Business Services Representative

Under indirect supervision, verifies insurance eligibility and benefits. Interviews patients and/or their representatives to obtain demographic and financial information. Identifies available payer sources and records information required for admission and/or registration.

Collects deposits and/or fees, initiates billable jacket in support of all billing activities. Explains hospital rules and regulations, assists patients in completion of required forms, and generates and distributes documents/reports to appropriate departments. Collects and disburses patient valuables and provides patient information.

• Upholds Kaiser Permanente's Policies and Procedures, Principles of Responsibilities, and applicable state, federal, and local laws.
• Verifies patient identification and insurance eligibility/benefits. Obtains required authorizations/pre-certifications and required billing information from all identified payer sources for Medical Office/Hospital services rendered.
• Interviews patients and/or representatives, collects/records all required financial/demographic information, obtains required signatures, explains hospital rules and regulations, and generates and distributes appropriate registration/admission documents.
• Determines payer source and prepares billable jacket containing all financial information necessary for bill completion. Coordinates and collects required Medical Office/Hospital deposits, co-payments, professional fees, and conversions from patients and/or representatives.
• Identifies and makes referrals to Financial Counselors for any member or non-member having a financial obligation to Kaiser Permanente for which a clear, identifiable payer source is not known.
• Coordinates and/or prepares hospital statistics, records data, and generates and distributes daily census reports.
• Establishes and maintains courteous, cooperative relations when interacting with other personnel, Health Plan members, and the public.
• May perform other duties as required.

• Two (2) years of experience in Admitting/Registration, Financial Counseling.
• Typing 35 WPM or as required by facility.
• Ability to demonstrate knowledge of and to utilize admission/registration systems, healthcare billing practices, health plan benefits, and insurance requirements.
• Current KP Coalition employees have this experience requirement waived.

• High School Diploma/GED. Certificate of completion of a course in Medical Terminology required within 6 months of employment.

• N/A

• Bi-lingual preferred.
• Experience in patient admissions and insurances.

• This is an on-call position; days and hours may vary.
• Must be available to work 10 shifts/month, 8 hrs./shift, and a minimum of 2 major holidays in a year.