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Job Description

The Medical Billing & Collections Specialist is responsible for managing the end-to-end billing and collections process for medical accounts receivable. This role ensures accurate claim submission, timely payments, and effective follow-up with insurance companies and patients. The specialist must maintain compliance with company policies, HIPAA regulations, and all applicable laws related to medical billing and collections.

Hours

Full-time, 8:00am-5:00pm Mon-Fri

Location

Honolulu, Oahu

Pay

$20 an hour

Responsibilities

• Review and verify patient registration, insurance, and eligibility data.
• Post charges from coding documentation into the billing system accurately.
• Prepare and submit claims electronically and via paper as required.
• Identify and correct billing errors; resubmit corrected claims promptly.
• Post insurance payments and contractual adjustments into the billing system.
• Review remittance advice for payment errors, denials, and underpayments.
• Follow up with payers and initiate appeals when necessary.
• Document all account activity and follow-up actions in system notes.
• Send patient account reminders and manage follow-up communications.
• Post and reconcile patient payments.
• Monitor and work accounts receivable (A/R) aging reports.
• Prepare delinquent accounts for submission to third-party collection agencies.
• Provide courteous and professional assistance to patients, staff, and management via phone and in-person.
• Maintain a high level of accuracy and confidentiality in all tasks.

Qualifications

• High school diploma or GED required.
• Minimum of 2 years’ experience in medical billing and follow-up preferred.
• Working knowledge of medical billing and/or coding systems.
• Understanding of insurance claim processes, denials, and appeals.
• Familiarity with HIPAA and other applicable healthcare billing regulations.
• Basic proficiency in Microsoft Word, Excel, and Outlook.
• Strong verbal and written communication skills.
• High attention to detail and accuracy.
• Ability to organize, prioritize, and manage time independently.
• Ability to adapt to varying work styles and personalities.
• Experience with billing software and electronic health record (EHR) systems preferred.