Business Services Representative

2 weeks ago


Baldwin Park, California, United States Kaiser Permanente Full time
Job Summary:

Under the supervision of a senior staff member, the Business Services Representative will be responsible for verifying insurance eligibility and benefits, interviewing patients and/or their representatives to obtain demographic and financial information, and identifying available payer sources. The successful candidate will also be responsible for collecting deposits, fees, and initiating billable jackets in support of all billing activities.

Essential Responsibilities:
  • Verify patient identification and insurance eligibility/benefits, obtain required authorizations/pre-certifications, and required billing information from all identified payer sources for Medical Office/Hospital services rendered.
  • Interview patients and/or representatives, collect/record all required financial/demographic information, obtain required signatures, and explain hospital rules and regulations.
  • Determine payer source, and prepare billable jacket containing all financial information necessary for bill completion.
  • Coordinate and collect required Medical Office/Hospital deposits, co-payments, professional fees, Kaiser membership dues, and conversions from patients and/or representatives.
  • Identify and make referrals to Financial Counselors, any member or non-member having a financial obligation to Kaiser Permanente for which a clear, identifiable payer source is not known.
  • Coordinate and/or prepare hospital statistics, Hospital Census, and records data and/or other data required by the Medical Center or the PBS department.
Basic Qualifications:
  • Two (2) years of experience in Admitting/Registration, Financial Counseling.
  • Typing 35 WPM or as required by facility.
  • Ability to demonstrate knowledge of and to utilize admission/registration systems, healthcare billing practices, health plan benefits, and insurance requirements.
Additional Requirements:
  • Must be available a minimum of 8 shifts to include 4 weekend days in each calendar month.


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