Job Summary:
Under direct supervision, provides clerical assistance to managers and representatives; facilitates processing of insurance claims, bills and correspondence; receives, responds, and distributes incoming mail; responds to telephone inquiries; maintains patient and insurance information on HPMS; maintains patient files; supports compliance and Principles of Responsibility; maintains confidentiality; protects organizational assets; exhibits ethics and integrity; adheres to applicable federal and state laws and regulations, accreditation and licensing requirements, policies and procedures; reports and/or resolves issues of non-compliance.
Essential Responsibilities:
- Receives and/or responds to telephone inquiries/correspondence from patients, insurance carriers, employers and Kaiser employees; obtains/records necessary information; answers questions; directs difficult questions to appropriate person; maintains positive customer relationships through effective communication and follow-up.
- Opens, sorts, screens, evaluates, and distributes incoming mail and charts to proper persons.
- Receives, alphabetizes, identifies, and distributes all visit records to Patient Accounting Representatives (PARs); ensures proper handling of filing of claims, reports or follow up.
- Receives, receipts, and prepares bank deposits and cash jackets for payments received for health plan dues and receivables.
- Assumes responsibility for department computer information systems inquires and maintenance.
- Files/purges reports, folders, bills and correspondence as necessary.
- Requests medical records and x-ray reports via CRT.
- Receives and reviews billing documents for distribution to PARs and/or mailing.
- Duplicates medical records, bills, claims, reports and other requested information as necessary for sending to requestor.
- Provides files, documents for check refunds, adjustments and re-submissions.
- Distributes systems reports to appropriate persons.
Basic Qualifications:
Experience
- Minimum six (6) months of clerical office or related experience.
Education
- High school diploma or GED
License, Certification, Registration
- N/A
Additional Requirements:
- Type 30 wpm.
- 10-key by touch.
- Demonstrated knowledge of and skill in adaptability, customer service, interpersonal relations, oral communication, problem solving, teamwork, and written communication.
- Demonstrates knowledge, skills, and abilities necessary to provide culturally sensitive care and/or service.
Preferred Qualifications:
- N/A
PrimaryLocation : Hawaii,Wailuku,Maui Mem. Wili Pa Loop Building
HoursPerWeek : 40
Shift : Day
Workdays : Mon, Tue, Wed, Thu, Fri
WorkingHoursStart : 08:00 AM
WorkingHoursEnd : 04:30 PM
Job Schedule : Full-time
Job Type : Standard
Employee Status : Regular
Employee Group/Union Affiliation : S03|AFSCME|UNAC-UHCP-UNHCEH
Job Level : Entry Level
Job Category : Administrative & Support Services
Department : WILI PA - Pat. Financial Ops & Admin - 3601
Travel : No
Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.