Account Administrative Representative Jobs

Description:

This position represents {7} openings.

To work as a team member of the California Srv Center (CSC) which is the Membership Accounting & Contracts Administration functions for the California Division. The overall objectives of this position is to perform the account maintenance, billing, reconciliation, reporting & customer srv related activities. Duties also include performing database maintenance & research tasks to support the contracts administration, cash control operations & assignment of medical record numbers, to generate & distribute contracts & member I.D. cards, to provide facilities support & to enter documents into the workflow imaging system.

Essential Functions:

• Providing office srvs support including but not limited to picking up, sorting & delivering mail, filing & retrieving documents, ordering & distributing office supplies, performing miscellaneous facilities maintenance tasks & providing photocopying & copier maintenance.
• Supporting Medicare processing & reporting requirements.
• Collecting & monitoring productivity & customer srv quality measures.
• Setting up & maintaining member data including but not limited to processing enrollments, corrections, retroactivity adjustments & terminations.
• Participating in purchasers performance evaluations & performance target setting activities.
• Ensuring purchasers compliance w/ Health Plan policies & contractual provisions.
• Facilitating communications across all lines of business & w/ other Kaiser Permanente departments.
• Supporting eligibility inquiries.
• Assisting w/ the production & distribution of payment-related reports required by purchasers & management, & by operating & maintaining printers & other related peripheral equipment.
• Identifying, coding, batching, scanning & indexing documents for imaging.
• Processing purchasers eligibility reported electronically by coordinating the exchange of media w/ groups & Information Srvs, resolving problems, maintaining & operating related equipment & maintaining supporting logs/records.
• Assisting w/ training as required.
• Conducting audits of purchasers w/ large payment variances, unallocated payments or other specified criteria.
• Participating team-based projects & contributing to customer srv & operations improvements initiatives.
• Perform other duties as they are assigned.
• Assisting w/ the production & distribution of contracts & related notices for new & renewing purchasers & individuals.
• Preparing reports & managing purchaser correspondence.
• Ensuring that changes to contracts are quickly & accurately updated in the contract systems.
• Ensuring bills are correct & mailed timely.
• Resolving related problems.
• Identifying, researching & reconciling billing payments amounts to ensure accurate eligibility determination, payment, revenue & membership records.
• Interacting w/ purchaser benefit administrators to answer questions & explain Health Plan policy & contractual provisions related to membership & billing.
• Working w/ internal & external customers & vendors to resolve any issues related to support srvs activities.
• Assisting Health Plan purchaser contacts & sales & srv representatives in the sales process & the analysis & resolution of problems related to membership accounting.
• Resolving payment discrepancies & delinquencies.
• Receiving, entering data, reviewing, researching balancing, & applying daily purchaser deposits & sources from the bank in a timely & accurate fashion.
• Answering, researching, issuing & resolving problems related to medical records numbers (MRN) & performing any required follow up activities on a 24 hour per day, 7 day a week basis.

Basic Qualifications:

Experience

• N/A.

Education

• N/A.

License, Certification, Registration

• N/A

Additional Requirements:

• Computer experience preferably in a PC windows based environment.
• Proficiency in math, data entry, typing, spelling and grammar, for whichtest are required.
• Ability to diagnose, analyze and solve a variety of quantitative and qualitative problems.
• Willing to learn new tasks and adapt to new business requirements.
• Ability to adapt to change and be flexible in shifting priorities.
• Ability to work productively at multiple tasks.
• Demonstrated ability to work in a team-based environment.
• Ability to communicate clearly and professionally.
• Successful customer service track record.
• Excellent conflict resolution and decision making capabilities.

Preferred Qualifications:

• Minimum two (2) years of experience in accounting, finance or related field preferred.
• Experience with mainframe application and computer transaction processing preferred.
• Experience with operations of peripheral equipment, such as printers or magnetic tape equipment, and knowledge of operating systems commands such as MVS/ESA and JES2 mainframe application, and tape management systems preferred.

Primary Location: California,San Diego,California Service Center

Scheduled Weekly Hours: 40

Shift: Day

Workdays: Mon, Tue, Wed, Thu, Fri

Working Hours Start: 08:00 AM

Working Hours End: 05:00 PM

Job Schedule: Full-time

Job Type: Standard

Employee Status: Regular

Employee Group/Union Affiliation: B06|OPEIU|Local 30

Job Level: Individual Contributor

Department: California Service Center No.1 - CA Commercial Membership Admin - 0315

Pay Range: $26.9 - $29.18 / hour

The ranges posted above reflect the location in the job posting. The salary range may vary if you reside in a different location or state than the location posted.

Travel: No

At Kaiser Permanente, equity, inclusion and diversity are inextricably linked to our mission, and we aim to make it a part of everything we do. We know that having a diverse and inclusive workforce makes Kaiser Permanente a better place to receive health care, a more supportive partner in our communities we serve, and a more fulfilling place to work. Working at Kaiser Permanente means that you agree to and abide by our commitment to equity and our expectation that we all work together to create an inclusive work environment focused on a sense of belonging and wellbeing.

Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.

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