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Job Summary
Under direct supervision, provides clerical assistance to managers and representatives; facilitates processing of insurance claims, bills and correspondence; receives, responds, and distributes incoming mail; responds to telephone inquiries; maintains patient and insurance information on HPMS; maintains patient files; supports compliance and Principles of Responsibility; maintains confidentiality; protects organizational assets; exhibits ethics and integrity; adheres to applicable federal and state laws and regulations, accreditation and licensing requirements, policies and procedures; reports and/or resolves issues of non-compliance.
- Receives and/or responds to telephone inquiries/correspondence from patients, insurance carriers, employers and Kaiser employees; obtains/records necessary information; answers questions; directs difficult questions to appropriate person; maintains positive customer relationships through effective communication and follow-up.
- Opens, sorts, screens, evaluates, and distributes incoming mail and charts to proper persons.
- Receives, alphabetizes, identifies, and distributes all visit records to Patient Accounting Representatives (PARs); ensures proper handling of filing of claims, reports or follow up.
- Receives, receipts, and prepares bank deposits and cash jackets for payments received for health plan dues and receivables.
- Assumes responsibility for department computer information systems inquires and maintenance.
- Files/purges reports, folders, bills and correspondence as necessary.
- Requests medical records and x-ray reports via CRT.
- Receives and reviews billing documents for distribution to PARs and/or mailing.
- Duplicates medical records, bills, claims, reports and other requested information as necessary for sending to requestor.
- Provides files, documents for check refunds, adjustments and re-submissions.
- Distributes systems reports to appropriate persons.
Under direct supervision, provides clerical assistance to managers and representatives; facilitates processing of insurance claims, bills and correspondence; receives, responds, and distributes incoming mail; responds to telephone inquiries; maintains patient and insurance information on HPMS; maintains patient files; supports compliance and Principles of Responsibility; maintains confidentiality; protects organizational assets; exhibits ethics and integrity; adheres to applicable federal and state laws and regulations, accreditation and licensing requirements, policies and procedures; reports and/or resolves issues of non-compliance.
Essential Responsibilities
- Receives and/or responds to telephone inquiries/correspondence from patients, insurance carriers, employers and Kaiser employees; obtains/records necessary information; answers questions; directs difficult questions to appropriate person; maintains positive customer relationships through effective communication and follow-up.
- Opens, sorts, screens, evaluates, and distributes incoming mail and charts to proper persons.
- Receives, alphabetizes, identifies, and distributes all visit records to Patient Accounting Representatives (PARs); ensures proper handling of filing of claims, reports or follow up.
- Receives, receipts, and prepares bank deposits and cash jackets for payments received for health plan dues and receivables.
- Assumes responsibility for department computer information systems inquires and maintenance.
- Files/purges reports, folders, bills and correspondence as necessary.
- Requests medical records and x-ray reports via CRT.
- Receives and reviews billing documents for distribution to PARs and/or mailing.
- Duplicates medical records, bills, claims, reports and other requested information as necessary for sending to requestor.
- Provides files, documents for check refunds, adjustments and re-submissions.
- Distributes systems reports to appropriate persons.
Basic Qualifications:
- Minimum six (6) months of clerical office or related experience.
- High school diploma or GED
- N/A
- Type 30 wpm.
- 10-key by touch.
- Demonstrated knowledge of and skill in adaptability, customer service, interpersonal relations, oral communication, problem solving, teamwork, and written communication.
- Demonstrates knowledge, skills, and abilities necessary to provide culturally sensitive care and/or service.
- N/A
Seniority level
Seniority level
Entry level
Employment type
Employment type
Full-time
Job function
Job function
Administrative-
Industries
Hospitals and Health Care
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