Making Each Interaction Extraordinary
Functioning as a liaison between our members, employer groups, providers, brokers, and internal customers, our customer service groups are the face and voice of Kaiser Permanente. They play a vital role in explaining our offerings, policies, and procedures as well as meeting the needs of our members across the country.
Patient Access Representative Appointing Center, FT, 8 45a - 5 45 p, M- F, Spokane, WALocation: Spokane, WA Additional Locations:
Job Number: 823322 Date posted: 08/23/2019
GENERAL EXTERNAL JOB POSTING DESCRIPTION:
CALL CENTER POSITION TAKING INBOUND CALLS FOR CLINICS AND
HEALTHCARE BENEFITS TO INCLUDE MEDICAL, VISION, AND DENTAL
INSURANCE, ACCRUED PTO, AND COMMUTER BENEFITS
WE OFFER A FUN AND EXCITING WORK ENVIRONMENT WITH
OPPORTUNITIES TO ADVANCE INTO TELECOMMUTING POSITIONS
BUSINESS CASUAL DRESS CODE TO INCLUDE JEANS ATTIRE
- 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; Process internal and external referrals.
- 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 KP services; Assist patients with billing questions.
- 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.
- Customer Service: Adhere to Kaiser Permanente 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 Permanente services.
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.
About Customer Service Careers
Customer Service Careers
With over 11 million members, more than 127,000 employees, and over 40 million doctor visits a year, our customer service teams need you to come work with a wide variety of people to address concerns, resolve grievances, and educate our communities about our offerings. At Kaiser Permanente, you'll put your communication and mediation skills to work in support of excellence. We are committed to supporting you with ongoing growth, training, and development opportunities.
See What People are Saying About Working at KP
Mar 26, 2019
"The best job I have ever had!"
- Positive Outlook
- Approves of CEO
I have been working at Kaiser Permanente full-time for more than a year
Real focus on creating higher quality, more affordable healthcare. Talented coworkers and great mentors. Fabulous benefits.Full Review
Come introduce yourself to a member of the Kaiser Permanente team at an upcoming career or professional event. We look forward to meeting you in person.
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