Patient Access Representative - Float
Kaiser Permanente Zion Medical Center
Spokane, Washington
representative
float
billing
health
patients
insurance
customer service
management
data
financial
medical
templates
prior authorization
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November 24, 2022
Kaiser Permanente Zion Medical Center
Spokane, Washington
- $3,000 sign-on bonus eligible position!
- Perform general patient access and registration duties in EPIC Practice Management, such as, answer telephones, make appointments, 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 Foundation Health Plan of Washington 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.
- Communicate with external government payors and employers, as necessary
- Work directly with patients on billing related matters and provide fee estimates to patients for KFHPW services.
- May perform duties related to cash collection and depositing.
- Demonstrate strong customer service and communication skills.
- Demonstrate strong customer service and communication skills
- Adhere to HIPAA and patient confidentiality requirements.
- Adhere to HIPAA and patient confidentiality requirements
- May act as the patients' first point of contact with KFHPW.
- Perform appointment making processes
- Complete accurate patient registration, such as, verification of patient demographics and payor coverage
- Perform check-in, check-out, admit and discharge tasks
- Build and maintain appointing templates
- Perform member website set up verification
- Communicate with patients via multiple channels
- Confirm and set up payor coverage structures
- Obtain prior authorization for services
- Process appropriate items in the patient, claim edit and charge review work queues
- Act as liaison to Patient Financial Services and the Health Plan.
- Perform manual service capture and data entry
- Act as liaison to Health Information Management Coding Specialist for facility specific coding issues
- Apply account review criteria and billing guidelines in preparation for off-site billing of professional services
- Provide fee estimates for KFHPW services
- Assist patients with billing questions
- Collect co-pays and cost shares for services
- Perform daily cash reconciliation and reporting for retail transactions
- Process daily till closeout
- Prepare bank documentation, combine and reconcile deposits of cashiers in the facility
- Adhere to KFHPW behavior & appearance standards
- Treat customers with courtesy and respect
- May act as a guide when a patient accesses KFHPW services
- Minimum one (1) year of 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.
- High School Diploma OR General Education Development (GED) required.
- License, Certification, Registration
- In lieu of one (1) year required above, two (2) years experience providing excellent customer service in a fast-paced environment.
- 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.
- Additional experience in a patient care setting.
- Vocational training in medical office procedures and billing.
- Coursework or practical training and experience in ICD-9 and CPT coding.
- Use of Epic Cadence/Prelude/Resolute or other patient scheduling and accounting systems.
- Understanding of Kaiser Foundation Health Plan of Washington billing protocols and cash posting systems.
- 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 KFHPW 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.
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