Business Services Representative, On-call Night - Baldwin Park, United States - Kaiser Permanente

Mark Lane

Posted by:

Mark Lane

beBee recruiter


Description

Job Summary:


Under indirect supervision, verifies insurance eligibility and benefits, interviews patient and/or their representative to obtain demographic and financial information, identify available payer sources and records information required for admission and/or registration; Collects deposits, and/or fees; initiates billable jacket in support of all billing activities.

Explains hospital rules and regulations, assists patients in completion of required forms, generates and distributes documents/reports to appropriate departments. Collects and disburses patient valuables and provides patient information.


Essential Responsibilities:


  • Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws.
  • Verifies patient identification and insurance eligibility/benefits, obtains required authorizations/precertifications and required billing information from all identified payer sources for Medical Office/ Hospital services rendered. Interviews patients and/or representative, collects/records all required financial/demographic information, obtains required signatures, explains hospital rules and regulations, generates and distributes appropriate registration/admission documents.
  • Determines payer source, and prepares billable jacket containing all financial information necessary for bill completion. Coordinates and collects required Medical Office/Hospital deposits, copayments, professional fees, Kaiser membership dues and conversions from patient and/or representative. Identifies and makes referrals to Financial Counselors, any member or nonmember having a financial obligation to Kaiser Permanente for which a clear, identifiable payer source is not known.
  • Coordinates and/or prepares hospital statistics Hospital Census, and records data and/or other data required by the Medical Center or the PBS department. Generates and distributes daily census reports.
  • Establishes and maintains courteous, cooperative relations when interacting with other personnel, Health Plan members and the public.
  • May perform other duties as required.

Basic Qualifications:

Experience

  • Two (2) years of experience in Admitting/Registration, Financial Counseling.
  • Typing 35 WPM or as required by facility.
  • Ability to demonstrate knowledge of and to utilize admission/registration systems, healthcare billing practices, health plan benefits and insurance requirements
  • Per the National Agreement, current KP Coalition employees have this experience requirement waived.
Education

  • High School Diploma/GED. Certificate of completion of a course in Medical Terminology or required within 6 months of employment.
License, Certification, Registration

  • N/A

Additional Requirements:


Preferred Qualifications:


Notes:


  • This is an on call position, days and hours may vary.
  • Must be available a minimum of 10 shifts to include 4 weekend days in each calendar month.

PrimaryLocation :
California,Baldwin Park,Baldwin Park Hospital

HoursPerWeek : 1


Shift :
Night


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

WorkingHoursStart : 11:30 PM

WorkingHoursEnd : 07:30 AM


Job Schedule :
Call-in/On-Call


Job Type :
Standard


Employee Status :
Regular


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


Job Level :
Individual Contributor


Job Category :
Accounting, Finance & Actuarial Services

Department :
Baldwin Park Med Center - Admitting - 0801


Travel :
No

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