[Hiring] Patient Access Representative @Kaiser Permanente

Role Description

Perform general patient access and registration duties in EPIC Practice Management, including:

• 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
• Enter service capture data
• Ensure patient accounts and coverage structures meet Kaiser Permanente standards and billing requirements
• 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
• 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 patient's first point of contact with Kaiser Permanente

Qualifications

• Minimum one (1) year of experience in a business office within a medical care delivery, hospital, insurance, or large contact center environment OR a minimum two (2) years of experience providing excellent customer service in a fast-paced environment
• High School Diploma OR General Education Development (GED) required
• Experience in electronic patient accounting, scheduling, or customer information systems
• Basic PC skills in MS Windows environment, 10-key, and typing (35 WPM)
• Customer service skills and strong organizational skills

Requirements

• Three (3) years of additional experience in a patient care setting (preferred)
• Use of Epic Cadence/Prelude/Resolute or other patient scheduling and accounting systems (preferred)
• Understanding of Kaiser Permanente billing protocols and cash posting systems (preferred)
• Familiar with medical terminology (preferred)
• Knowledge of delivery system business operations processes (preferred)
• Working knowledge of health care insurance practices and billing (preferred)
• Knowledge of health care payer/insurer types (preferred)
• Understanding of Kaiser Permanente insurance products and benefits (preferred)
• Proven ability to establish credibility and respect with patients (preferred)
• Proven ability to problem solve and take initiative (preferred)
• Ability to provide feedback and education to other staff regarding correct procedures (preferred)
• Six (6) months experience in processing various types of billing (preferred)
• Demonstrate a high degree of adaptability, productivity, and reliability (preferred)
• Effective interpersonal, communication, and customer service skills (preferred)
• Positive, open-minded, and focused on continuous improvement (preferred)
• Ability to learn new processes, procedures, and software programs quickly (preferred)
• Vocational training in medical office procedures and billing (preferred)
• Coursework or practical training and experience in ICD-9 and CPT coding (preferred)

Company Description