Basic Qualifications:

Experience

Two (2) years of work experience including twelve (12) months of hospital, preauthorization, financial counseling, insurance company or billing experience required or graduate of a health vocational program (12-18-month duration.) required.
Three (3) years experience in dealing with the public in a customer service role.

Education

License, Certification, Registration

Healthcare Access Associate Certificate within 6 months of hire from National Association of Healthcare Access Management

Additional Requirements:

Hospital Patient Registration experience.
Basic knowledge and use of computer and computer keyboard.
Able to pass PC skills assessment and keyboarding test [a rate of 6,000 keystrokes/hour is required to pass].
Proficient in medical terminology.
Able to pass KP standardized test.
Must be able to apply benefit circumstances to fee schedule quotation to determine member/patient cost share obligation.
Able to pass fee/benefit test.
Capable of making decisions and working independently to accomplish all responsibilities, as well as maintain an in-depth understanding of job duties and operational changes where financial counseling decisions have significant financial and medical implications.
Demonstrated knowledge of the admitting and registration processes and requirements. Effective interpersonal and communications skills. Knowledgeable regarding the impact Utilization Review, Discharge Planning, Admissions, and other related departments have on reimbursement.
Demonstrated ability to understand and interpret benefit coverage information, including KP Plans, Medicaid, Medicare, Commercial coverages, and other insurance plans.
Cash handling experience.
Ability to work independently under limited supervision, take initiative, deal effectively with constant change, and willingly accept responsibility.
Computer experience and training in Windows and MS Word.

Preferred Qualifications:

Three (3) years as a Patient Access Representative II or Pre-Registration Representative, or equivalent, in a 24/7 hospital environment.
Two years of higher education preferred.

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