Business Services Representative

Kaiser Permanente; Baldwin Park (CA); Hybrid; USD 42,000 - 64,000; Part time

Job summary

Kaiser Permanente in California is seeking an on-call Admitting/Registration professional to verify insurance eligibility, collect demographic and financial data, and support registration and billing workflows.

The role involves obtaining authorizations, collecting deposits, interviewing patients or representatives, and distributing necessary forms and reports to the appropriate departments.

Qualifications

• Two years of experience in Admitting/Registration and Financial Counseling.
• Typing 35 WPM or as required by facility.
• Knowledge of 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.

Responsibilities

• Verifies patient identity and insurance coverage and collects required demographic and financial information.
• Obtains authorizations/pre-certifications and required billing information from payer sources for services rendered.
• Collects deposits and co-pays; prepares billable documentation and jackets for billing.
• Interviews patients or representatives; assists in completion of forms and distributes documents to departments.
• Generates daily census data and supports hospital statistics reporting.
• Maintains courteous relations with patients, staff and the public; may perform other duties.

Job 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/pre-certifications 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, co-payments, professional fees, Kaiser membership dues and conversions from patient and/or representative. Identifies and makes referrals to Financial Counselors, any member or non-member 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:

• Must be available 10 days per month and every other weekend
• This is an on call position, days and hours may vary.