Kaiser Permanente
Business Services Representative
Kaiser Permanente, Los Angeles, California, United States, 90079
Business Services Representative
Job Summary
Under indirect supervision, verifies insurance eligibility and benefits, interviews patients and/or their representatives to obtain demographic and financial information, identifies available payer sources and records information required for admission and/or registration; collects deposits and/or fees; initiates billable jacket in support of all billing activities. Explains hospital rules and regulations, assists patients in completion of required forms, generates and distributes documents/reports to appropriate departments. Collects and disburses patient valuables and provides patient information.
Essential Responsibilities
Upholds Kaiser Permanente’s Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws.
Verifies patient identification and insurance eligibility/benefits, obtains required authorizations/pre-certifications and required billing information from all identified payer sources for Medical Office/Hospital services rendered. Interviews patients and/or representatives, collects/records all required financial/demographic information, obtains required signatures, explains hospital rules and regulations, generates and distributes appropriate registration/admission documents.
Determines payer source and prepares billable jacket containing all financial information necessary for bill completion. Coordinates and collects required Medical Office/Hospital deposits, co-payments, professional fees, Kaiser membership dues and conversions from patient and/or representative. Identifies and makes referrals to Financial Counselors for any member or non-member having a financial obligation to Kaiser Permanente when a clear, identifiable payer source is not known.
Coordinates and/or prepares hospital statistics (Hospital Census), and records data and other data required by the Medical Center or the PBS department. Generates and distributes daily census reports.
Establishes and maintains courteous, cooperative relations when interacting with other personnel, Health Plan members and the public.
May perform other duties as required.
Basic Qualifications
Two (2) years of experience in Admitting/Registration, Financial Counseling.
Typing 35 WPM or as required by facility.
Ability to demonstrate knowledge of and utilize admission/registration systems, healthcare billing practices, health plan benefits and insurance requirements.
Per the National Agreement, current KP Coalition employees have this experience requirement waived.
Education
High School Diploma/GED. Certificate of completion of a course in Medical Terminology or required within 6 months of employment.
Preferred Qualifications
Bilingual preferred.
Flexible schedule.
Patient admission experience and knowledge of government and commercial insurances.
Notes
This is an on‑call position; days and hours may vary.
Seniority level
Entry level
Employment type
Full‑time
Job function
Other
Industries
Hospitals and Health Care
#J-18808-Ljbffr
Under indirect supervision, verifies insurance eligibility and benefits, interviews patients and/or their representatives to obtain demographic and financial information, identifies available payer sources and records information required for admission and/or registration; collects deposits and/or fees; initiates billable jacket in support of all billing activities. Explains hospital rules and regulations, assists patients in completion of required forms, generates and distributes documents/reports to appropriate departments. Collects and disburses patient valuables and provides patient information.
Essential Responsibilities
Upholds Kaiser Permanente’s Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws.
Verifies patient identification and insurance eligibility/benefits, obtains required authorizations/pre-certifications and required billing information from all identified payer sources for Medical Office/Hospital services rendered. Interviews patients and/or representatives, collects/records all required financial/demographic information, obtains required signatures, explains hospital rules and regulations, generates and distributes appropriate registration/admission documents.
Determines payer source and prepares billable jacket containing all financial information necessary for bill completion. Coordinates and collects required Medical Office/Hospital deposits, co-payments, professional fees, Kaiser membership dues and conversions from patient and/or representative. Identifies and makes referrals to Financial Counselors for any member or non-member having a financial obligation to Kaiser Permanente when a clear, identifiable payer source is not known.
Coordinates and/or prepares hospital statistics (Hospital Census), and records data and other data required by the Medical Center or the PBS department. Generates and distributes daily census reports.
Establishes and maintains courteous, cooperative relations when interacting with other personnel, Health Plan members and the public.
May perform other duties as required.
Basic Qualifications
Two (2) years of experience in Admitting/Registration, Financial Counseling.
Typing 35 WPM or as required by facility.
Ability to demonstrate knowledge of and utilize admission/registration systems, healthcare billing practices, health plan benefits and insurance requirements.
Per the National Agreement, current KP Coalition employees have this experience requirement waived.
Education
High School Diploma/GED. Certificate of completion of a course in Medical Terminology or required within 6 months of employment.
Preferred Qualifications
Bilingual preferred.
Flexible schedule.
Patient admission experience and knowledge of government and commercial insurances.
Notes
This is an on‑call position; days and hours may vary.
Seniority level
Entry level
Employment type
Full‑time
Job function
Other
Industries
Hospitals and Health Care
#J-18808-Ljbffr