Patient Access Coordinator
5 days ago
This position will be primarily supporting Oncology functions at Tacoma Medical Center. As a Patient Access Representative, you will play a critical role in ensuring seamless patient access and registration processes.
Key Responsibilities- Patient Access and Registration: Answer phones, perform appointment making processes, complete accurate patient registration, verify patient demographics and payor coverage, perform check-in, check-out, admit and discharge tasks, build and maintain appointing templates, communicate with patients via multiple channels, and process internal and external referrals.
- General Account Management: Confirm and set up payor coverage structures, obtain prior authorization for services, process appropriate items in the patient, claim edit and charge review work queues, act as liaison to Patient Financial Services and the Health Plan, communicate with external government payors and employers, perform manual service capture and data entry, and apply account review criteria and billing guidelines in preparation for off-site billing of professional services.
- Cash Collection and Depositing: Collect co-pays and cost shares for services, process refunds, perform daily cash reconciliation and reporting for retail transactions, process daily till closeout, and prepare bank documentation.
- Customer Service: Adhere to Kaiser Permanente behavior and appearance standards, demonstrate strong customer service and communication skills, treat customers with courtesy and respect, and adhere to HIPAA and patient confidentiality requirements.
- Minimum one (1) year of experience in a business office within a medical care delivery, hospital, insurance, or large contact center environment OR a minimum two (2) years of experience providing excellent customer service in a fast-paced environment.
- High School Diploma or General Education Development (GED) required.
- Basic PC skills in MS Windows environment, 10-key, and typing (35 WPM) required.
- Three (3) 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.
- Familiar 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 healthcare insurance practices and billing.
- Knowledge of healthcare 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.
- Proven ability to establish credibility and respect with patients.
- Proven ability to problem solve and take initiative.
- Ability to provide feedback and education to other staff regarding correct procedures.
- Six (6) months experience in processing various types of billing, including workers' compensation, subrogation, coordination of benefits, and private/self-pay.
- Demonstrate a high degree of adaptability, productivity, and reliability as well as an ability to work independently in an ambiguous environment.
- Effective interpersonal, communication, and customer service skills for both face-to-face and telephone interactions with patients, medical staff, and team members.
- Positive, open-minded, and focused on continuous improvement.
- Ability to learn new processes, procedures, and software programs quickly, while demonstrating attention to detail and accuracy in their daily work.
- Vocational training in medical office procedures and billing.
- Coursework or practical training and experience in ICD-9 and CPT coding.
Kaiser Permanente is an equal opportunity employer and welcomes applications from diverse candidates. External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state, and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.
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