Kaiser Permanente Patient Access Representative- FAST/Float (Seattle Cluster, 0.75FTE) in Seattle, Washington
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. Work directly with patients on billing related matters and provide fee estimates to patients for Kaiser Foundation Health Plan of Washington 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 Foundation Health Plan of Washington.
Patient Access and Registration: Answer phones. 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 MyGH set up verification. Communicate with patients via multiple channels.
General Account Management: 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. Communicate with external government payors and employers, as necessary. 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 GH services. Assist patients with billing questions.
Customer Service: Adhere to Kaiser Foundation Health Plan of Washington behavior & appearance standards. Demonstrate strong customer service and communication skills. Treat customers with courtesy and respect. Adhere to HIPAA and patient confidentiality requirements. May act as a guide when a patient accesses Kaiser Foundation Health Plan of Washington services
Cash Collection and Depositing: Collect co-pays and cost shares for services. Process refunds. 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
FLEXIBLE ALTERNATE STAFFING TEAM PROVIDES RELIEF FOR STAFFING SHORTAGES OCCURRING FROM EXTENDED LEAVES, SCHEDULED TIME OFF, AND SHORT NOTICE ABSENCES.
TEAM MEMBERS MUST HAVE THE ABILITY TO WORK A VARIED SCHEDULE BETWEEN THE HOURS OF 6:00 am AND 11:30 pm, INCLUDING WEEKENDS WITH AS LITTLE AS 48 HOURS SCHEDULING NOTICE.
PART TIME FAST PARS WILL BE SCHEDULED TO WORK 60 HOURS PER TWO WEEK PAY PERIOD.
PART TIME FAST PARS RECEIVE AN ADDITIONAL $2/HR PREMIUM ABOVE THEIR NORMAL PAR PAY SCALE.
TRAVEL TIME, MILEAGE AND PARKING ARE EXTRA COMPENSATION AS APPLICABLE.
SEATTLE CLUSTER SUPPORTS: CAPITOL HILL MEDICAL CENTER, DOWNTOWN MEDICAL CENTER, NORTHGATE MEDICAL CENTER & RAINIER MEDICAL CENTER
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/GED
License, Certification, Registration
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, the ability to effectively communicate with a diverse customer base, and strong organizational skills.
Three (3) years of experience in a patient care setting.
Minimum six (6) months experience in processing various types of billing, including workers compensation, subrogation, coordination of benefits, and private/self-pay.
Experience with IDX (Phamis) LastWord patient accounting system.
Vocational training in medical office procedures and billing.
Coursework or practical training and experience in ICD-9 and CPT coding.
Successful candidates will demonstrate a high degree of adaptability, productivity, and reliability as well as an ability to work independently in an ambiguous environment.
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 health care 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 Foundation Health Plan of Washington 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.
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.
TITLE: Patient Access Representative- FAST/Float (Seattle Cluster, 0.75FTE)
LOCATION: Seattle, Washington
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.