Business Services Representative

Job Summary:

Under indirect supervision, verifies insurance eligibility and benefits, interviews patient and/or their representative to obtain demographic and financial information, identify available payer sources and records information required for admission and/or registration; Collects deposits, and/or fees; initiates billable jacket in support of all billing activities. Explains hospital rules and regulations, assists patients in completion of required forms, generates and distributes documents/reports to appropriate departments. Collects and disburses patient valuables and provides patient information.

Essential Responsibilities:

• Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws.

• Verifies patient identification and insurance eligibility/benefits, obtains required authorizations/pre-certifications and required billing information from all identified payer sources for Medical Office/ Hospital services rendered. Interviews patients and/or representative, collects/records all required financial/demographic information, obtains required signatures, explains hospital rules and regulations, generates and distributes appropriate registration/admission documents.

• Determines payer source, and prepares billable jacket containing all financial information necessary for bill completion. Coordinates and collects required Medical Office/Hospital deposits, co-payments, professional fees, Kaiser membership dues and conversions from patient and/or representative. Identifies and makes 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.

• Coordinates and/or prepares hospital statistics Hospital Census, and records data and/or other data required by the Medical Center or the PBS department. Generates and distributes daily census reports.

• Establishes and maintains courteous, cooperative relations when interacting with other personnel, Health Plan members and the public.

• May perform other duties as required.

Basic Qualifications:

Experience

• 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.

Education

• High School Diploma/GED. Certificate of completion of a course in Medical Terminology or required within 6 months of employment.

License, Certification, Registration

• N/A

Additional Requirements:

Preferred Qualifications:

• Bi-lingual preferred

• Experience is patient admissions and insurances

Notes:

• This is an on-call position, days and hours may vary.

• Must be available to work 10 shifts/month, 8 hrs./shift, and minimum of 2 major holidays in a year.

COMPANY: KAISER

TITLE: Business Services Representative

LOCATION: Harbor City, California

REQNUMBER: 1386033

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.