Ambulance Services Clerk - San Jose, United States - Kaiser Permanente

Kaiser Permanente

Verified Company

San Jose, United States

3 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

Under the direct supervision of the Outside Services Manager, is responsible to order ambulance transportation, verify

trips billed by transportation vendors, process invoices, and verify payment responsibility, as defined in the Health Plan

Service Agreement. Input and maintain Ambulance Utilization Reporting System (AURS). Solves problems and makes

recommendations for improvements; uses specialty department software; interacts effectively with members, co-workers

and clients.

Essential Functions:

Dispatch appropriate transportation, based on eligibility, current contracts and medical necessity of patient; coordinate

critical care transport trips with nurse managers.

Review medical records (i

e:
Emergency Department record, chart, ambulance report, etc.) relative to patient trips. Refer

appropriate cases to Outside Services Manager for denial decisions.

Notify members of management's decision to deny payment, and coordinate an appeal process for ambulance trips that

are being denied. Establish and maintain a file of all cases denied for payment or that are in the review process.

Independently provide clerical and/or accounting support.
Organize and prioritize duties to meet work demands.
Create, maintain, and edit specialty databases and spreadsheets for the department.
Analyze data and information to ensure accuracy and completeness. Identify errors in data, make corrections and solve

problems.

Generate custom and standard reports using Excel, Access and PowerPoint, ensuring the objective of the report is

communicated clearly.

Compose short correspondence clearly and effectively. Format Word documents following standard business protocols.
Work with department specific computer systems and software (AURS).
Make recommendations for process improvements.
Other duties as assigned.

Grade 05

Basic Qualifications:
Experience

Minimum two (2) years of work experience

Education

High School Diploma or General Education Development (GED)

License, Certification, Registration

N/A.

Additional Requirements:

Strong math skills and English composition.
Proficient in Microsoft Office, including Excel, Word and PowerPoint. Must pass basic PC skills test.
Specialized knowledge for the department as applicable.
Ability to identify, analyze and solve problems
Ability to work accurately with a high volume of work in a fast paced setting.
Demonstrate professional conduct to include dealing courteously, tactfully, and patiently with members, physicians, coworkers, and clients.
Strong oral and written communication skills.

functions

Must pass medical terminology test when applicable
Must be willing to work in a Labor/Management Partnership environment.

Skills Testing*:
PC skills Test (able to pass PC skills assessment) and Medical Terminology

the assessment(s) listed above. Passing test scores remain on file for one year.

This position supports Kaiser Permanente's code of conduct and compliance by adhering to all laws and regulations,

accreditation and licensure requirements, and internal policies and procedures. Kaiser Permanente is proud to be an

equal opportunity/affirmative action employer.

PrimaryLocation :
California,San Jose,San Jose 50 Great Oaks

HoursPerWeek : 1

Shift :
Day

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

WorkingHoursStart : 12:01 AM

WorkingHoursEnd : 11:59 PM

Job Schedule :
Call-in/On-Call

Job Type :
Standard

Employee Status :
Regular

Employee Group/Union Affiliation :
A01|SEIU|United Healthworkers

Job Level :
Entry Level

Job Category :
Administrative & Support Services

Department :
San Jose 50 Great Oaks Admin - Cost/Bene-Ambulance Hub Ops - 0201

Travel :
No