Revenue Cycle / Patient Accounts Specialist I
In addition to the responsibilities listed below, this position may also be responsible for researching, copying, and mailing member-financial records to the respective requestor (e.g., court, attorney, copy services); researching databases/work queues to identify third party, workers compensation, and secondary coverage availability for patient bills using templates and basic knowledge of business practices to negotiate payment plans and set terms of pay agreement; providing customer service while explaining the application process, processing applications and disposition, following policy regulations; performing routine collection interactions to defined set of patient accounts and collect payments; monitoring payment plans to suggest if agreements should be sustained or cancelled; approving adjustments with limited authority; preparing self check in services, procuring documents, performing day-to-day operations for the Admitting and Patient Financial Advisors teams and support the staff; assisting in ensuring that patient insurance information is verified and entered correctly into the system prior to service.
- Pursues effective relationships with others by sharing information with coworkers and members. Listens to and addresses performance feedback. Pursues self-development; acknowledges strengths and weaknesses, and takes action. Adapts to and learns from change, challenges, and feedback. Responds to the needs of others to support a business outcome.
- Completes routine work assignments by following procedures and policies and using data, and resources with oversight and management. Collaborates with others to address business problems; escalates issues or risks as appropriate; communicates progress and information. Adheres to established priorities, deadlines, and expectations. Identifies and speaks up for improvement opportunities.
- Ensures their own work is in compliance by: adhering to federal and state laws, and all applicable compliance standards under close supervision.
- Ensures accurate patient accounts by: conducting research to answer patient questions under manager guidance.
- Assists with performance management initiatives by: following standard protocols to produce reports according to defined quality and productivity metrics associated with operational improvement to ensure own work meet established performance levels and analyzes data and generate routine reports for relevant departments and medical centers to assess performance progress.
- Assists with process management initiatives by: using basic knowledge of business practices to coordinate with senior members of the team to support improvement projects while also receiving detailed instructions to document project requirements that are then used to develop project specifications and action plans.
- Assists with project management initiatives by: assists with project execution and management efforts by collaborating with stakeholders within their team to ensure the project is successfully executed and project-based changes are implemented, following detailed instructions.
- Facilitates regulatory reporting by: learning and applying regulation standards while also reviewing the accuracy of own work and making corrections.
- Assists with systems management initiatives by: integrating new systems processes with routine work.
- High School Diploma or General Education Development (GED) required AND minimum one (1) year of experience in data analytics, clinic/hospital operations, customer services, banking, health care coding, registration, billing and collections, or relevant experience OR Minimum two (2) years experience working in a corporate or business office environment.
- Driver's License.
- One (1) year of experience working with financial information systems.
Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.
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