Kaiser Permanente Registration Representative - On-Call (Multiple Locations) in Portland, Oregon
Registers patients to receive medical services in clinic, hospital inpatient, Ambulatory, or Emergency services. Obtains demographic information, validates & verifies insurance, & receives payments, based on established manual or technological protocols, refers patients to Financial Advocates. Answers &/or refers questions received from patients, visitors, staff as appropriate. Performs various related cash handling procedures per SOX control regulations. Staff members in this position may perform all, or a combination of the duties described depending upon their assigned work area & the specific needs of the department.
Essential Functions: - Registration: Greets & registers patients for various medical care in the clinic setting potentially in a 24 hour, 7 day a week environment & in a highly active fast paced setting such as the Emergency department. - Verifies the patient demographic & insurance information w/ the patient consistent w/ the National Registration Standards & regional policies. - Verifies Insurance Eligibility & Benefits (including policy limitations) for all payers using approved system to check for eligibility & benefit information. - Uses problem-solving skills to verify patient identification through patient name, spouse names, social security number, date of birth & address in order to identify & minimize duplicate medical records. - Interview patient to obtain/determine payer source, financial & demographic information & obtains appropriate signatures. - Verifies, identifies, & inputs Other Coverage Information (OCI), primary, secondary, & tertiary payers for services provided. - Revenue Collection: Determines & collects cost-shares, & partial payments for services to be received. - Enter/verify payments in the computer, close cash drawers, count currency, checks, & credit card payments at the end of each shift, & create deposits per cash handling policies. - Maintains billing accuracy & compliance per KPNW & National Revenue Cycle policies. - Communicate to the patient the Northwest's policy on payment of services or prepayment when significant patient liabilities are identified. - Collect past due balances & refers, as appropriate, to financial counselors. - Appointing & Messaging: Takes messages as required according to scripts & guidelines. - May schedule &/or cancel appointments based on member's needs & regional policies & procedures. - Regulatory/Organizational Compliance: Explains & requests patients to sign regulatory forms such as consent & release forms as required. - Makes copies or scans of patient identification, insurance information & other related forms & documents. - Fully understands & adheres to the rules & regulations of Medicare, Medicaid, Managed Care & Commercial payers regarding referrals, preauthorization & pre-certification requirements. - Is knowledgeable & maintains compliance w/ CMS by accurately completing Medicare Secondary Payer screening information. - Explains basic KPNW Medical Center &/or clinic policies & procedures to patients. - General Services: Stock appropriate forms & supplies. - Demonstrates responsibility in handling supplies & equipment in a cost-effective manner & according to standards such as policies, procedures, & infection control guidelines. - Assist patients by providing phone numbers, facility directions & office layouts. - Performs all other duties as assigned consistent w/ job description. - This job description is not all encompassing.
Qualifications: Basic Qualifications: - Two (2) years of health care financial OR two (2) of years cash handling customer service experience in high volume customer service environment. - Two (2) years of experience keyboarding/typing & navigating multiple computer applications in a Windows environment including data input. - High School Diploma/GED. - Excellent verbal & written English communication skills. - Excellent organizational skills, flexibility & ability to switch tasks frequently. - Final candidates will need to complete Contact Center Simulation assessment within minimum competency score of fiftieth (50th) percentile or higher. - Final candidates will complete approved medical terminology course within six (6) months of date of hire. - Strong complex problem solving skills & the ability to make decisions independently.
Preferred Qualifications: - Previous experience w/ EPIC applications preferred. - Previous hospital or ambulatory clinic registration experience preferred. - Certification by HFMA or NAHAM preferred.
COMPANY Kaiser Permanente
TITLE Registration Representative - On-Call (Multiple Locations)
LOCATION Portland, OR