Patient Access Representative

Kaiser Permanente
Renton, WA
30+ days ago
Kaiser Permanente
Kaiser Permanente
kaiserpermanente.org

Job Description

Perform general patient access and registration duties in EPIC Practice Management, such as, answer telephones, make appointments, process referrals, maintain provider templates and appointment schedules, verify patient demographics and insurance coverage. Perform general patient account management duties, such as, obtain prior authorization for services, process items in the appropriate work queues to complete registration and enter service capture data. Ensure patient accounts and coverage structures meet Kaiser Permanente standards and billing requirements of various payors. Function as liaison to Patient Financial Services and the Health Plan. Communicate with external government payors and employers, as necessary. Work directly with patients on billing related matters and provide fee estimates to patients for Kaiser Permanente services. May perform duties related to cash collection and depositing. Demonstrate strong customer service and communication skills. Adhere to HIPAA and patient confidentiality requirements. May act as the patients' first point of contact with Kaiser Permanente



Essential Responsibilities:

  • Patient Access and Registration: Answer phones; Perform appointment making processes; Complete accurate patient registration, such as, verification of patient demographics and payor coverage; Perform check-in, check-out, admit and discharge tasks; Build and maintain appointing templates; Perform MyGH set up verification; Communicate with patients via multiple channels; Process internal and external referrals.

  • General Account Management:Confirm and set up payor coverage structures; Obtain prior authorization for services; Process appropriate items in the patient, claim edit and charge review work queues; Act as liaison to Patient Financial Services and the Health Plan; Communicate with external government payors and employers, as necessary; Perform manual service capture and data entry; Act as liaison to Health Information Management Coding Specialist for facility specific coding issues; Apply account review criteria and billing guidelines in preparation for off site billing of professional services; Provide fee estimates for KP services; Assist patients with billing questions.

  • Cash Collection and Depositing: Collect co-pays and cost shares for services; Process refunds; Perform daily cash reconciliation and reporting for retail transactions; Process daily till closeout; Prepare bank documentation, combine and reconcile deposits of cashiers in the facility.

  • Customer Service: Adhere to Kaiser Permanente behavior & appearance standards; Demonstrate strong customer service and communication skills; Treat customers with courtesy and respect; Adhere to HIPAA and patient confidentiality requirements; May act as a guide when a patient accesses Kaiser Permanente services

Basic Qualifications:

Experience

  • Minimum one (1) year of experience in a business office within a medical care delivery, hospital, insurance or large contact center environment OR a minimum two (2) years of experience providing excellent customer service in a fast-paced environment.

Education

  • High School Diploma OR General Education Development (GED) required.

License, Certification, Registration

  • N/A

Additional Requirements:

  • Experience in electronic patient accounting, scheduling or customer information systems.

  • Basic PC skills in MS Windows environment, 10-key and typing (35 WPM).

  • Customer service skills, the ability to effectively communicate with a diverse customer base, and strong organizational skills.

Preferred Qualifications:

  • Three (3) years of additional experience in a patient care setting.

  • Use of Epic Cadence/Prelude/Resolute or other patient scheduling and accounting systems.

  • Understanding of Kaiser Permanente billing protocols and cash posting systems.

  • Familiar with medical terminology.

  • Knowledge of delivery system business operations processes, including appointing, account intake and verification, cashiering, financial interviewing, referral processing and data entry.

  • Working knowledge of health care insurance practices and billing.

  • Knowledge of health care payer/insurer types, including state and federal workers. compensation, commercial, subrogation, self-insured, Medicare (CMS) and Medicaid (DSHS).

  • Understanding of Kaiser Permanente insurance products and benefits.

  • Proven ability to establish credibility and respect with patients.

  • Proven ability to problem solve and take initiative.

  • Ability to provide feedback and education to other staff regarding correct procedures.

  • Six (6) months experience in processing various types of billing, including workers compensation, subrogation, coordination of benefits, and private/self-pay.

  • Demonstrate a high degree of adaptability, productivity, and reliability as well as an ability to work independently in an ambiguous environment.

  • Effective interpersonal, communication, and customer service skills for both face-to-face and telephone interactions with patients, medical staff, and team members.

  • Positive, open-minded, and focused on continuous improvement.

  • Ability to learn new processes, procedures, and software programs quickly, while demonstrating attention to detail and accuracy in their daily work.

  • Vocational training in medical office procedures and billing.

  • Coursework or practical training and experience in ICD-9 and CPT coding.

PrimaryLocation :
HoursPerWeek : 40
Shift :
Workdays : M-F
WorkingHoursStart :
WorkingHoursEnd :
Job Schedule :
Job Type : Standard
Employee Status : Regular
Employee Group/Union Affiliation : J04|OPEIU|OPEIU East and West
Job Level : Individual Contributor
Job Category : Customer Services
Department :
Travel : No

Source

https://www.indeed.com/jobs

Not sure if you qualify?

Uvaro is here to help you land great jobs like this one.

Upgrade your skills

Other Jobs

Miovision

Miovision provides cities with modern tools to fix today's traffic problems. We offer solutions that collect multimodal traffic data and uncover actionable insights, helping municipalities get more out of their road network. The result: streets capable of moving more people – safely and efficiently – whether they are in a car, on a bus, on a bike or e-scooter, or walking. Since 2005, our systems have counted more than nine billion vehicles around the world. We have offices in Kitchener, Canada as well as operations in Germany, Serbia and the US. For more information, visit miovision.com [http://miovision.com/]. Position Summary  The Sales Engineer (SE) is an industry expert that drives software growth by developing technical and operational relationships with customers in support of their adoption of the Miovision products.  As a technical industry expert, the SE integrates into the daily operation of the agency to support complex proof of concepts and ongoing initiatives to maximize product output and value.  The SE ensures continuous value and product adoption that ultimately drives intersection network and software growth. Key Accountabilities  * Create customer success plans to drive growth for each account  * Support solution design and technical implementation of current desired integrations as outlined in the customer success plan. * Monitor user adoption and product utilization and create targeted programs to increase engagement and support the agency's change management process. * Build strong relationships between the Miovision product and support teams to ensure continuous resolution of ongoing operational issues as well as product deficiencies that may come up.  * Participate in regular support and health checks to ensure accounts are continuing to derive value from our solutions * Support software renewal and upselling activities  Skills/Qualifications * Bachelor’s degree or recognized equivalency or achievement of recognized professional level * 5+ years of technical experience; must understand network products * Ability to travel internationally, providing on-site consulting work to clients * Ability to manage multiple projects utilizing strong planning and organizational skills * Experience with general consulting skills that include team facilitation, business case development, strong business analysis skills, process mapping and process redesign * Systems implementation skills: requirements/process analysis, conceptual and detailed design, configuration, testing, training, change management and support * Analytical nature with the ability to solve complex business issues * Basic understanding of product development and engineering processes.  We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, colour, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Please indicate if you require accommodation on your application, and our team will work with you to meet your accessibility needs.

 
Remote
Uvaro

Recruit and train new sales staff, assign specific tasks to members of the sales team, and monitor the team's sales performance.

 
Waterloo, ON / Remote
Uvaro

Experience working as an SDR or BDR. Provide guidance and feedback on email outreach and sales calls. Experience working in a sales enablement function is a…

 
Waterloo, ON / Remote