Patient Access Representive- Mon-Fri 3:00PM-7:00PM (Bellevue,0.50FTE) at Kaiser Permanente
Posted in Customer Service 30+ days ago.
Location: Bellevue/Redmond, Washington
Kaiser Permanente Washington, headquartered in Seattle, Washington, provides and coordinates complete health care services for more than 650,000 members through 26 medical centers. Founded in 1947, Kaiser Permanente Washington existed for nearly 70 years as Group Health Cooperative, a regional nonprofit which gained national recognition for medical quality, disease prevention, and evidence-based treatments. Kaiser Permanente welcomed Group Health, its medical centers and members, into the Kaiser Permanente family in 2017 creating Kaiser Permanente's eighth region. Kaiser Permanente of Washington is a total health organization comprising Kaiser Foundation Health Plan of Washington, and the Washington Permanente Medical Group, P.C., formerly Group Health Physicians, an independent medical group that features more than 1,000 physicians.
Perform general patient access and registration duties in EPIC Practice Management, such as, answer telephones, make appointments, process referrals, maintain provider templates and appointment schedules, verify patient demographics and insurance coverage. Perform general patient account management duties, such as, obtain prior authorization for services, process items in the appropriate work queues to complete registration and enter service capture data. Ensure patient accounts and coverage structures meet Kaiser Permanente standards and billing requirements of various payors. Function as liaison to Patient Financial Services and the Health Plan. Communicate with external government payors and employers, as necessary. Work directly with patients on billing related matters and provide fee estimates to patients for Kaiser Permanente services. May perform duties related to cash collection and depositing. Demonstrate strong customer service and communication skills. Adhere to HIPAA and patient confidentiality requirements. May act as the patients' first point of contact with Kaiser Permanente
Education Minimum Education Requirements High School Diploma/GED Preferred Education Vocational School/Certificate Prog Vocational training in medical office procedures and billing. Coursework or practical training and experience in ICD-9 and CPT coding. Knowledge/Skills Minimum Knowledge/Skills Requirements Basic or limited Basic PC skills in MS Windows environment, 10-key and typing (35 WPM). Customer service skills, the ability to effectively communicate with a diverse customer base, and strong organizational skills. Preferred Knowledge/Skills Basic or limited Familiar with medical terminology. Knowledge of delivery system business operations processes, including appointing, account intake and verification, cashiering, financial interviewing, referral processing and data entry. Working knowledge of healthcare insurance practices and billing. Knowledge of health care payer/insurer types, including state and federal workers compensation, commercial, subrogation, self-insured, Medicare (CMS) and Medicaid (DSHS). Understanding of Kaiser Permanente insurance products and benefits. Proven ability to establish credibility and respect with patients. Proven ability to problem solve and take initiative. Ability to provide feedback and education to other staff regarding correct procedures. Experience Minimum Experience Requirements 1 year Experience in a business office of a medical group practice, hospital, insurance company or a large contact center; experience in electronic patient accounting, scheduling or customer information systems. OR 2 years (In lieu of 1 yr required above): experience providing excellent customer service in a fast-paced environment Preferred Experience 3 years Additional experience in a patient care setting. Experience with IDX (Phamis) LastWord patient accounting system. Use of Epic Cadence/Prelude/Resolute or other patient scheduling and accounting systems. Understanding of Kaiser Permanente billing protocols and cash posting systems. License/Certifications Minimum License/Certifications Requirements None Required Preferred License/Certifications None Required External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.