Admitting Reception Kaiser Santa Rosa

Job Shift: Third Shift (Night) DEPARTMENT: ADMITTING SCHEDULE: On Call Nights EDUCATION: High School Diploma or GED Equivalent LICENSURE/CERTIFICATION: N/ A QUALIFICATIONS: • High school diploma or equivalent • Six months work experience within the last 12 months required; hospital/clerical setting or medical office preferred • Basic knowledge and use of computer and computer keyboard (able to pass PC skills assessment) • Professional customer service skills • Revenue collection experience preferred • Ability to read, write, understand and follow oral and written instructions SKILLS TESTING: Typing Speed: 35 w.p.m. or 6,000 Key Strokes, Medical Terminology, and PC Skills Assessment. DUTIES: REVENUE COLLECTION Instruct and review with patient, information concerning hospitalization. Ascertain health plan status, research eligibility and collect and copy non-KP insurance information Identify all uninsured or under-insured patients admitted to facility; refer to Financial Counselors for further action Obtain verification and necessary pending authorizations from non-KP insurers (including Medicare, Medi-Cal and COB) on members and non-members when Financial Counselor is not available. All documentation is completed in the Member Integrated Tracking System (MITS) or the appropriate KP tracking system. When Financial Counselor is available, discuss the need to obtain authorizations from non-KP insurers (including Medicare, Medi-Cal and COB). Promote patient satisfaction and retention through the successful facilitation of the revenue collection process Calculate member liability based on benefit plan (e.g. Deductible Health Maintenance Organization (DHMO), High Deductible Health Plan (HDHP), Medicare D, Out of Pocket Maximum (OOP Max), etc.); inform patient/agent and collect appropriate cost share payments for services rendered in all settings (e.g. bedside, follow up phone calls to patient's home, etc.) Notify patient and when possible, collect financial liability for elective procedures. Document all interactions. Contact all discharged patients to attempt collection of financial liability. Document all interactions. Research payment records of all non-paying patients with liabilities, utilizing system records. Report findings to Manager/Supervisor/Designee Analyze revenue data to determine obstacles in cost share collections. Report daily/weekly to Manager/Supervisor/Designee Collect all information necessary to bill second-party payers, e.g. COB, Medicare, Medi-Cal, third-party payers, Workers' Compensation, Commercial and Non-KP HMO PATIENT INTERVIEW/PREADMISSION AND ADMISSION Interview patients for pre-admission or admission to the hospital, collecting personal, demographic, financial and medical information in person or by phone per KP policies Enter complete data into the KP information systems and review for accuracy per department, local, regional and regulatory compliance Affix identification bracelet to the patient's wrist on the side of the body opposite the intended procedure or injury per local policy Understand and abide by the HIPAA regulations and Kaiser Permanente Corporate Compliance. Provide up-to-date information concerning admission and hospital practices and administrative procedures per HIPAA guidelines. Evaluate and attempt to resolve/refer public and patient concerns as they arise Facilitate the timely admission of patients throughout the hospital by coordinating patient information with the physicians, Emergency Room, Clinic Departments, House Nursing Supervisor, Patient Care Unit Staff and Outside Care Coordinators per local policy Receives admission requests; facilitates appropriate bed assignments and communicates information to staff DOCUMENT AND RECORD MANAGEMENT Maintain accurate record of cost share status of all patients with liabilities, utilizing revenue tracking system as determined by management Obtain appropriate signatures on permits and consents per California Hospital Association (CHA) consent guidelines Prepare related admission paperwork in advance to facilitate a timely admission process. Assemble and coordinate admission materials to create a comprehensive admission package Distribute relevant brochures/letters to patient/agent (e.g. Medicare letter, Coordination of Benefits (COB) brochure, advance directive brochure, cost share letter, etc.) Receive, document, secure and release patient valuables according to Standard Procedure 18A as appropriate Initiate membership records on all newborns per local policy Distribute admission materials to proper locations. CUSTOMER SERVICE Participate in problem-solving as needed to assure organizational revenue targets and customer satisfaction Escort or arrange for patient escort to assigned room or area per local policy Answer phones in a professional, courteous and positive manner promoting excellent customer relations when providing information/directions to physicians, staff and public Maintain high standards of excellence and assist Kaiser Permanente fulfill its mission by providing high-quality health care services OTHER DUTIES Work in a team environment continually enhancing required skills through scheduled training sessions or individually; attend required meetings, workshops and in-services Provide support in conducting audits depending upon supervisory need Perform other related duties as required *** The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Must be willing to travel between facilities. For consideration please submit your resume to www.kaiserpermanentejobs.org and refer to job postings SR.0700603 or SR.0700604. This position supports Kaiser Permanente's code of conduct and compliance by adhering to all laws and regulations, accreditation and Licensure requirements, and internal policies and procedures. Kaiser Permanente is proud to be an equal opportunity/affirmative action employer. Additional Information Reference Code: Admitting Rep Santa Rosa Kaiser Position Type: Per Diem, Employee