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Representative, Registration

4 months ago

Tualatin, Oregon, United States Kaiser Permanente Full time

Description: Job Summary:

Registers patients to receive medical services in clinic, hospital inpatient, Ambulatory, or Emergency services. Obtains demographic information, validates and verifies insurance, and receives payments, based on established manual or technological protocols, refers patients to Financial Advocates. Answers and/or refers questions received from patients, visitors, staff as appropriate. Performs various related cash handling procedures per SOX control regulations. Staff members in this position may perform all, or a combination of the duties described depending upon their assigned work area and the specific needs of the department.

Essential Responsibilities:

  • Registration: Greets and registers patients for various medical care in the clinic setting potentially in a 24 hour, 7 day a week environment and in a highly active fast paced setting such as the Emergency department. Verifies the patient demographic and insurance information with the patient consistent with the National Registration Standards and regional policies. Verifies Insurance Eligibility and Benefits (including policy limitations) for all payers using approved system to check for eligibility and benefit information. Uses problem-solving skills to verify patient identification through patient name, spouse names, social security number, date of birth and address in order to identify and minimize duplicate medical records. Interview patient to obtain/determine payer source, financial and demographic information and obtains appropriate signatures. Verifies, identifies, and inputs Other Coverage Information (OCI), primary, secondary, and tertiary payers for services provided.
  • Revenue Collection: Determines and collects cost-shares, and partial payments for services to be received. Enter/verify payments in the computer, close cash drawers, count currency, checks, and credit card payments at the end of each shift, and create deposits per cash handling policies. Maintains billing accuracy and compliance per KPNW and National Revenue Cycle policies. Communicate to the patient the Northwests policy on payment of services or prepayment when significant patient liabilities are identified. Collect past due balances and refers, as appropriate, to financial counselors.
  • Appointing & Messaging: Takes messages as required according to scripts and guidelines. May schedule and/or cancel appointments based on members needs and regional policies and procedures. If applicable, makes return appointments and referrals.
  • Regulatory/Organizational Compliance: Explains and requests patients to sign regulatory forms such as consent and release forms as required. Makes copies or scans of patient identification, insurance information and other related forms and documents. Fully understands and adheres to the rules and regulations of Medicare, Medicaid, Managed Care and Commercial payers regarding referrals, preauthorization and pre-certification requirements. Is knowledgeable and maintains compliance with CMS by accurately completing Medicare Secondary Payer screening information. Explains basic KPNW Medical Center and/or clinic policies and procedures to patients.
  • General Services: Stocks appropriate forms and supplies. Demonstrates responsibility in handling supplies and equipment in a cost-effective manner and according to standards such as policies, procedures, and infection control guidelines. Assist patients by providing phone numbers, facility directions and office layouts; Directing to other departments and administrative services for further information, for example (but not limited to) Membership Services, Dental and Pharmacy. May assist with the orientation of new personnel. Performs all other duties as assigned consistent with job description.

Basic Qualifications:

Experience

  • Six (6) months of health care financial OR six (6) months of cash handling OR six (6) months customer service experience in high volume customer service environment.
  • Two (2) years of experience keyboarding/typing and navigating multiple computer applications in a Windows environment including data input.
  • 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:

  • Excellent verbal and written English communication skills.
  • Excellent organizational skills, flexibility and ability to switch tasks frequently.
  • Final candidates will complete approved medical terminology course within six months of date of hire.
  • Strong complex problem solving skills and the ability to make decisions independently.
  • Excellent organizational skills, flexibility and ability to switch tasks frequently.

Preferred Qualifications:

  • Previous hospital or ambulatory clinic registration experience.
  • Previous Experience with EPIC applications.
  • Certification by HFMA or NAHAM preferred.

Notes:

  • SU-SA (variable working days)
  • Travel locations: Beaverton Medical Office, Tualatin Medical Office, Sunset Medical Office, Tanasbourne Medical Office, Hillsboro Neighborhood Office

Primary Location: Oregon,Tualatin,Tualatin Medical Offices

Scheduled Weekly Hours: 1

Shift: Variable

Workdays: Sun, Mon, Tue, Wed, Thu, Fri, Sat

Working Hours Start: 06:30 AM

Working Hours End: 09:15 PM

Job Schedule: Call-in/On-Call

Job Type: Standard

Worker Location: Onsite

Employee Status: Regular

Employee Group/Union Affiliation: W06|SEIU|Local 49

Job Level: Entry Level

Department: Tualatin Medical Offices - Reception/Cashier-Day - 1008

Pay Range: $ $25.02 / hour The ranges posted above reflect the location in the job posting. The salary range may vary if you reside in a different location or state than the location posted.

Travel: Yes, 100 % of the Time

On-site: Work location is on-site (KP designated office, medical office building or hospital). Worker location must align with Kaiser Permanente's Authorized States policy. At Kaiser Permanente, equity, inclusion and diversity are inextricably linked to our mission, and we aim to make it a part of everything we do. We know that having a diverse and inclusive workforce makes Kaiser Permanente a better place to receive health care, a more supportive partner in our communities we serve, and a more fulfilling place to work. Working at Kaiser Permanente means that you agree to and abide by our commitment to equity and our expectation that we all work together to create an inclusive work environment focused on a sense of belonging and wellbeing.

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. Submit Interest