Kaiser Career – Registration Representative

Job Description:

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.

Job Responsibilities:

  • 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.
  • 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.
  • 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.

Job Requirements:

  • 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.
  • 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.

Job Details:

Company:  Kaiser Permanente

Vacancy Type:  Full Time

Job Location: Portland, OR, US

Application Deadline: N/A

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