Business Services Representative

1 week ago

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

As a Business Services Representative at Kaiser Permanente, you will play a critical role in ensuring seamless patient access to healthcare services. Under indirect supervision, you will verify insurance eligibility and benefits, interview patients and/or their representatives to obtain demographic and financial information, and identify available payer sources. You will also collect deposits and/or fees, initiate billable jackets, and explain hospital rules and regulations. Additionally, you will assist patients in completing required forms, generate and distribute documents/reports to appropriate departments, and collect and disburse patient valuables.

Essential Responsibilities:
  • Uphold Kaiser Permanente's Policies and Procedures, Principles of Responsibilities, and applicable state, federal, and local laws.
  • 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.
  • 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 patient and/or representative.
  • Identify and make referrals to Financial Counselors for 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.
  • Establish and maintain courteous, cooperative relations when interacting with other personnel, Health Plan members, and the public.
  • May perform other duties as required.
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.
  • Per the National Agreement, current KP Coalition employees have this experience requirement waived.
Additional Requirements:

Preferred Qualifications:

Notes:
  • This is an on-call position, days and hours may vary.
  • Must be available a minimum of 8 shifts to include 4 weekend days in each calendar month.

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