KNOWLEDGE AND ABILITIES REQUIRED:

KNOWLEDGE OF: Office practices and procedures; grammar, spelling, punctuation and work usage; use of standard office machines; techniques of interviewing others to obtain pertinent information.

ABILITY TO: Make arithmetic computations; compare names and numbers rapidly and accurately; file materials numerically and alphabetically; follow oral and written instructions; communicate positively and effectively with staff, patient and patient family; work harmoniously with others; understand, explain and apply policies, procedures, rules and regulations pertinent to the admission of patients to an acute, skilled nursing or outpatient hospital or outpatient procedure; keep matters confidential; interview others to obtain pertinent admissions information; ability to speak and write English.

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 EXPERIENCE: 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 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. 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) ###-####, email: ...@hhsc.org or visit our website at

Persons with Disabilities may contact the Recruitment Office to discuss special needs in applying at (808) ###-####, ...@hhsc.org.