Kaiser Permanente
Job Summary
Under the direct supervision, performs pre‑admits and admits based on doctors orders. Directs visitors and patients to the appropriate area and answers phones. Interviews patient and/or their representative to obtain demographic and financial information. Identify available payer sources and record required information for admission and/or registration. Reviews and assists patients to complete all required documents for completeness and appropriate signatures. Verifies insurance eligibility and benefits. Collects any cost shares due to include but not limited to copayments, deposits, share of cost (SOC) and deductibles. Initiates and collects financial documents in support of all billing activities. Documents KPHC and other systems as appropriate. Assembles accurate and complete records; prepares identification armbands; receives and releases patient valuables. Explains hospital rules and regulations. Generates and distributes documents/reports to appropriate departments. Complies with organizational and departmental policies and procedures.
Essential Responsibilities
Interview patient and/or representative, collect/record all required financial and demographic information including coordination of benefits (COB), third‑party liability (TPL) and workers compensation (WC).
Verify patients’ identification and insurance eligibility/benefits.
Notify insurance company of admission status.
Obtain authorization/pre‑certifications and required billing information from all identified payer sources for medical office/hospital services rendered.
Coordinate and inform patients of required financial obligations.
Collect any cost shares due to include but not limited to copayments, deposits, share of cost (SOC) and deductibles.
Review all required documentation with patient, ensuring completion and obtaining all necessary signatures.
Accurately document all requisite information related to the admission and collection processes in KPHC and other systems as appropriate.
Refer to financial counselors for patients having a financial obligation to Kaiser Permanente as necessary.
Explain admission process, hospital regulations, policies and procedures.
Contact physician if additional information is needed.
Prepare patient armbands.
Create patient file with all necessary documentation for bill completion.
Generate and distribute appropriate registration/admission documents.
Secure and release patient valuables for patients admitted into the hospital.
Escort or arrange escort of patients to assigned room or area.
Perform pre‑admission function including but not limited to surgery and labor & delivery cases; input required data for the anticipated admit list, balancing and checking for accuracy and completeness.
Collaborate with physicians, nursing and other departments to facilitate admission and transfer.
Responsible for proper monetary transactions as it relates to assigned cash drawer.
Prepare bank deposit slip and contact security for escort to deliver bag containing shift deposits into the designated safe.
Responsible for completing cash drawer transmittal forms, keeping designated dollar amount of money in the cash drawer daily and balancing out at the end of the shift.
Research and reconcile cash drawer issues.
Distribute related monetary documents as required and maintain control of petty cash fund.
Handle hospital cashiering/cash handling functions including deposits, exchange and change fund functions, web declarations and other hospital cashiering functions as assigned.
Manually estimate MOOP and submit refund request if necessary, review and maintain hospital exchange fund and petty cash transactions.
Totals and reconcile credit charges and payments on account with standard processing forms.
Mails information as required.
Provide co‑payment history statements.
Review and complete accounts in work queue(s); notify management of any copay discrepancy.
Consolidate or correct duplicate accounts using appropriate system functions; enter account notes on patient cases.
Perform clerical duties as assigned, including but not limited to filing, faxing, scanning, processing of mail, supplies, printing, answering and redirecting calls as needed for the department.
Review various reports (census, unbilled, etc.).
Provide front‑end coverage to other functional areas within admitting and support ancillary departments as necessary.
Provide patient with appropriate documentation and information for Medical Financial Assistance Program (MFAP).
Assist in quality improvement monitoring as necessary.
Perform reception duties as required including but not limited to answering phones, calling patient family when necessary, greeting members at the front desk and relieving other clerks for breaks and lunch as appropriate.
Work with financial counselor related to patient financial ability.
Establish and maintain courteous, cooperative relations when interacting with other personnel, health plan members and the public.
Perform other duties as assigned by management team and/or lead admitting clerk.
Basic Qualifications Experience:
One (1) year cash handling experience in hospital admitting, healthcare business office or medical office setting.
Two (2) years admitting or registration experience.
Education:
High School diploma or GED required.
License, Certification, Registration:
N/A
Additional Requirements:
Demonstrated knowledge of and utilization of admission/registration system, healthcare billing practices, health plan benefits and insurance requirements.
Typing 35 words per minute.
Preferred Qualifications:
Demonstrated ability to work rapidly and accurately with phones, personnel and patients.
Able to demonstrate excellent mathematical skills and cash collections.
Associate’s or bachelor’s degree preferred.
Notes:
To work all areas of admitting.
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Essential Responsibilities
Interview patient and/or representative, collect/record all required financial and demographic information including coordination of benefits (COB), third‑party liability (TPL) and workers compensation (WC).
Verify patients’ identification and insurance eligibility/benefits.
Notify insurance company of admission status.
Obtain authorization/pre‑certifications and required billing information from all identified payer sources for medical office/hospital services rendered.
Coordinate and inform patients of required financial obligations.
Collect any cost shares due to include but not limited to copayments, deposits, share of cost (SOC) and deductibles.
Review all required documentation with patient, ensuring completion and obtaining all necessary signatures.
Accurately document all requisite information related to the admission and collection processes in KPHC and other systems as appropriate.
Refer to financial counselors for patients having a financial obligation to Kaiser Permanente as necessary.
Explain admission process, hospital regulations, policies and procedures.
Contact physician if additional information is needed.
Prepare patient armbands.
Create patient file with all necessary documentation for bill completion.
Generate and distribute appropriate registration/admission documents.
Secure and release patient valuables for patients admitted into the hospital.
Escort or arrange escort of patients to assigned room or area.
Perform pre‑admission function including but not limited to surgery and labor & delivery cases; input required data for the anticipated admit list, balancing and checking for accuracy and completeness.
Collaborate with physicians, nursing and other departments to facilitate admission and transfer.
Responsible for proper monetary transactions as it relates to assigned cash drawer.
Prepare bank deposit slip and contact security for escort to deliver bag containing shift deposits into the designated safe.
Responsible for completing cash drawer transmittal forms, keeping designated dollar amount of money in the cash drawer daily and balancing out at the end of the shift.
Research and reconcile cash drawer issues.
Distribute related monetary documents as required and maintain control of petty cash fund.
Handle hospital cashiering/cash handling functions including deposits, exchange and change fund functions, web declarations and other hospital cashiering functions as assigned.
Manually estimate MOOP and submit refund request if necessary, review and maintain hospital exchange fund and petty cash transactions.
Totals and reconcile credit charges and payments on account with standard processing forms.
Mails information as required.
Provide co‑payment history statements.
Review and complete accounts in work queue(s); notify management of any copay discrepancy.
Consolidate or correct duplicate accounts using appropriate system functions; enter account notes on patient cases.
Perform clerical duties as assigned, including but not limited to filing, faxing, scanning, processing of mail, supplies, printing, answering and redirecting calls as needed for the department.
Review various reports (census, unbilled, etc.).
Provide front‑end coverage to other functional areas within admitting and support ancillary departments as necessary.
Provide patient with appropriate documentation and information for Medical Financial Assistance Program (MFAP).
Assist in quality improvement monitoring as necessary.
Perform reception duties as required including but not limited to answering phones, calling patient family when necessary, greeting members at the front desk and relieving other clerks for breaks and lunch as appropriate.
Work with financial counselor related to patient financial ability.
Establish and maintain courteous, cooperative relations when interacting with other personnel, health plan members and the public.
Perform other duties as assigned by management team and/or lead admitting clerk.
Basic Qualifications Experience:
One (1) year cash handling experience in hospital admitting, healthcare business office or medical office setting.
Two (2) years admitting or registration experience.
Education:
High School diploma or GED required.
License, Certification, Registration:
N/A
Additional Requirements:
Demonstrated knowledge of and utilization of admission/registration system, healthcare billing practices, health plan benefits and insurance requirements.
Typing 35 words per minute.
Preferred Qualifications:
Demonstrated ability to work rapidly and accurately with phones, personnel and patients.
Able to demonstrate excellent mathematical skills and cash collections.
Associate’s or bachelor’s degree preferred.
Notes:
To work all areas of admitting.
#J-18808-Ljbffr