Kaiser Permanente Patient Access Representative (1.0 FTE_M-F 8:15a-5:15p_Tacoma Specialty Clinic) in TACOMA/OLYMPIA, Washington
Title: Patient Access Representative (1.0 FTEM-F 8:15a-5:15pTacoma Specialty Clinic) Location: WA - Tacoma/Olympia-Tacoma-Tacoma Specialty Medical Center Job Number: 172145
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 Qualifications: 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 < 1 Year Successful candidates will demonstrate a high degree of adaptability, productivity, and reliability as well as an ability to work independently in an ambiguous environment. They will have effective interpersonal, communication, and customer service skills for both face-to-face and telephone interactions with patients, medical staff, and team members. Candidates will be positive, open-minded, and focused on continuous improvement. They must be able to learn new processes, procedures, and software programs quickly, while demonstrating attention to detail and accuracy in their daily work. < 1 Year Six (6) months experience in processing various types of billing, including workers compensation, subrogation, coordination of benefits, and private/self-pay. 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. Job: Customer Service Bargaining Unit: OPEIU West FTE: 1 Schedule: Full-time Shift: Day Job Days of shift: M-F Hours of shift: 8:00-5:00 Travel: No Job level: Individual Contributor Job type: Standard Employee status: Regular J2W code: ADM1N
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.