Registration Representative (On-Call)

Kaiser Permanente; Portland (OR); On-site; USD 38,000 - 48,000; Full time

Job summary

Kaiser Permanente in Portland seeks an Intake/Registration Clerk to greet patients, register for clinic, hospital, ambulatory or emergency services, and collect demographic and insurance information in accordance with standards. You will verify eligibility, confirm payer sources, and route questions to Financial Advocates as needed.

You will handle cash, process payments, and ensure accuracy within SOX controls, maintain compliance with payer requirements, and support hospital and clinic

Qualifications

• Six months of health care financial or cash handling or high-volume customer service.
• Two years of keyboarding and multi-application data input in Windows.
• High school diploma or GED required.

Responsibilities

• Registration: Greets and registers patients for clinic, hospital inpatient, ambulatory or emergency services, verifies demographics and insurance per standards.
• Revenue Collection: Collects cost-shares and payments, processes deposits, and ensures billing accuracy per policies.
• Appointing & Messaging: Takes messages and may schedule appointments per guidelines.
• Regulatory/Organizational Compliance: Obtains signatures, handles consent forms, and adheres to payer requirements.
• General Services: Maintains forms/supplies and assists patients with directions and referrals.

Skills

Cash handling

Customer service

Keyboarding

English communication

Problem solving

Multitasking

Education

High School Diploma or GED

Tools

EPIC

Job description

Job Summary

Registers patients to receive medical services in clinic, hospital inpatient, Ambulatory, or Emergency services. Obtains demographic information, validates and verifies insurance, and receives payments, based on established manual or technological protocols, refers patients to Financial Advocates. Answers and/or refers questions received from patients, visitors, staff as appropriate. Performs various related cash handling procedures per SOX control regulations. Staff members in this position may perform all, or a combination of the duties described depending upon their assigned work area and the specific needs of the department.

Essential Responsibilities

• Registration: Greets and registers patients for various medical care in the clinic setting potentially in a 24 hour, 7 day a week environment and in a highly active fast paced setting such as the Emergency department. Verifies the patient demographic and insurance information with the patient consistent with the National Registration Standards and regional policies. Verifies Insurance Eligibility and Benefits (including policy limitations) for all payers using approved system to check for eligibility and benefit information. Uses problem-solving skills to verify patient identification through patient name, spouse names, social security number, date of birth and address in order to identify and minimize duplicate medical records. Interview patient to obtain/determine payer source, financial and demographic information and obtains appropriate signatures. Verifies, identifies, and inputs Other Coverage Information (OCI), primary, secondary, and tertiary payers for services provided.
• Revenue Collection: Determines and collects cost-shares, and partial payments for services to be received. Enter/verify payments in the computer, close cash drawers, count currency, checks, and credit card payments at the end of each shift, and create deposits per cash handling policies. Maintains billing accuracy and compliance per KPNW and National Revenue Cycle policies. Communicate to the patient the Northwests policy on payment of services or prepayment when significant patient liabilities are identified. Collect past due balances and refers, as appropriate, to financial counselors.
• Appointing & Messaging: Takes messages as required according to scripts and guidelines. May schedule and/or cancel appointments based on members needs and regional policies and procedures. If applicable, makes return appointments and referrals.
• Regulatory/Organizational Compliance: Explains and requests patients to sign regulatory forms such as consent and release forms as required. Makes copies or scans of patient identification, insurance information and other related forms and documents. Fully understands and adheres to the rules and regulations of Medicare, Medicaid, Managed Care and Commercial payers regarding referrals, preauthorization and pre-certification requirements. Is knowledgeable and maintains compliance with CMS by accurately completing Medicare Secondary Payer screening information. Explains basic KPNW Medical Center and/or clinic policies and procedures to patients.
• General Services: Stocks appropriate forms and supplies. Demonstrates responsibility in handling supplies and equipment in a cost-effective manner and according to standards such as policies, procedures, and infection control guidelines. Assist patients by providing phone numbers, facility directions and office layouts; Directing to other departments and administrative services for further information, for example (but not limited to) Membership Services, Dental and Pharmacy. May assist with the orientation of new personnel. Performs all other duties as assigned consistent with job description.

Basic Qualifications

Experience

• Six (6) months of health care financial OR six (6) months of cash handling OR six (6) months customer service experience in high volume customer service environment.
• Two (2) years of experience keyboarding/typing and navigating multiple computer applications in a Windows environment including data input.
• 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

• Excellent verbal and written English communication skills.
• Excellent organizational skills, flexibility and ability to switch tasks frequently.
• Final candidates will complete approved medical terminology course within six months of date of hire.
• Strong complex problem solving skills and the ability to make decisions independently.
• Excellent organizational skills, flexibility and ability to switch tasks frequently.

Preferred Qualifications

• Previous hospital or ambulatory clinic registration experience.
• Previous Experience with EPIC applications.
• Certification by HFMA or NAHAM preferred.

Notes

• Replacement Pool ? eligible for differential. On-Call employees must meet minimum contractual availability & Employer work requirement
• This is a backfill role to cover core employees for pre-scheduled, next-day & same-day support. Geographic area: Interstate East, South and Central