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Patient Access Coordinator

2 months ago


Silverdale, Washington, United States Kaiser Permanente Full time
Job Summary

We are seeking a highly skilled Patient Access Representative to join our team at Kaiser Permanente in Silverdale, Washington. As a Patient Access Representative, you will play a critical role in ensuring seamless patient access to our healthcare services.

Key Responsibilities
  • Perform patient registration and verification duties, including demographic and insurance coverage verification.
  • Process referrals, maintain provider templates, and appointment schedules in EPIC Practice Management.
  • Ensure patient accounts and coverage structures meet Kaiser Permanente standards and billing requirements.
  • Act as liaison to Patient Financial Services and the Health Plan, communicating with external government payors and employers as needed.
  • Provide fee estimates to patients for Kaiser Permanente services and work directly with patients on billing-related matters.
  • May perform duties related to cash collection and depositing, including collecting co-pays and cost shares for services.
Requirements
  • Minimum one year of experience in a business office within a medical care delivery, hospital, insurance, or large contact center environment.
  • High School Diploma or General Education Development (GED) required.
  • Basic PC skills in MS Windows environment, 10-key, and typing (35 WPM) required.
  • Customer service skills, the ability to effectively communicate with a diverse customer base, and strong organizational skills required.
Preferred Qualifications
  • Three years of additional experience in a patient care setting.
  • Use of Epic Cadence/Prelude/Resolute or other patient scheduling and accounting systems.
  • Understanding of Kaiser Permanente billing protocols and cash posting systems.
  • Familiarity 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 Permanente insurance products and benefits.