Kaiser Permanente Hiring for Admitting Representative at Riverside, CA Full Time

Under the direct supervision, performs pre-admits and admits based on doctor’s orders. Directs visitors and patients to the appropriate area and answers phones. 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. Reviews and assists patients to complete all required documents for completeness and appropriate signatures. Verifies insurance eligibility and benefits. Collects any cost shares due to include but not limited to co-payments, deposits, share of cost (SOC) and deductibles. Initiates and collects financial documents in support of all billing activities. Document KPHC and other systems as appropriate. Assembles accurate and complete records; prepares identification armbands; receive and release patient valuables. Explain hospital rules and regulations. Generates and distributes documents/reports to appropriate departments. Complies with organizational and departmental policies and procedures.

Essential Functions:

• Interviews patient &/or representative, collects/records all required financial demographic information including but not limited to coordination of benefits (COB), third party liability (TPL)&workers compensation (WC).

• Verifies patient’s identification&insurance eligibility/benefits.

• Notify insurance company of admission status.

• Obtains authorization/pre-certifications&required billing information from all identified payer sources for Medical Office/Hospital Services rendered.

• Coordinate&informs patients of required financial obligations.

• Collect any cost shares due to include but not limited to copayments, deposits, share of cost (SOC)&deductibles.

• Reviews all required documentation w/ patient, ensuring completion&obtain all necessary signatures.

• Accurately document all requisite information related to the admission&collection processes in KPHC&other systems as appropriate.

• Refers to Financial Counselors for patients having a financial obligation to Kaiser Permanente as necessary.

• Explains admission process, hospital regulations, policies&procedures.

• Contacts physician if additional information is needed.

• Prepares patient armbands.

• Create patient file w/ all necessary documentation for bill completion.

• Generate&distributes appropriate registration/admission documents.

• Secures&releases patient valuables for patients admitted into the hospital.

• Escorts or arranges escort of patients to assigned room or area.

• Performs pre-admission function including but not limited to surgery&labor&delivery cases; inputs required data for the anticipated admit list, balancing&checking for accuracy&completeness.

• Collaborates w/ physicians, nursing&other departments to facilitate admission&transfer

• Responsible for proper monetary transactions as it relates to assigned cash drawer.

• Prepares bank deposit slip&contacts security for escort to deliver bag containing shift deposits to the designated safe.

• Responsible for completing cash drawer transmittal forms, keeping designated dollar amount of money in the cash drawer daily&balancing out at the end of the shift.

• Research&reconcile cash drawer issues. Distributes related monetary documents as required&maintain/control of petty cash fund.

• Hospital cashiering/cash handling functions to include deposits, exchange&change fund functions, web declarations&other hospital cashiering functions as assigned.

• Manually estimate MOOP along w/ submitting refund request if necessary, review&maintain hospital exchange fund&petty cash transactions.

• Totals&reconciles, credit charges&payments on account w/ standard processing forms.

• Mails information as required.

• Provides co-payment history statements

• Review&complete accounts in work queue(s). Notify mgmt of any copay discrepancy.

• Consolidates or corrects duplicate accounts by using appropriate system functions. Enters account notes on patient cases.

• Performs clerical duties as assigned, including but not limited to, filing, faxing, scanning, processing of mail, supplies, printing, answering&redirecting calls as needed for the department.

• Review various reports (census, unbilled, etc.)

• Provide front-end coverage to other functional areas w/in admitting&provide support to ancillary departments as necessary.

• Provides patient w/ appropriate documentation&information for Medical Financial Assistance Program (MFAP).

• Assist in Quality Improvement monitoring as necessary.

• Perform reception duties as required including but not limited to answering phones, calling patient family when necessary, greeting members at the Front Desk&relieving other clerks for breaks&lunch as appropriate.

• Work w/ financial counselor related to patient financial ability.

• Establishes&maintains courteous, cooperative relations when interacting w/ other personnel, Health Plan members&the public. Performs other duties as assigned by mgmt team &/or lead admitting clerk.

Basic Qualifications:

Experience

• One (1) year of cash handling experience in hospital admitting, healthcare business office or medical office setting.

• Two (2) years of admitting or registration experience.

Education

• High School diploma or GED required.

License, Certification, Registration

• N/A.

Additional Requirements:

• Demonstrated knowledge of and utilization of admission/registration system, healthcare billing practices, health plan benefits and insurance requirements.

• Typing 35 wpm.

Preferred Qualifications:

• Associates or Bachelor’s degree preferred.

• Demonstrated ability to work rapidly and accurately with phones, personnel and patients preferred.

• Able to demonstrate excellent mathematical skills and cash collections.

Notes:

• May include consecutive weekend shifts.

PrimaryLocation : California,Riverside,Riverside Medical Center/Medical Offices 1
HoursPerWeek : 20
Shift : Variable
Workdays : Mon, Tue, Wed, Thu, Fri, Sat, Sun,
WorkingHoursStart : 12:01 AM
WorkingHoursEnd : 11:59 PM
Job Schedule : Call-in/On-Call
Job Type : Standard
Employee Status : Regular
Employee Group/Union Affiliation : B05|USW|Local 7600
Job Level : Entry Level
Job Category : Administrative & Support Services
Department : Riverside Med Center – Admitting – 0801
Travel : Yes, 10 % of the Time
Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.