Business Services Representative, On-call Night - Baldwin Park, United States - Kaiser Permanente
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.
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.
- High School Diploma/GED. Certificate of completion of a course in Medical Terminology or required within 6 months of employment.
- 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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