Emergency Department Business Service Clerk I

Under indirect supervision, exercising knowledge and judgment, performs variety of patient registration, telephone, reception and other clerical duties; determines proper financial class; prices visit records according to health plan or non-plan rates and collects payment at point-of-service (POS); makes billing arrangements when payment is not made at POS; maintains database integrity of systems; maintains quality and professional care of patients requiring medical attention; educates parties regarding business practices and health plan benefits.

• Greets patients, referring them to appropriate areas of clinic/department or directs to Emergency Department medical screening nurse.


• Alerts medical staff in event of patients with emergent medical problem(s).


• Assesses patient data on mainframe system to verify membership status and group benefit structure; refers to SCFILE and group listings when mainframe system is down; obtains medical record number from MPI if none available.


• Establishes patient financial class type at point of registration; obtains demographic and necessary health plan insurance information; ensures appropriate forms are completed/initiated/routed; photocopies insurance and other cards; obtains credit card imprint and informs patient of collection of fees at discharge and remaining charges to be billed.


• Verifies insurance eligibility of non-members in system; determines if patient has been identified as delinquent payer in mainframe system; notifies financial counselor of non-members arrival.


• Registers patients on computer systems entering accurate demographic, financial class, insurance information; makes revisions to systems database immediately as errors are recognized to ensure database accuracy.


• Answers incoming phone calls and transfers calls to appropriate areas of department/clinic/hospital.


• Reads/responds to e-mail and mail on daily basis.

Informs patients of financial responsibility and estimated costs of ED; obtains signature on promissory note; collects payments from non-Kaiser patients; verifies patient identify with name on visit record upon discharge.



• Reads department documentation sheets to discharge patients on patient registration log or registration system entering accurate diagnosis, time in/out, provider code number, disposition, location seen, admitted to, etc.; makes revisions to registration system immediately as errors are recognized.


• Determines charges based on patient financial class or Kaiser group plan; applies appropriate charges according to fee schedules; reads Emergency Department documentation to ensure all services rendered as indicated on visit records are collected or billed at POS; explains payment arrangements to patients who are unable to pay; informs patient of possible additional charges that may be billed later.


• Follows appropriate cash handling procedures and distributes change to customers; rings up charges using appropriate function keys to ensure proper accounting practices are followed; processes credit card payments accurately on EDC machine.


• Completes cash jacket and accounts for shortages/overages/account posting errors; makes debit/credit adjustments as necessary; forwards necessary back-up documents to lead and/or general accounting for review; makes department copies and reports unreconciled cash jackets to supervisor.


• Prepares bank deposits at end of shift, ensuring accuracy and completeness of cash register items; walks deposit to Business Office; ensures/obtains change for Emergency Department Business Services.


• Performs variety of patient services such as providing information or explanation of problems pertaining to benefits, eligibility, etc.


• Assists/reassures families, visitors, etc., when necessary.


• Serves as information and referral resource person to patients, customers, Kaiser employees and others.


• Handles patient problems; refers difficult patients to patient advocate and/or calls security personnel when necessary; monitors Emergency Department waiting area/hospital door by allowing members/patients to enter/exit.


• Immediately reports prankish, threatening, disaster alert or emergency situation to supervisor, as well as, any peculiarity which may jeopardize or endanger any member of staff or employee, patient, visitor or employer facilities.


• Demonstrates knowledge, skills, and abilities necessary to provide care and/or service appropriate to age groups served.


• Demonstrates knowledge, skills, and abilities necessary to provide culturally sensitive care and/or service.


• Performs other duties and accepts responsibility as assigned.

• One (1) year cashiering in a medical setting or related experience.

• High School diploma; or equivalent combination of education (lesser) & experience may be considered in lieu of requirements.

• N/A

• Demonstrated knowledge of and skill in adaptability, customer service, and oral communication.
• Talking to co-workers, customers, outside vendors, and on the telephone.
• Reading, writing, speaking and understanding English.
• Training/giving and receiving instructions.
• Mathematical ability, attention to detail (e.g., organization, prioritization, proofing), concentration, and alertness.

• Reception and emergency department registration experience.
• Type 30 wpm.
• 10-key by touch.
• Knowledge of health plan benefits.
• Knowledge of medical terminology.
• Familiarity of medical insurance processing.
• Demonstrated knowledge of and skill in word processing. spreadsheet, and database PC applications.
• Post high school coursework in anatomy, physiology, or business.
• Training in insurance billing.

PrimaryLocation : Hawaii,Honolulu,Moanalua Ancillary Building
HoursPerWeek : 40
Shift : Variable
Workdays : Mon, Tue, Wed, Thu, Fri, Sat, Sun
WorkingHoursStart : 12:00 AM
WorkingHoursEnd : 11:59 PM
Job Schedule : Full-time
Job Type : Standard
Employee Status : Regular
Employee Group/Union Affiliation : HL5|UNITE HERE|Local 5
Job Level : Entry Level
Job Category : Administrative & Support Services
Department : Moanalua Medical Center - Business Services-Emergency - 1201
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.