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Job description
Patient Accounts Representative IIHoward University Hospital | Washington, DCRole SummaryAs a Patient Accounts Representative II at Howard University Hospital, you will play a critical role in the financial health of our institution — ensuring that the care our clinicians deliver is properly billed, accurately paid, and compliantly documented. Reporting to the Manager of Patient Accounts, you will manage hospital accounts from claim creation through final adjudication, working third-party payers, government programs, and managed care plans to resolve unpaid balances and protect Hospital revenue.If you bring deep experience in hospital billing and collections, an eye for detail, and the persistence to work claims to resolution, this is your opportunity to contribute to the financial sustainability of one of the nation's most storied academic medical centers.Account & Insurance ManagementReview and update patient account insurance information, ensuring third-party payer information is complete and accurateEnter and update patient, insurance, contract, revenue, and reimbursement data into one or more hospital applicationsVerify insurance eligibility and covered services to support accurate claim creation and timely adjudicationBilling & ClaimsPrepare and submit hardcopy and electronic billing claim packages, collecting all necessary materials for proper claim creation and modificationMake payer-specific data changes as required for accurate, compliant, and timely billingVerify that payments and account balances align with payer contracts and applicable billing rules and regulationsCollections & Denial ResolutionContact insurance carriers as scheduled by the collection tool; communicate clear action plans when adjudication is delayedIdentify, review, and resolve denied claims daily; monitor accounts receivable status using Siemens Invision Unity, ePremis, EDM, the Medicaid and Medicare portals, CareFirst, and MCO portalsPerform payer remittance and reimbursement posting reconciliation; ensure reimbursement is consistent with payer contractual terms before performing adjustments or billing patient responsibilityReview and resolve credit balances accurately; report out-of-the-ordinary circumstances to immediate supervisors for investigationCustomer Service & DocumentationReceive and respond promptly to internal and external phone calls, correspondence, and inquiries related to patient accountsPrepare and maintain supporting data and documents on all required activities within the hospital system as defined by departmental guidelinesCompliance & RegulatoryPromote adherence to the Health Sciences Compliance Program, the Howard University Code of Ethics, the Health Sciences Standards of Conduct, and HIPAAAttend annual and periodic mandatory compliance training, including HIPAA Privacy training; actively participate in compliance program activitiesParticipate in activities that promote adherence to federal healthcare program requirementsMaintain strict confidentiality of patients, families, and staffRequired QualificationsHigh School Diploma or General Equivalency Diploma (G.E.D.) requiredMinimum of five (5) years of experience in billing, collections, customer service, or cash posting requiredHospital setting experience requiredAcute care facility experience required, including inpatient stay collection, DRG reimbursement, and Medicare and Medicaid payer experienceCertified Patient Account Representative (CPAR — HFMA) or Certified Revenue Cycle Specialist — Institutional (CRCS-I — AAHAM) certification required, and must be retained throughout employmentDemonstrated ability to produce accurate Medicare, Medicaid, and commercial payer claims that yield substantiated reimbursementProficiency in Microsoft Office (Outlook, Excel, Word, PowerPoint); strong basic computer and math skillsStrong organization, problem-solving, and time-management skills; ability to work independently in a collaborative environmentWhat We OfferWork-life balanceRecognition and rewards for professional expertiseCompetitive, comprehensive benefit plans including health, disability, vacation, sick leave, and 403(b) retirement planTuition remission at Howard University for you and/or eligible dependent children — up to two (2) courses per semesterA mission-driven environment rooted in over 150 years of excellence, service, and advocacy for the communities we serveAbout Howard University HospitalHoward University Hospital (HUH) is the nation's only teaching hospital located on the campus of a historically Black university. With a legacy dating back to 1862 — when it operated as Freedmen's Hospital, providing care and refuge to those who had been denied it elsewhere — HUH has grown into one of the most comprehensive healthcare facilities in the Washington, D.C. metropolitan area and is a designated DC Level 1 Trauma Center. Today, HUH continues its proud tradition of delivering exemplary, patient-centered, and culturally responsive care to the community, while providing exceptional learning and professional development opportunities for the next generation of healthcare professionals.Position DetailsDepartment - Patient AccountsReports To - Manager, Patient AccountsFLSA Status - Non-ExemptBargaining Unit - Local 2094Schedule - Full-Time | Monday – Friday, 8:00 AM – 4:30 PMPay & ScheduleThis is a full-time, non-exempt position covered under the Local 2094 collective bargaining agreement. Pay range: $19.00 – $30.40/hr, commensurate with experience and qualifications.Compliance StatementsCulture of Care: Howard University Hospital supports a Just Culture that promotes accountability, learning, and patient safety.Equal Opportunity Employer: Howard University Hospital is an Equal Opportunity Employer. We are committed to creating an inclusive environment for all employees and applicants and do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or any other status protected by applicable law.Reasonable Accommodation: Howard University Hospital is committed to providing reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act (ADA) and applicable state and local laws. If you require an accommodation during the application or interview process, please contact the Human Resources Department.Pay Transparency: Salary ranges listed in job postings reflect the expected compensation range for the position and are provided in accordance with applicable pay transparency laws. Final compensation is determined based on experience, education, internal equity, and other relevant factors.Disclaimer: The above statements describe the general nature and level of work performed. They are not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with the position.
Worksite address
washington, DC, 20060, US
Who can apply
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