What are the responsibilities and job description for the Patient Financial Specialist - MUST live in Washington or relocate position at Kaiser Permanente?
Applies in depth knowledge of industry standard billing rules to correct errors and resolve problems related to preparing and submitting accurate medical bills for services provided in our hospital, ASC, outpatient and pharmacy settings. Posts cash, negotiates payment arrangements, identifies accounts for collection. Follows up on denials and files appeals as appropriate, and answers billing questions from customers.
Essential Responsibilities:
- Applies in depth knowledge of industry standard billing rules to correct errors and resolve problems related to preparing and submitting accurate medical bills for services provided in our Hospital, ASC, Outpatient and pharmacy settings.
- Receives, posts and applies payments as appropriate. Negotiates payment arrangements and accepts credit card payments. Reviews and supports accounts being sent to collections. Analyzes unapplied cash and re-applies or refunds as appropriate according to written policies.
- Applies in depth knowledge of industry standard billing rules to investigate and resolve problems related to outstanding insurance and patient accounts. Conducts follow-up on claim denials and files appeals appeals as appropriate. Via phone, mail, and other correspondence methods, responds to internal and external customer billing issues.
- Participates in ongoing process improvement work.
Qualifications:
- Minimum one (1) year of medical billing or insurance claims experience including customer service.
- Per the National Agreement, current KP Coalition employees have this experience requirement waived.
- High School Diploma or General Education Development (GED) required.
- N/A
- PC skills including MS Word and Excel.
- Industry standard medical billing rules and automated billing systems.
- Customer service skills.
- Vocational School/Certificate Prog: Medical billing, health information technology or other similar health care field.