Basic Qualifications:

Experience

Minimum one (1) year of experience in a business office within a medical care delivery, hospital, insurance or large contact center environment OR a 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:

Experience in electronic patient accounting, scheduling or customer information systems.
Basic PC skills in MS Windows environment, 10-key and typing (35 WPM).
Customer service skills, the ability to effectively communicate with a diverse customer base, and strong organizational skills.

Preferred Qualifications:

Three (3) years of additional experience in a patient care setting.
Use of Epic Cadence/Prelude/Resolute or other patient scheduling and accounting systems.
Understanding of Kaiser Permanente billing protocols and cash posting systems.
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.
Six (6) months experience in processing various types of billing, including workers compensation, subrogation, coordination of benefits, and private/self-pay.
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.
Vocational training in medical office procedures and billing.
Coursework or practical training and experience in ICD-9 and CPT coding.

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