Business Services Representative - On Call

• Upholds KP's Policies & Procedures, Principles of Responsibilities & applicable state, federal & local laws

• Verifies patient identification & insurance eligibility/benefits,

• Obtains required authorizations/pre-certifications & required billing information from all identified payor sources for Medical Office/ Hospital services rendered

• Interviews patients and/or representative, collects/records all required financial/demographic information, obtains required signatures, explains hospital rules & regulations, generates & distributes appropriate registration/admission documents

• Determines payor source & prepares billable jacket containing all financial information necessary for bill completion

• Coordinates & collects required Medical Office/Hospital deposits, co-payments, professional fees, Kaiser membership dues & conversions from patient and/or representative

• Identifies & makes referrals to Financial Counselors, any member or non-member having a financial obligation to KP for which a clear, identifiable payor source is not known

• Coordinates and/or prepares hospital statistics Hospital Census & records data and/or other data required by the Medical Center or the PBS department

• Generates & distributes daily census reports

• Establishes & maintains courteous, cooperative relations when interacting w/ other personnel, Health Plan members & the public

• May perform other duties as required

Pay Grade: 14

Basic Qualifications:

• Two (2) years of experience in Admitting/Registration, Financial Counseling