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Registration Representative

Company: Kaiser Permanente Zion Medical Center
Location: Longview
Posted on: January 16, 2022

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.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. 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.

Keywords: Kaiser Permanente Zion Medical Center, Portland , Registration Representative, Other , Longview, Oregon

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