Business Services Representative

Kaiser Permanente•Harbor City, CA

About The Position

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.

Requirements

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

Nice To Haves

Bilingual preferred
flexible schedule
patient admission experience and k govet and commercial insurances

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.