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Patient Business Services Representative (Access Registration)

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Job ID 23REQ-04623 Location Honolulu, Hawaii Company Name Xtend Healthcare, LLC

About Xtend Healthcare
Xtend Healthcare is a revenue cycle management company focused exclusively on the healthcare industry. The company's services range from full revenue cycle outsourcing, A/R legacy cleanup and extended business office to coding and consulting engagements. As part of Navient (Nasdaq: NAVI), Xtend taps the strength and scale of a large-scale business processing solutions company. Learn more at


Work Schedule: Monday-Friday; 7:30 am to 4 pm

Xtend Healthcare is looking for a Patient Business Services Representative (Access Registration). This position will be providing a variety of financial and clerical support functions to ensure the optimal operation of the department to include Access Registration, Scheduling, posting financial transactions; debits, credits, process refunds, etc. as needed, working specific work queues, and any other assigned functions related to Revenue Cycle operations.


Account Management       

  • Achieve assigned goals (resolutions, account review quality, productivity standards – specified by line of business)
  • Accurately complete patient registration, obtain insurance information, and obtain needed authorizations.
  • Schedule patients, provide patient support, provide clarification on instructions, and ensure patients are booked for the correct procedures.
  • Accurately perform transactions and postings in multiple systems following standard work guidelines
  • Post payments, adjustments, process refunds as assigned.
  • Print and send claims as assigned.
  • Demonstrate knowledge of hospital systems, internal systems, and general accounting principles
  • Assist with queues related to Discharged Not Final Billed, Collection Review, Letter Series audits, Self-Pay review, etc.

Compliance /Quality            

  • Perform basic auditing functions, assisting leadership with special projects related to achieving project Work Standards
  • Meet and maintain Quality scores >= 91%.
  • Maintain proper work queue management and process, acting where needed per Work Standard guidelines
  • Ensure all accounts are worked within client’s project standards
  • Follow regulations outlined by state, federal, and third-party coverage procedures.


  • High school diploma
  • Minimum of 6 months of customer service experience preferably in an office or call center environment (additional equivalent education above the required minimum may substitute for the required level of experience)


  • Experience with Hospital and/or Physician business office operations preferred.
  • Experience with Insurance payers (Medicare, Medicaid, Commercial, Workers Compensation) preferred
  • Financial transaction experience in banking, accounts payable or receivables preferred
  • Exceptional customer service skills.
  • Excellent verbal and written communication skills.
  • Dedication to treating both internal and external constituents as clients and customers, maintaining a flexible customer service approach and orientation that emphasizes service satisfaction and quality.
  • Proficient use of hospital registration and/or billing systems, and Microsoft Word and Excel software applications.
  • Ability to follow regulations outlined by state, federal, and third-party coverage procedures. 
  • Ability to model the basic values of the mission, vision and values of Xtend Healthcare and the client.
  • Ability to manage multiple tasks simultaneously and adjust to issues as needed in a dynamic work environment.
  • Ability to prioritize and effectively anticipate and respond to issues as they arise.
  • Ability to post transactions in multiple systems.
  • Good analytical and problem-solving skills.
  • Ability to work independently.

All offers of employment are contingent on standard background checks. Navient and certain of its affiliated companies are federal, state and/or local government contractors. Should this position support a Federal Government contract, now or in the future, the successful candidate will be subject to a background check conducted by the U.S. Government to determine eligibility and suitability for federal contract employment for public trust or sensitive positions. Positions that support state and/or local contracts also may require additional background checks to determine eligibility and suitability.

EOE Race/Ethnicity/Sex/Disability/Protected Vet/Sexual Orientation/Gender Identity. Navient Corporation and its subsidiaries are not sponsored by or agencies of the United States of America.

Navient is a drug free workplace.

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  • Comprehensive Health, Dental and Vision Plans

  • 401K with Company Match (after 6 months)

  • Tuition Reimbursement

  • Generous PTO Starting at 15 Days and 8 Paid Holidays

  • Paid Parental Leave and Adoption Assistance

  • Employee Stock Purchase Plan

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