Business Services Representative

 

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Under indirect supervision, verifies insurance eligibility & benefits, interviews patient and/or their representative to obtain demographic & financial information, identify available payor sources & 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 & regulations, assists patients in completion of required forms, generates & distributes documents/reports to appropriate departments. Collects & disburses patient valuables & provides patient information.

Essential Functions:

• Upholds KP's Policies & Procedures, Principles of Responsibilities & applicable state, federal & local laws

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  Verifies patient identification & insurance eligibility/benefits,

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  Obtains required authorizations/pre-certifications & required billing information from all identified payor sources for Medical Office/ Hospital services rendered

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  Interviews patients and/or representative, collects/records all required financial/demographic information, obtains required signatures, explains hospital rules & regulations, generates & distributes appropriate registration/admission documents

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  Determines payor source & prepares billable jacket containing all financial information necessary for bill completion

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  Coordinates & collects required Medical Office/Hospital deposits, co-payments, professional fees, Kaiser membership dues & conversions from patient and/or representative

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  Identifies & makes referrals to Financial Counselors, any member or non-member having a financial obligation to KP for which a clear, identifiable payor source is not known

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  Coordinates and/or prepares hospital statistics Hospital Census & records data and/or other data required by the Medical Center or the PBS department

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  Generates & distributes daily census reports

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  Establishes & maintains courteous, cooperative relations when interacting w/ other personnel, Health Plan members & the public

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  May perform other duties as required

Basic Qualifications:

• Two (2) years of experience in Admitting/Registration, Financial Counseling

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  High School Diploma/GED

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  Certificate of completion of a course in Medical Terminology or required within six (6) months of employment

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  Typing 35 WPM or as required by facility

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  Ability to demonstrate knowledge of & to utilize admission/registration systems, healthcare billing practices, health plan benefits and insurance requirements

Notes:

Must be available weekends and holidays.

Bilingual Preferred. Every other weekend. This is a temporary position for approximately three (3) months.
• 2 yrs. Patient registration experience in hospital and clinic.

PrimaryLocation : California,Harbor City,South Bay Medical Center
HoursPerWeek : 40
Shift : Night
Workdays : Mon, Tue, Wed, Thu, Fri, Sat, Sun
WorkingHoursStart : 11:00 PM
WorkingHoursEnd : 07:30 AM
Job Schedule : Full-time
Job Type : Standard
Employee Status : Temporary
Employee Group/Union Affiliation : B01|SEIU|Local 399
Job Level : Individual Contributor
Job Category : Administrative & Support Services
Department : South Bay Med Center - Admitting - 0801
Travel : No
Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.

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