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Medical and Health
Business Services Representative, On-Call Night
Job description
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.
Responsibilities & skills
Education
Ability to demonstrate knowledge of and to utilize admission/registration systems, healthcare billing practices, health plan benefits and insurance requirementsPer the National Agreement, current KP Coalition employees have this experience requirement waived.
Experience
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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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