Business Services Representative
Pay Grade: 14
Qualifications: High School Diploma/GED. Certificate of completion of a course in Medical Terminology or required within six (6) months of employment. Two (2) years of experience in Admitting/Registration, Financial Counseling. Typing 35 wpm. Typing must be current within one (1) year. Please contact Human Resources for testing. Ability to demonstrate knowledge of and to utilize admission/registration systems, healthcare billing practices, health plan benefits and insurance requirements. Consistently demonstrates the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other, to our members, and to customers, contracted providers, and vendors.
Duties: Upholds Kaiser Permanente's 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 payor 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 payor 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 payor 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. Consistently supports compliance and the Principles of Responsibility (Kaiser Permanent's Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non compliance and adhering to applicable federal, state and local laws and regulations, accreditation and licenser requirements (if applicable), and Kaiser Permanente's policies and procedures. EEO:
Notes: This is an On Call variable position. May be required to rotate to other areas as operationally needed. Rotating weekends.
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