Health elevated.

Institutional Billing Specialist (Full-time), Hilo HI

Pathology Watch

Pathology Watch

Hilo, HI, USA
Posted on Friday, May 24, 2024

Job Functions, Duties, Responsibilities and Position Qualifications:

Quality is in our DNA; is it in yours?

You are a superhero when it comes to revenue cycle management. 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.

This opportunity is-

LOCATION: Hilo, Hawaii

Status: Full-Time

Onsite- Opportunity

Days: Monday - Friday

HOURS: 1st Shift TBD

Base Pay: $25.09 - $28.15 D.O.E.

In this role, you will-

Under minimal supervision and in accordance with Company policies, procedures, and guidelines, this position:

  • Reviews group account and ancillary billings for our hospital partners
  • Updates and maintains CPT and billing codes in all financial systems
  • Updates and maintains multiple fee schedules in our financial systems
  • Assists in the preparation of reports as required
  • Assists other departments and billing teams as needed
  • Submits claims (manually or electronically) to insurance payers in a timely manner
  • Prepares, verifies, electronically submits or mails periodic billing statements to customers/clients in a timely manner
  • Accurately processes, reconciles and posts payer/patient payments to customer accounts
  • Investigate and resolve rejected/denied claims and resubmit for payment to the insurance provider and/or patient
  • Reviews and responds to correspondence in accordance with company policies and procedures
  • Responds to and resolve issues for customers in a timely and efficient manner
  • Performs sorting, filing, typing, photocopying, and data entry as required
  • Performs account collection activities as required
  • Adheres to confidentiality, safety, compliance, and legal requirements
  • Maintains consistent and reliable attendance and complies with company guidelines on attendance
  • Performs other duties as assigned

All you need is:

  • Bachelor's Degree or equivalent in laboratory science is preferred
  • Medical coding (ICD-10, CPT, HCPC) knowledge preferred
  • Manual/electronic claim filing and processing knowledge preferred
  • Minimum three (3) years office experience required, preferably in a medical billing environment
  • Experience and proficiency with accounting software, PC computers including word processing and spreadsheets, and 10-key calculators
  • Strong math, analytical, and data entry skills required
  • Strong problem-solving and decision-making skills required
  • Additional requirements may apply and change without notice, including, but not limited to hospital, required criminal background checks, health clearance, and compliance training

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.

Scheduled Weekly Hours:

40

Work Shift:

Job Category:

Accounts Receivable

Company:

Clinical Laboratories of Hawaii, LLP

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 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.

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.