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APR Consulting · 1 day ago

Patient Service Representative

Wailuku, HI

Contract

Hybrid

Entry Level

$25.56/hr - $25.56/hr

1+ years exp

APR Consulting, Inc. is engaged in recruiting for a Patient Financial Services Representative. The role involves accurate billing of insurance claims and ensuring compliance with regulations while optimizing revenue through timely follow-ups on payments.

ConsultingCRMHuman ResourcesInformation TechnologySmall and Medium BusinessesStaffing Agency

Hiring Manager

Irhon "Ron" Firme

Responsibilities

Performs accurate and timely billing of insurance claims in accordance with policies and procedures of Maui Health and in compliance with State/Federal regulations, payer health plan guidelines, and third-party payer requirements

Expedites larger dollar accounts to ensure revenue optimization for prompt payment

Follows up timely on payment with insurance comp

Qualification

Medical insurance claims processingMedicaidMedicareAccounts Receivable proceduresEPIC HERCustomer Service

Required

High School Diploma/GED

One (1) year experience in medical insurance claims processing, demonstrating knowledge of Medicaid, Medicare, & Commercial (including Worker's Compensation and Third-Party Liability) payer requirements

In-depth Knowledge of WC and TPL Regulations; Insurance Claim Processing and Denial Management; Accounts Receivable (AR) and Collections Procedures; Accounts Receivable (AR) and Collections

Specific Systems Knowledge Required: HER (Preferred): EPIC HER

Preferred

Associates Degree or bachelor's degree in business administration, Finance, Accounting or Healthcare-related field

Customer Service

Company

APR Consulting

APR Consulting is a nationally recognized, award-winning provider of talent acquisition and workforce solutions, helping organizations simplify, scale, and optimize their operations.

Founded in 1980

Diamond Bar, California, USA

201-500 employees