Kaiser Permanente Northwest
Representative, Patient Access I 12 Hour-KSMC
Kaiser Permanente Northwest, Hillsboro, Oregon, United States, 97104
Overview
Representative, Patient Access I 12 Hour-KSMC The Patient Access Representative I welcomes patients into the care delivery setting and initiates the administrative systems that support clinical care and financial documentation. This role ensures complete and accurate patient admission/registration, including data collection, limited insurance eligibility and benefits verification, point-of-service cash collection, and documentation needed for registration/admission in accordance with organizational policies and federal/state/regulatory requirements. The position involves obtaining inpatient bed assignments and processing inpatient admissions (including direct admit) following patient identification protocols and completing the necessary documentation. The role may refer patients to Financial Counselors for Medical Financial Assistance. It requires knowledge of state and federal regulations governing patient encounters, and it facilitates the patient and family care experience within Kaiser Permanente facilities and routines. It works closely with both the financial team and the clinical team to ensure optimal patient experience, accurate registration, cash flow, and reimbursements. This is an intermediate level position that requires a professional, service-oriented individual with strong organizational skills working under limited supervision. The work environment can be stressful or high-volume, with constant patient interaction in registration areas and Emergency Departments. Independent decision-making is required in daily routine functions, with major decisions subject to review and approval. Internal contacts include physicians, staff, and management across departments; external contacts include patients, families, community physicians, and outside organizations such as government agencies and allied hospitals. Essential responsibilities and qualifications are listed below. Responsibilities
Registration: Greets and registers patients for medical services in a hospital setting, potentially in a 24/7/fast-paced environment (e.g., Emergency Department). Pre-registers patients where applicable. Conducts comprehensive interviews to obtain demographic information, insurance data, and third-party liability information. Performs minimal eligibility verification and resolves discrepancies or defers to appropriate resources. Verifies patient demographics and insurance information per CMS regulations, National Registration Standards, and regional policies. Verifies eligibility and benefits prior to or upon admission using computer-based verification programs. Verifies patient identity and inputs Other Coverage Information (OCI), primary/secondary/tertiary payers, and performs registration for all patient classes and services. Revenue Collection: Determines and collects cost-shares and partial payments. Processes payments and cash handling at end of shift per policies. Provides patient liability information and collects point-of-service cash (co-pays, deductibles, co-insurance, deposits, balances). Refers to financial counselors as needed. Documents all activity pertaining to patient accounts. Appointing: Schedules or cancels appointments as needed and returns appointments if applicable. Regulatory/Organizational Compliance: Completes regulatory or policy forms for payors (Medicare, L&I, etc.) and obtains necessary signatures. Verifies copies of patient identification and insurance information. Understands regulations for Medicare/Medicaid/Managed Care and Commercial payers regarding referrals, preauthorization, and pre-certification. Maintains HIPAA privacy and security awareness and EMTALA relevance for patient registration and liability collection. General Services: Stocks forms and supplies; assists patients with directions and information; escorts patients to service areas; handles safekeeping of valuables; maintains records during downtime; and supports data gathering within the department. Experience and Education
Basic Qualifications: Minimum one (1) year of healthcare financial experience and at least one (1) year in an office environment with customer service, or minimum two (2) years of post-high school education, or a combination of education and experience. Per the National Agreement, current KP Coalition employees have this experience requirement waived. Education: High School Diploma or GED required. License, Certification, Registration: Basic Life Support; Medical Terminology Certification. Additional Requirements
Must obtain Medical Terminology certification within 180 days if already in Patient Access or have proof of completed Medical Terminology course; external applicants must have upon hire. Must obtain CPR certification within 30 days if already in Patient Access or have proof of current CPR certification; external applicants must have upon hire. Excellent communication, organizational, and written skills; ability to switch tasks frequently. Typing speed minimum 35 wpm with high accuracy. Previous cash handling experience. Ability to operate CRT, Windows (MS Word/Excel), copier, fax, phone, and headset. Ability to read continuously and manage a high volume of work; working knowledge of basic medical terminology and payer requirements; knowledge of HIPAA, EMTALA, and related regulations. Familiarity with automated patient care systems for admissions and registration. Preferred Qualifications
Training to become a Certified Healthcare Access Associate by NAHAM within 180 days of employment preferred. Experience with EPIC applications; prior hospital or ambulatory clinic registration experience; NFMA/NAHAM certification preferred. One year of higher education preferred. Job Details
Seniority level: Entry level Employment type: Full-time Job function: Health Care Provider Industries: Hospitals and Health Care Note: This description summarizes duties and qualifications and is not a contract. This content is intended for informational purposes and may be subject to change.
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Representative, Patient Access I 12 Hour-KSMC The Patient Access Representative I welcomes patients into the care delivery setting and initiates the administrative systems that support clinical care and financial documentation. This role ensures complete and accurate patient admission/registration, including data collection, limited insurance eligibility and benefits verification, point-of-service cash collection, and documentation needed for registration/admission in accordance with organizational policies and federal/state/regulatory requirements. The position involves obtaining inpatient bed assignments and processing inpatient admissions (including direct admit) following patient identification protocols and completing the necessary documentation. The role may refer patients to Financial Counselors for Medical Financial Assistance. It requires knowledge of state and federal regulations governing patient encounters, and it facilitates the patient and family care experience within Kaiser Permanente facilities and routines. It works closely with both the financial team and the clinical team to ensure optimal patient experience, accurate registration, cash flow, and reimbursements. This is an intermediate level position that requires a professional, service-oriented individual with strong organizational skills working under limited supervision. The work environment can be stressful or high-volume, with constant patient interaction in registration areas and Emergency Departments. Independent decision-making is required in daily routine functions, with major decisions subject to review and approval. Internal contacts include physicians, staff, and management across departments; external contacts include patients, families, community physicians, and outside organizations such as government agencies and allied hospitals. Essential responsibilities and qualifications are listed below. Responsibilities
Registration: Greets and registers patients for medical services in a hospital setting, potentially in a 24/7/fast-paced environment (e.g., Emergency Department). Pre-registers patients where applicable. Conducts comprehensive interviews to obtain demographic information, insurance data, and third-party liability information. Performs minimal eligibility verification and resolves discrepancies or defers to appropriate resources. Verifies patient demographics and insurance information per CMS regulations, National Registration Standards, and regional policies. Verifies eligibility and benefits prior to or upon admission using computer-based verification programs. Verifies patient identity and inputs Other Coverage Information (OCI), primary/secondary/tertiary payers, and performs registration for all patient classes and services. Revenue Collection: Determines and collects cost-shares and partial payments. Processes payments and cash handling at end of shift per policies. Provides patient liability information and collects point-of-service cash (co-pays, deductibles, co-insurance, deposits, balances). Refers to financial counselors as needed. Documents all activity pertaining to patient accounts. Appointing: Schedules or cancels appointments as needed and returns appointments if applicable. Regulatory/Organizational Compliance: Completes regulatory or policy forms for payors (Medicare, L&I, etc.) and obtains necessary signatures. Verifies copies of patient identification and insurance information. Understands regulations for Medicare/Medicaid/Managed Care and Commercial payers regarding referrals, preauthorization, and pre-certification. Maintains HIPAA privacy and security awareness and EMTALA relevance for patient registration and liability collection. General Services: Stocks forms and supplies; assists patients with directions and information; escorts patients to service areas; handles safekeeping of valuables; maintains records during downtime; and supports data gathering within the department. Experience and Education
Basic Qualifications: Minimum one (1) year of healthcare financial experience and at least one (1) year in an office environment with customer service, or minimum two (2) years of post-high school education, or a combination of education and experience. Per the National Agreement, current KP Coalition employees have this experience requirement waived. Education: High School Diploma or GED required. License, Certification, Registration: Basic Life Support; Medical Terminology Certification. Additional Requirements
Must obtain Medical Terminology certification within 180 days if already in Patient Access or have proof of completed Medical Terminology course; external applicants must have upon hire. Must obtain CPR certification within 30 days if already in Patient Access or have proof of current CPR certification; external applicants must have upon hire. Excellent communication, organizational, and written skills; ability to switch tasks frequently. Typing speed minimum 35 wpm with high accuracy. Previous cash handling experience. Ability to operate CRT, Windows (MS Word/Excel), copier, fax, phone, and headset. Ability to read continuously and manage a high volume of work; working knowledge of basic medical terminology and payer requirements; knowledge of HIPAA, EMTALA, and related regulations. Familiarity with automated patient care systems for admissions and registration. Preferred Qualifications
Training to become a Certified Healthcare Access Associate by NAHAM within 180 days of employment preferred. Experience with EPIC applications; prior hospital or ambulatory clinic registration experience; NFMA/NAHAM certification preferred. One year of higher education preferred. Job Details
Seniority level: Entry level Employment type: Full-time Job function: Health Care Provider Industries: Hospitals and Health Care Note: This description summarizes duties and qualifications and is not a contract. This content is intended for informational purposes and may be subject to change.
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