Service Rep at Kaiser Permanente (San Diego, CA)

| San Diego, CA
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Description: Acts as first point of contact for Kaiser Permanente members/patients and assists members/patients through registration process under minimal direct supervision. Practices proper cash handling and reconciliation processes in accordance with established policies and guidelines. Makes members/patients and their needs a primary focus of one's actions. Develops and sustains productive member/patient relationships. Actively seeks information to understand member/patient circumstances, problems, expectations, and needs. Builds rapport and cooperative relationship with member/patients. Considers how actions or plans will affect members/patients; responds quickly to meet member/patient needs and resolves problems.

Essential Functions:

- Upholds Kaiser Permanente's Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws.

- Schedules member and non-member appointments by telephone, mail, electronically or in person utilizing Kaiser Permanente's computer systems.

- Responsible for timely response to in-basket inquires.

- Verifies members' benefits, notifies member of applicable cost share and updates patients' demographics information.

- Obtains relevant information to determine priority appointment time/date, confirms appointment changes due to cancellations and notifies patients of available alternate times, schedules diagnostic lab/x-ray tests.

- Ensures current schedules are accurate, makes authorized changes.

- Provides reception for designated area(s).

- Verifies patient's visit with pre- established appointment schedule in computer system.

- Registers patients.

- Verifies and selects appropriate insurance coverage including confirmation of alternate insurance, and may assist at designated kiosks.

- Determines and collects appropriate payments for services rendered as required per health plan coverage and the established fee schedule.

- Informs member of account balance information.

- Collects and documents in the computer system receipt of a variety of financial and non-financial forms and reviews with members as appropriate.

- Directs patients to waiting areas.

- Schedules follow-up and additional visits as directed by provider or pre-established protocol.

- Follows Kaiser Permanente cash safeguarding and cash handling policies and procedures.

- Carries out appropriate cash control procedures of balancing total revenue received with computer system cash drawer to ensure accuracy.

- Completes closing process in the computer system and deposits daily revenue securely in safe.

- Provides telephone reception for designated area by screening and referring incoming calls to appropriate staff; takes and relays messages.

- Gives out general or procedural information.

- Distributes questionnaires, various medical/authorization/insurance forms, and completes statistical reports as requested.

- May be required to request patient medical charts and x-rays in advance of patient's scheduled appointment.

- Performs related duties as required, such as opening and sorting mail, scheduling meetings, routing various documents to appropriate departments, copying, and filing.

- Maintains courteous relations with patients and staff.

- May perform other duties as required.
Basic Qualifications:

Experience
• Experience in using multi-line telephones.
• Recent experience in customer service, cash handling or equivalent experience.

Education
• N.A.

Licenses, Certifications, Registrations
• N/A.

Additional Requirements:
• Must successfully pass basic computer literacy test.
• Must successfully pass cash handling skills test.
• Effective written and oral communication skills.
• Must demonstrate proficiency in keyboarding.
• As part of applicant process, must take Customer Service Assessment for non KP employees only.

Preferred Qualifications:
• Experience in medical office background, cashiering and or equivalent experience and medical terminology preferred.
• High School graduation, GED or equivalent preferred.
• Knowledge of Kaiser Permanente's computer systems preferred.
• Must be able to work in fast paced environment preferred.
• Demonstrates ability to deal with internal and external customers preferred.
• Ability to prioritize and multi task preferred.
• Bilingual Spanish Level I required.

Must successfully pass or have passed the bilingual test (within the last 12 months), or be active in the QBS program.

This is an On Call position and will work varied hours and days per department needs. Travel required to the San Diego Area Medical Office buildings, including the San Diego Mobile Health Vehicle.

Primary Location: California,San Diego,General Dynamics NASSCO Clinic
Scheduled Weekly Hours: 1
Shift: Day
Workdays: Mon, Tue, Wed, Thu, Fri, Sat, Sun
Working Hours Start: 06:00 AM
Working Hours End: 10:00 PM
Job Schedule: Call-in/On-Call
Job Type: Standard
Employee Status: Regular
Employee Group/Union Affiliation: B09|OPEIU|Local 30
Job Level: Entry Level
Specialty: Support Services
Department: NASSCO On-Site Medical Clinic - Health Appraisal-Regular Clin - 0806
Travel: Yes, 75 % of the Time 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.
More Information on Kaiser Permanente
Kaiser Permanente operates in the Healthtech industry. The company is located in Oakland, CA. Kaiser Permanente was founded in 1945. It has 127523 total employees. It offers perks and benefits such as Flexible Spending Account (FSA), Disability Insurance, Dental Benefits, Vision Benefits, Health Insurance Benefits and Life Insurance. To see all 47 open jobs at Kaiser Permanente, click here.
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