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    Associate, Member Experience - Gaithersburg, United States - Kaiser Permanente

    Kaiser Permanente
    Kaiser Permanente Gaithersburg, United States

    1 week ago

    Kaiser Permanente background
    Description
    : Job Summary:

    To be responsible for the seamless, daily operations of the front office of the Health Information Management Department at our Medical Office Buildings by responding to basic, simple and quick health information and member experience inquires and requests and to provide a high quality member experience. Escalates more complex inquires and request to the appropriate departments.

    Essential Responsibilities:

    Health Information Management
    • Ensures that all protected health information is processed in accordance with regional, national, state and federal regulations.
    • Works closely with internal/external customers to meet their health information management needs as it relates to release of protective health information via paper and electronic media.
    • Has a solid knowledge/understanding of HIPPA privacy and security issues as it relates to release of information, and/or other regulations related to protective health information.
    • Reviews release requests for appropriateness and validate the authorization by photo identification.
    • Serves as inter and intra department resource for the other staff members, answering questions and providing instructions as necessary.
    • Monitors printers for incoming documentation and process paper work in a timely manner.
    • Collects loose filing/scan documents from clinical area twice daily, ensuring that a medical record number is placed on each document.
    • Opens departmental mail and sorts; forwards mail appropriately to document preparation station or other clinical units, as necessary.
    • Verifies patient identity and process same day Release of Information Request via KP HealthConnect EMR.
    • Requests patient charts by accessing the appropriate system.
    • Responds to inquiries from patients and staff members and instructs them in the appropriate methods for requesting records. Enters data into disclosure accounting system in accordance with HIPAA standards.
    • Completes payment handling tasks as assigned, which may consist of collecting credit card information, handling checks received by mail and posting payments in the ROI module.
    • Corrects errors and incomplete information on forms as necessary when requested by a supervisor or physician.
    • Completes simple forms as set forth on the MEA Approved Forms list, maintained by the HIMS Department.
    • Run delinquency report from HealthConnect and resolves open items on that report with physicians in the assigned MOB.
    Member Experience
    • Assists members in a professional manner that promotes a positive customer service experience.
    • Provides members with general information, and/or refer them to appropriate department as necessary.
    • Responds to member inquiries related to changes or corrections to the things like: name, date of birth, gender, other demographic information, and PCP assignment and center changes.
    • Initiates member issue to fix when one member has two different medical records.
    • Documents compliments in Macess.
    • Orders HIPAA Certifications.
    • Validates basic benefit information related to copay, co-insurance, deductibles and other KP plans.
    • Document member inquiries in CHATS.
    • Performs referral status look-up in Healthconnect.
    • Orders of new or replacement IDs.
    • Maintains knowledge and training (from KP Learn) on all information systems necessary to perform duties.
    • Assists patients with navigating KP systems including kiosks and way-finding.
    • Respond to voice mail in a timely fashion.
    • Performs other duties as directed.
    • Orients and train new staff.
    • Wears professional attire to include a KP-provided jacket.
    • Performs the duties of the Receptionist and Administrative Assistants as necessary.
    Basic Qualifications:
    Experience
    • Minimum two (2) years of experience with protected health information required.
    • Minimum one (1) year of customer service experience required.
    • 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:
    • Good interpersonal skills with the ability to communicate effectively with internal, and external customers required.
    • Proficiency in the use of applicable computer software, i.e., CHATS, KMATE, MACESS and HealthConnect required.
    • Ability to effectively abstract computer or paper-based data required.
    • Successful completion of standardized test in medical terminology with a proficiency rate of 84%.
    • Bending, lifting and manual dexterity required.Employee may be required to lift up to 30lbs.
    Preferred Qualifications:
    • Ability to type a minimum of 25 words per minute.
    • One (1) year of health information management experience.
    Primary Location: Maryland,Gaithersburg,Gaithersburg Medical Office 655 Watkins Mill Rd.
    Scheduled Weekly Hours: 1
    Shift: Day
    Workdays: Mon, Tue, Wed, Thu, Fri
    Working Hours Start: 08:30 AM
    Working Hours End: 05:00 PM
    Job Schedule: Call-in/On-Call
    Job Type: Standard
    Worker Location: Onsite
    Employee Status: Regular
    Employee Group/Union Affiliation: M40|OPEIU|Local 2
    Job Level: Entry Level
    Department: Gaithersburg HUB Medical Cntrt - Health Info Mgmt Services
    Pay Range: $ $30.17 / hour The ranges posted above reflect the location in the job posting. The salary range may vary if you reside in a different location or state than the location posted.
    Travel: Yes, 75 % of the Time
    On-site: Work location is on-site (KP designated office, medical office building or hospital). Worker location must align with Kaiser Permanente's Authorized States policy. At Kaiser Permanente, equity, inclusion and diversity are inextricably linked to our mission, and we aim to make it a part of everything we do. We know that having a diverse and inclusive workforce makes Kaiser Permanente a better place to receive health care, a more supportive partner in our communities we serve, and a more fulfilling place to work. Working at Kaiser Permanente means that you agree to and abide by our commitment to equity and our expectation that we all work together to create an inclusive work environment focused on a sense of belonging and wellbeing.

    Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status. Submit Interest
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