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Kaiser Permanente
Medical and Health

Account Administrative Representative

Kaiser Permanente Boston Full-time

Job description

This position represents {7} openings.To work as a team member of the California Srv Center (CSC) which is the Membership Accounting & Contracts Administration functions for the California Division. The overall objectives of this position is to perform the account maintenance, billing, reconciliation, reporting & customer srv related activities. Duties also include performing database maintenance & research tasks to support the contracts administration, cash control operations & assignment of medical record numbers, to generate & distribute contracts & member I.D. cards, to provide facilities support & to enter documents into the workflow imaging system.Essential Functions:Identifying, researching & reconciling billing payments amounts to ensure accurate eligibility determination, payment, revenue & membership records.Setting up & maintaining member data including but not limited to processing enrollments, corrections, retroactivity adjustments & terminations.Supporting eligibility inquiries.Ensuring bills are correct & mailed timely.Interacting w/ purchaser benefit administrators to answer questions & explain Health Plan policy & contractual provisions related to membership & billing.Resolving related problems.Assisting Health Plan purchaser contacts & sales & srv representatives in the sales process & the analysis & resolution of problems related to membership accounting.

Responsibilities & skills

Proficiency in math, data entry, typing, spelling and grammar, for whichtest are required.Demonstrated ability to work in a team-based environment.Successful customer service track record.Ability to diagnose, analyze and solve a variety of quantitative and qualitative problems.

Education

N/A.

Experience

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About the company

Kaiser Permanente

At Kaiser Permanente, we work as one for a healthier today and tomorrow. Founded in 1945, our unique business model sets us apart — positioning all of us to help deliver total health.As the nation’s leading not-for-profit health plan, we proudly serve 12.5 million members from more than 600 locations in California, Oregon, Washington, Colorado, Georgia, Maryland, Virginia, Hawaii and Washington D.C. Together, our 217,000+ employees make up an integrated health care delivery system with a mission to improve the lives of our members, employees, and communities.
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