Medical Transportation Analyst - Downey, United States - Kaiser Permanente

Kaiser Permanente
Kaiser Permanente
Verified Company
Downey, United States

2 weeks ago

Mark Lane

Posted by:

Mark Lane

beBee recruiter
Description

Job Summary:

Performs prospective review, ordering, analysis and reporting of KP medical transports. Interacts with staff and physicians to answer inquiries and educate on covered benefits. Interacts with staff and members in pre-service denials processing. Records patient demographic and medical information and reports the information to designated medical transportation dispatching.


Essential Responsibilities:


  • Reviews physician and staff request for benefitcovered medical ambulance service.
  • Ensures that information is documented and reported following appropriate guidelines and procedures.
  • Utilizes various data systems to obtain the medical transportation program information and to produce contractual and utilization reports as requested.
  • Investigates medical transports that are completed inappropriately to determine the cause, to problem solve, and to notify the Medical Transportation Supervisor.
  • Demonstrates awareness of and adherence to policies, procedures, and requirements of regulatory agencies.
  • Responds to requests for medical ambulance service through designated dispatching areas in an accurate and timely manner.
  • Issues as appropriate preservice Notice of Non-Coverage letters in accordance with regulatory requirements.
  • Provides supporting documentation and distributes letters to the appropriate individuals and/or agencies.
  • Verifies health plan membership status.
  • Attends mandatory department meetings and performs miscellaneous duties as assigned by the Medical Transportation Supervisor.

Basic Qualifications:

Experience

  • Minimum six (6) months experience required in a healthcare related field.
  • Per the National Agreement, current KP Coalition employees have this experience requirement waived.
Education

  • High School Diploma or General Education Development (GED) required.
License, Certification, Registration

  • N/A

Additional Requirements:


  • Ability to effectively coordinate multiple tasks.
  • Working knowledge of medical terminology required.
  • Excellent verbal and written communications skills.
  • Strong customer service skills.
  • Must be able to work in a Labor/Management Partnership environment.

Preferred Qualifications:


  • EMS or hospital dispatch experience.
  • Knowledge of PC and Kaiser mainframe systems.
  • Knowledge of KFHP coverage benefits, state, federal and local regulatory agency requirements.

Notes:


  • This is a temporary position for approximately three (3) months.

PrimaryLocation :
California,Downey,Downey Boeing - Independence Park

HoursPerWeek : 40


Shift :
Day


Workdays :
Mon, Tue, Wed, Thu, Fri, Sat, Sun

WorkingHoursStart : 09:00 AM

WorkingHoursEnd : 05:30 PM


Job Schedule :
Full-time


Job Type :
Standard


Employee Status :
Temporary


Employee Group/Union Affiliation :
B01|SEIU|Local 399


Job Level :
Individual Contributor


Job Category :
External Medical Services

Department :
Independence Park - Cost/Bene-Ambulance Hub Ops - 0808


Travel :
No
More jobs from Kaiser Permanente
See all jobs of Kaiser Permanente