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Job Description
Billing Collector -
Medical & Pharmacy Billing Location:
On-site, Kakaʻako -
Honolulu, HI Status:
Full-time, In‑Office Only Position Overview We are seeking a full-time Billing Collector to support end‑to‑end medical and pharmacy billing and collections for medications dispensed directly from physician offices. This role requires strong technical accuracy, excellent communication skills, and the ability to thrive in a structured, fast‑paced billing environment. This position is 100% on-site in Honolulu, HI (no remote work). Top pay is based on experience, accuracy, and job performance. Key Responsibilities Monitor accounts receivable and aging reports in RXBilling, identify unpaid or overdue pharmacy claims, and prioritize follow‑up to maximize collections. Conduct status inquiries and collection calls with insurance carriers (workers' compensation and other lines), documenting all conversations, outcomes, and next steps in RXBilling and internal logs. Investigate payment delays and denials, determine root causes (e.g., missing documentation, medical necessity, prior authorization), and coordinate with internal billing staff to obtain and submit required records. Prepare, submit, and track reconsideration requests and first‑level appeals using established templates and SOPs, ensuring timely, accurate, and fully documented responses. Assist with DLIR bill disputes and related correspondence when internal appeals are exhausted, including assembling supporting documentation and tracking deadlines. Review denial letters to identify denial reasons, assess complexity, and determine the appropriate response path (reconsideration, appeal, bill dispute) in collaboration with supervisors. Partner with Billing Specialists to ensure claims are clean and complete before and after submission, verifying that all required medical records, treatment plans, IDFs, and LMNs are uploaded and accurate. Maintain detailed audit trails by tracking all collection activities, appeals, and disputes in spreadsheets and electronic patient files. Support weekly and monthly AR reporting by providing updates on collection status, denial trends, slow‑paying carriers, and escalated issues. Maintain professional, solution‑oriented communication with insurance carriers, clinics, internal teams, and legal counsel when needed. Required Qualifications Minimum 2 years of medical billing, pharmacy billing, or workers' compensation collections experience in a high‑volume environment. Strong working knowledge of the insurance claim life cycle, including
HCFA/CMS
‑1500 claims, denials, reconsiderations, and appeals; workers' compensation experience (Hawaii and/or California) strongly preferred. Experience with at least one billing or practice management system; prior use of RXBilling , MDScripts , or similar platforms is a plus. Demonstrated ability to read and interpret EORs , denial letters, medical records, and regulatory correspondence (e.g., DLIR notices) and translate them into clear action steps. High attention to detail with proven accuracy in documentation, data entry, and compliance with SOPs and HIPAA requirements. Excellent verbal and written communication skills for professional interactions with payers, clinics, and internal teams. Proficiency with Excel and electronic tracking logs for AR aging, appeals, and disputes. Additional Preferred Qualifications Proven experience in medical billing, collections, or related healthcare administrative roles. Strong knowledge of medical coding , including
DRG , CPT , ICD
‑10 , and medical terminology. Familiarity with medical records management and insurance claim processes. Experience working with EMR/EHR systems for billing and documentation. Ability to interpret complex medical records and accurately assign appropriate codes for billing purposes. Strong organizational skills with the ability to manage multiple accounts efficiently and maintain precise documentation.
Work Schedule, Location & Compensation Status:
Full-time, hourly.
Location:
On-site in Kakaʻako, Honolulu, HI (not eligible for remote work).
Compensation:
Top pay; actual rate and increases are based on job performance and meeting collection, accuracy, and timeliness metrics.
Benefits:
Healthcare, Dental, Vision, and more. Success Factors Consistently meets or exceeds collection targets and timelines while maintaining accurate documentation and compliance with internal SOPs and state workers' compensation regulations. Proactively identifies denial patterns and AR issues and collaborates with billing, operations, and leadership to improve processes. Demonstrates reliability, professionalism, and strong teamwork in a structured, process‑driven billing environment. Join Our Team If you're passionate about ensuring accurate financial processes in healthcare, we'd love to meet you. We value energetic professionals who thrive in a fast‑paced environment while maintaining transparency, precision, and a commitment to quality. Your expertise will directly support timely reimbursements, effective account management, and the delivery of exceptional patient care.
Pay:
$18.00 - $25.00 per hour
Benefits:
401(k) matching Dental insurance Health insurance Vision insurance
