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Patient Access Representative

Location Everett, Washington Job Number 986254 Date posted 09/14/2021
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Description:

FLOAT POSITION FOR SNOHOMISH DISTRICT





Perform general patient access and registration duties in EPIC Practice Management, such as, answer telephones, make appointments, 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 Foundation Health Plan of Washington 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 Foundation Health Plan of Washington 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 Foundation Health Plan of Washington.





Essential 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 MyGH set up verification. Communicate with patients via multiple channels.

  • 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 GH services. Assist patients with billing questions.

  • Customer Service: Adhere to Kaiser Foundation Health Plan of Washington 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 Foundation Health Plan of Washington services

  • 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




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.

  • 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 experience in a patient care setting.

  • Six (6) months experience in processing various types of billing, including workers compensation, subrogation, coordination of benefits, and private/self-pay.

  • Vocational training in medical office procedures and billing.

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

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

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

  • Understanding of Kaiser Foundation Health Plan of Washington 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 Foundation Health Plan of Washington 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.

  • 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.
  • Primary Location: Washington,Everett,Everett Medical Center Scheduled Weekly Hours: 40 Shift: Day Working Hours Start: 08:00 AM Working Hours End: 07:00 PM Job Schedule: Full-time Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: J04|OPEIU|OPEIU East and West Job Level: Individual Contributor Department: Renton Admin Baker - Resource Management/Float Pool - 1130 Travel: Yes, 50 % of the Time 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.

    External 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 and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.