Administrative Skills, Cash Applications, Co-Payments, Compensation Analysis, Current Procedural Terminology (CPT), Demographics, Federal Laws and Regulations, Fee Schedule, Financial Management, Health Plan, Health Plan Membership, Medi-Cal, Medical Records, Medical Treatment, Medicare, Patient Assessment, Patient Follow-up, Patient Registration, Reconciliation, State Laws and Regulations
Duties:
Greet and assist patients that present. Follow appropriate patient registration/check-in policy and procedures.
Verify and/or update demographic information, for example Personal Physician Selection, Language Preference.
Working knowledge of Health Plan coverage types, for example (but not limited to) traditional, deductible, etc.
- Check in patients by following chick-in policies and procedures and using the check-in systems or manual visit records when the systems are down.
- Determine patient-s membership/benefits according to the benefit display.
- Create accounts as necessary, for example (but not limited to) workers- compensation, confidential. Etc.
- Capture and populate workers- compensation data on the correct screens and select the correct coverage as necessary.
- Manage electronic in-basket.
- Use notes function where applicable to document prepayments
- Obtain a patient medical record number when necessary.
- Order Health Plan cards as needed
- Collect co-pays and fees. Inform patients of available payment options.
- Generate appropriate encounter forms per procedure electronically or manually if the system is down.
- Direct patients to appropriate area after check-in process is completed.
Check out patients by following check out policies and procedures and using the checkout systems or manual visit record when the systems are down, if applicable.
Follow appropriate procedures when registering exception-type patients such as non-members, out-of-area health plan members, Medicare, Medi-Cal, and industrial patients.
- Initiate and complete required forms for all appointments per policy.
- Access necessary information from the fee schedule to determine appropriate fees based on CPT-4 and/or service codes in order to collect appropriate revenue.
- Assist patients by:
- Explaining co-pays/applicable fees
- Providing facility directions
- Referring to other departments and administrative services for further information, e.g. Member Services, Medical Secretaries, and Business Office.
- Initiating and completing appropriate forms as needed, for example Release of Information, Patient Financial Responsibility, etc.
- Tracking referrals to specialty care by utilizing the consultation/referral system as needed in those areas where this responsibility currently exists for the individual in the classification. Where this responsibility is not part of an existing position, it cannot be added without written agreement as part of the LMP.
- Demonstrate knowledge of and application of Health Connect.
Maintain the patient will-call area box if applicable.
Communicate with clinical and business office staff as needed.
Cash Handling, Reconciliation and Deposit
Handle cash according to the Cash Handling Responsibility Agreement. Comply with all applicable cash handling policies and procedures (see reference list).
The registration designee is responsible for the safekeeping of change funds, all revenue collected during the shift, all assigned revenue documents, and all keys assigned for cash control.
Obtain, secure, and ensure sufficient denominations to provide change.
Reconcile shift and deposit fund according to the Cash Handling Responsibility Agreement.
Use correct procedures to document and report discrepancies.
Other
Working towards positive operational outcomes.
Perform other duties as required
Supervisory Responsibilities
This job has no supervisory responsibilities.
Compliance Accountability
Consistently supports compliance and the Principles of Responsibility (KP-S Code of Conduct) by maintaining confidentiality, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable Federal and State laws and regulations, accreditation and licensure requirements, and KP policies and procedures.
K
Kaiser Permanente
At Kaiser Permanente, we are relentless in our pursuit of excellence. Driven by our mission to provide the highest quality preventive medicine, we are committed to eliminating health care disparities, and to making lives better through innovation, technology, and research.
Our desire to deliver the best possible care inspires us to promote wellness among our members, communities, and each other. It also fuels our belief that everyone — regardless of circumstance — deserves access to affordable care, which further drives our motivation to expand our reach.
Founded nearly 80 years ago, our unique business model sets us apart — positioning us to drive improvements across the industry and around the world.
10,000 employees or more
http://www.kp.org/careers