Build and maintain effective relationships with internal and external customers at all levels. Counsel and educate patients on payment options. policies, workers compensation, etc. Partner with Member Services to reach and resolve member eligibility. Partner with CSS to identify training needs for support staff in the area of back office procedures. Partner with peers to develop new policies and procedures. Execute bills to patients, collect outstanding Accounts Receivable, reconcile patient visit records and post daily sales. Deposit daily cash receipts and sales tax revenues.
Essential Functions
- Consistently supports compliance and the Principles of Responsibility (Kaiser Permanente's Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state and local laws and regulations, accreditation and licenser requirements (if applicable), and Kaiser Permanente's policies and procedures.
- Your access to protected health information (PHI) will be limited to the minimum necessary required to effectively perform your job.
- May perform other duties as assigned.
- In addition to defined technical requirements, you will be accountable for consistently demonstrating service behaviors and principles defined by the Kaiser Permanente Service Quality Credo, the KP Promise, and specific departmental/organizational initiatives. You also will be accountable to consistently demonstrate the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other, to our members, and to purchasers, contracted providers and vendors
Qualifications:
Basic Qualifications
- Associates degree in accounting, finance or health care with 3 - 5 years related or relevant experience OR
- Bachelor's degree in accounting, finance or health care with 2 - 3 years related or relevant experience.
- Knowledge of managed care industry.
- Thorough knowledge of medical office operations, accounting billing procedures including completion and filing of UB-92's, HCFA 1500's, including Medicare billing, CPT coding, benefits, worker's compensation & COB.
- Knowledge of collection laws.
- Previous experience with Financial Counseling.
Preferred Qualifications
- Certified Patient Account Representative (CPAR) or Certified Patient Account Technician (CPAT preferred).
- Knowledge of Paradox, Lotus Notes, WordPerfect and Word preferred.
- Managed care proposal writing experience is preferred.
External hires must pass a background check/drug screen.
We are proud to be an equal opportunity/affirmative action employer.