Patient Access Representative - MUST live in Washington or relocate

Job Summary:Perform general patient access and registration duties in EPIC Practice Management, such as, answer telephones, make appointments, process referrals, 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 Permanente 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 Permanente 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 PermanenteEssential Responsibilities:

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 online account set up verification

Communicate with patients via multiple channels

Process internal and external referrals

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 KP services

Assist patients with billing questions

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

Customer Service

Adhere to Kaiser Permanente 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 Permanente services

Basic Qualifications:

Experience

Minimum one (1) year of experience in a business office of a medical care delivery, hospital, insurance company or a large contact center AND experience in electronic patient accounting, scheduling or customer information systems OR minimum two (2) years of experience providing excellent customer service in a fast-paced environment.

Per the National Agreement, current KP Coalition employees have this experience requirement waived.

Education

High School Diploma OR General Education Development (GED) required.

License, Certification, Registration

N/A

Additional Requirements:

Basic PC skills in MS Windows environment.

10-key and typing (35 WPM).

Customer service skills.

Ability to effectively communicate with a diverse customer base.

Srong organizational skills.

Preferred Qualifications:

One (1) year of experience in processing various types of billing, including workers compensation, subrogation, coordination of benefits, and private/self-pay.

Three (3) years of additional experience in a patient care setting.

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 Permanente 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.

Demonstrate a high degree of adaptability, productivity, and reliability as well as an ability to work independently in an ambiguous environment.

Effective interpersonal, communication, and customer service skills for both face-to-face and telephone interactions with patients, medical staff, and team members.

Positive, open-minded, and focused on continuous improvement.

Ability to learn new processes, procedures, and software programs quickly, while demonstrating attention to detail and accuracy in their daily work.

Use of Epic Cadence/Prelude/Resolute or other patient scheduling and accounting systems.

Understanding of Kaiser Permanente billing protocols and cash posting systems.

Vocational training in medical office procedures and billing.

Coursework or practical training and experience in ICD-9 and CPT coding.

COMPANY: KAISERTITLE: Patient Access Representative - MUST live in Washington or relocateLOCATION: Seattle, WashingtonREQNUMBER: 1323468External 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.