Kaiser Permanente is comprised of numerous regional Permanente Medical Groups, the Kaiser Foundation Hospitals, and the Kaiser Foundation Health Plan to make up
Patient Access Representative
Location
United States
Posted
1 day ago
Salary
0
Seniority
Mid Level
No structured requirement data.
Job Description
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
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