Business Services Representative

Kaiser Permanente; Baldwin Park (CA); On-site; USD 30,000 - 39,000; Full time

Job summary

Kaiser Permanente in Baldwin Park, CA seeks an Admitting/Registration professional to verify insurance eligibility and collect demographics for admissions and registrations. You will handle deposits, explain hospital rules, and prepare documentation required for billing and patient intake.

The role involves interviewing patients or representatives, gathering financial information, and coordinating with Financial Counselors as needed. It is an on-call position with varying days and hours.

Qualifications

• Two years of experience in Admitting/Registration or Financial Counseling (preferred).
• Typing speed of 35 WPM or as required by facility.
• Ability to use admission/registration systems and healthcare billing practices.

Responsibilities

• Verify patient identification and insurance eligibility/benefits; obtain authorizations and required billing information.
• Interview patients or representatives to collect demographic and financial information; explain hospital rules.
• Prepare billable jacket and collect deposits, co-pays, and dues; coordinate with Financial Counselors as needed.
• Generate and distribute registration/admission documents and census data.
• Establish courteous relationships with patients, staff, and public; may perform additional duties.

Skills

Typing 35 WPM

Registration systems knowledge

Billing practices knowledge

Communication skills

Education

High School Diploma/GED

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 a month and every other weekend
• This is an on call position, days and hours may vary.