Customer Relations Representative
4 months ago
Receives and services telephone and walk-in inquiries. Maintains patient/guarantor and insurance information on systems. Acts as representative for organization. Researches and resolves account inquiries. Maintains current knowledge of Kaiser health plan benefits and policies, and government programs and commercial insurances billing requirements.
Essential Responsibilities:
- Receives and responds to inquiries from patients, insurance carriers, employers, staff and external agencies. Obtains and documents necessary information. Answers questions and resolves billing issues.
- Greets, assists, and responds to customers. Utilizes telephone equipment and/or tools to ensure adequate handling of phone calls. Ensures adequate phone coverage to support volume of incoming telephone calls.
- Receives and receipts payments received for receivables and forwards to data entry to prepare bank deposit and cash jacket.
- Gathers and enters pertinent account information. Completes account reconciliation, correct billings and/or payment allocations. Documents accurate and complete account notes in tracking system for all account activity.
- Researches documents and all other available sources to determine validity of refunds, adjustment or write-offs. Prepares refunds, adjustment and write-off requests. Submits request to data entry to process.
- Manages credit balance report and insures credits allocations and refunds are resolved within standards.
- Tracks and validates co-pay maximum requests. Coordinates with claims as necessary and issues co-pay max cards and reports.
- Maintains open communication with patients, insurance carriers, external agencies, and staff to assure proper and adequate exchange/interpretation of data and information.
- Performs other duties and accepts responsibility as assigned.
Experience
- Two (2) years customer service experience.
- One (1) year medical billing and collections experience.
- Associates degree in English, business or related field, or two (2) years directly related experience.
- N/A
- Type 40 wpm.
- 10-key by touch.
- Demonstrated ability to motivate debtors to pay.
- Demonstrated knowledge of and skill in adaptability, conflict resolution, customer service, interpersonal relations, multi-task oriented, oral communication, problem solving, teamwork, and written communication.
- Demonstrated knowledge of and skill in word processing, spreadsheet, and database PC applications.
- Talking to co-workers, customers, outside vendors, and on the telephone.
- Reading, writing, speaking, understanding English.
- Training/giving and receiving instructions.
- Mathematical ability, attention to detail (e.g. organization, prioritization, proofing), concentration and alertness.
- Customer service experience in healthcare.
- Medicare/Medicaid/HMO billing and collections experience.
- Experience utilizing automated call distribution or multi-line phone system.
- Familiarity with professional and hospital billing.
- Certified Coding Specialist (CCS) by the American Health Information Management Association (AHIMA) or Certified Professional Coder (CPC) by the American Association of Professional Coders (AAPC).
- Bachelors degree in English, business or related field.
Primary Location: Hawaii,Honolulu,Regional Admin Low Rise
Scheduled Weekly Hours: 40
Shift: Day
Workdays: Mon, Tue, Wed, Thu, Fri
Working Hours Start: 08:00 AM
Working Hours End: 04:30 PM
Job Schedule: Full-time
Job Type: Standard
Worker Location: Onsite
Employee Status: Regular
Employee Group/Union Affiliation: HL5|UNITE HERE|Local 5
Job Level: Individual Contributor
Department: Regional Administrative Office - PFS Call Cntr & Cust Svc - 1201
Pay Range: $26.35 - $29.28 / 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: No
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
-
Customer Service Representative
3 months ago
Honolulu, United States CSN Collision Full timeJob Title: Customer Service Representative Location: 789 Mapunapuna St, Honolulu, HI 96819 Company: Unibody Autotech Collision About Us: Unibody Autotech Collision has been a trusted name in automotive repair and collision services in Honolulu since 1998. With over 21 years of experience and a team of expert technicians boasting over 43 years in the...
-
Customer Service Representative
6 months ago
Honolulu, United States VCA Animal Hospitals Full timeClient Service Representative. We are seeking an experienced Client Service Representative to join our team. At VCA Animal Hospitals, we take our mission statement your pets health is our top priority and excellent service is our goal very serio Customer Service Representative, Customer Service, Representative, Client Service, Animal Care, Retail
-
Customer Relations Associate
2 months ago
Honolulu, United States AWP Safety Company Full timeAWP Safety is North America’s leading traffic control specialist. Our team of 6,500 professionals helps secure 2,000 work zones every day – ensuring customer crews, drivers, and our teams get home safely. We protect those who operate, maintain, and upgrade infrastructure in the energy, broadband, and transportation sectors and provide traffic control for...
-
Customer Service Representative
1 month ago
Honolulu, Hawaii, United States Keiko Pacheco - State Farm Agent Full timeJob OverviewWe are seeking a highly motivated and customer-focused individual to join our team as a Customer Service Representative. In this role, you will be responsible for providing exceptional service to our clients, resolving any issues or concerns they may have, and cross selling to the customers you are servicing.Key Responsibilities:Respond to...
-
Customer Service Representative
4 weeks ago
Honolulu, Hawaii, United States New York Life Insurance Company Full timeJob Summary: We are seeking a highly skilled Customer Service Representative to join our team at New York Life Insurance Company. As a Customer Service Representative, you will be responsible for providing exceptional customer service to our insurance agents and clients. Key Responsibilities: • Assist with the workflow management of new insurance policies...
-
Customer Service Representative
1 month ago
Honolulu, United States Orkin Full timeAs a Customer Service Specialist, you will be a Subject Matter Expert and play a pivotal role in ensuring every customer has an experience thats the best in pests. You will field incoming requests, schedule service visits and maintain efficient rout Customer Service Representative, Customer Service, Representative, Retail
-
Customer Service Representative
4 weeks ago
Honolulu, Hawaii, United States Avis Budget Group Full timeCustomer Service RepresentativeAt Avis Budget Group, we're looking for a Customer Service Representative to join our team. As a Customer Service Representative, you will be responsible for assisting our customers at our airport locations. This includes managing customer lines, directing customers to the right location, and answering any questions to improve...
-
Customer Service Representative
6 months ago
Honolulu, United States SP Plus Corporation Full timeSP is driven by Our Promise, "Making Every Moment Matter for a World on the Go." Our team understands that time is scarce, so we are intentional about putting ourselves in the shoes of those we serve. The result is a unique combination of talented pe Customer Service Representative, Customer Service, Representative, Customer Experience, Retail,...
-
Customer Service Representative
4 weeks ago
Honolulu, Hawaii, United States SP+ Full timeAbout the RoleSP+ is seeking a Customer Service Representative to join our team. As a Customer Service Representative, you will be responsible for ensuring a seamless parking experience for our customers and facilitating the expedient flow of traffic through the facility.Key ResponsibilitiesAssist customers in making payment to fully automated revenue...
-
Customer Service Representative
1 month ago
Honolulu, Hawaii, United States Domino's Pizza LLC Full timeAbout the JobWe're on a mission to deliver exceptional customer experiences at Domino's Pizza LLC. As a Customer Service Representative, you'll be the face of our brand, interacting with customers to ensure their satisfaction and loyalty.Key ResponsibilitiesOperate equipment and maintain a clean and safe working environmentPrepare and serve food and...
-
Customer Relations Trainer I
1 month ago
Honolulu, Hawaii, United States HMSA Full timeJob SummaryJob Title: Customer Relations Trainer IJob Summary: HMSA seeks a skilled Customer Relations Trainer I to drive consistency in operations through the development and facilitation of eLearning materials.Key Responsibilities:Develop and deliver training programs to provide understanding of department technology and workflows, relevant laws, and HMSA...
-
Customer Service Representative
4 weeks ago
Honolulu, Hawaii, United States Cigna Full timeCustomer Service RepresentativeAt Cigna, we're committed to delivering exceptional customer service to our patients. As a Customer Service Representative, you'll play a critical role in helping patients understand their pharmacy benefits and addressing their concerns with empathy and care.Key Responsibilities:Help patients navigate their pharmacy benefits...
-
Labor Relations Manager
1 month ago
Honolulu, Hawaii, United States Hyatt Regency Waikiki Beach Resort and Spa Full timeJob Title: Labor Relations ManagerThe Labor Relations Manager plays a critical role in maintaining a positive and productive work environment at the Hyatt Regency Waikiki Beach Resort and Spa. This position is responsible for managing the relationship between the hotel and the union, ensuring that all labor practices and agreements are in compliance with...
-
Customer Service Representative
2 weeks ago
Honolulu, United States V-Thru Full timeWe are seeking a dedicated and enthusiastic Customer Service Representative to join our team. In this role, you will be the first point of contact for our clients, providing exceptional service and support. Your ability to communicate effectively and analyze customer needs will be essential in ensuring a positive experience for our customers. If you are...
-
Customer Service Representative
4 weeks ago
Honolulu, Hawaii, United States Hawaii Pacific Health Full timeJob SummaryHawai'i Pacific Health is a leading healthcare network in the Pacific Region, dedicated to providing high-quality, compassionate care to our patients. We are seeking a skilled Customer Care Representative to join our Contact Center team.About the RoleAs a Customer Care Representative, you will be the first point of contact for our patients and...
-
CUSTOMER SERVICE REPRESENTATIVE II
2 months ago
Honolulu, United States CIty and County of Honolulu, Hawaii Full timeCustomer Service Representative II (SR-11)Provide assistance and information to customers on procedural, legal and/or financial requirements relating to City services which require interpretation of a wide range and variety of rules, regulations, pol Customer Service Representative, Customer Service, Customer Experience, Representative, Retail, Information,...
-
Customer Service Representative
4 weeks ago
Honolulu, Hawaii, United States U-Haul Full timeAre you passionate about delivering exceptional customer experiences? U-Haul is seeking a talented Customer Service Representative to join our team. As a Customer Service Representative, you will be the face of our company, providing top-notch service to our customers and ensuring their needs are met. You will work closely with our team to resolve customer...
-
Customer Service Representative
4 weeks ago
Honolulu, Hawaii, United States Domino's Franchise Full timeJob DescriptionAt Domino's Franchise, we're looking for a skilled Customer Service Representative to join our team. As a key member of our store team, you'll be responsible for providing exceptional customer service, handling customer inquiries, and resolving issues in a timely and professional manner.Key Responsibilities:Provide excellent customer service,...
-
Customer Service Representative
4 weeks ago
Honolulu, Hawaii, United States Savers Value Village Full timeJob Title: Customer Service RepresentativeJob Summary:We are seeking a highly motivated and customer-focused individual to join our team as a Customer Service Representative. As a key member of our team, you will be responsible for providing exceptional service to our donors, ensuring a positive experience for all who interact with our organization.Key...
-
Customer Service Representative
2 weeks ago
Honolulu, United States TEKsystems Full timeJob DescriptionJob DescriptionDescription:This is an internal and external client facing position that requires excellent customer service skills and interpersonal communication skills (listening/verbal/written). One must be able to; manage difficult or emotional client situations; Respond promptly to client needs; Solicit client feedback to improve service;...