Patient Access Services Clerk Evening, MMMC

Patient Access Services Clerk (Full-time, Evening, MMMC) – Kaiser Permanente

Full-time, evening role (MMMC) with patient registration, telephone, reception and other clerical duties.

Under indirect supervision, performs a variety of patient registration, telephone, reception and other clerical duties; determines proper financial class; maintains database integrity of systems; maintains quality and professional care of patients requiring medical attention; educates parties regarding business practices and insurance coverage; assists patients/families in meeting their financial obligations.

• Greets patients, referring them to appropriate areas of hospital, clinic, or department.
• Alerts medical staff in event of patients with emergent medical problem(s).
• Interviews patient/patient representative(s) and obtains patient data and verifies insurance coverage; obtains demographic and insurance information; obtains medical record number from master patient index if none available. Verify insurance coverage for primary, secondary and tertiary insurance plans.
• Utilizes managed care and other insurance eligibility programs including payor web sites for determining eligibility and coverage, admission notification, and authorization requirements.
• Establishes patient financial class type at point of registration; obtains necessary insurance information; ensures appropriate forms are completed/initiated/routed; photocopies insurance cards, etc.
• Registers patients in KPHealth
  
  Connect; enters accurate demographic, financial class, and insurance information; makes revisions to systems database immediately as errors are recognized to ensure database accuracy; documents financial obligations of patients in the appropriate fields in the computer system.
• Processes direct, urgent admissions and coordinates with Nursing Supervisor. Contacts physician for/or receives admitting orders and diagnosis for admission of patient. Creates account for impending admission.
• Communicates deposit requirements to patients and families and documents in KP Health Connect; refers patients to financial counseling assistance as appropriate.
• Initiates and completes all necessary admitting forms and obtains required signatures in a timely manner; provides explanation for clear understanding; adheres to federal and state regulations, such as Medicare Secondary Payor Questionnaire (MSPQ), during registration process; explains required form.
• Collects cash, check or credit card payments for collectible services; verifies checks have accurate and current information; ensures valid authorization for all credit card payments; validates checks and credit slips; issues receipts; refunds customers for over payment of services within authorized limits; obtains all appropriate documents and signatures.
• Balances monies, checks, credit card charge documents and daily cash register receipts; reconciles any discrepancies; prepares bank deposit; operates electronic draft capture for charge cards; reconciles and resolves any discrepancies; remits deposit to bank; places change fund order from bank; maintains change fund; buys and sells change from various departments; resolves any balance discrepancies.
• Answers incoming phone calls; transfers calls to appropriate areas of department, clinic, hospital; makes outgoing calls to physicians, payors, etc., as needed.
• Documents pertinent patient account information in KP Health Connect.
• Provider registration support to other MHS facilities as needed.
• Proactively contacts patients to pre-register them for selected procedures and/or those patients with selected insurance coverages; advises patients of estimated cost share; arranges for deposits/pre-payment prior to procedure in accordance with department protocols and procedures, as needed.
• Prepares and processes daily admission notifications, authorization in a timely manner. Coordinates with financial and clinical staff for timely updates and communication.
• Prints Pre-census Report nightly; verifies census with Nursing Units. Assigns accommodations/bed assignments as directed for patients by evening/night supervisors. Compiles daily census…