Representative, Registration

Key Responsibilities

• Registration:
• Greet and register patients for medical care in clinic and potentially Emergency department settings.
• Verify patient demographic and insurance information according to National Registration Standards and regional policies.
• Verify Insurance Eligibility and Benefits for all payers using approved systems.
• Use problem-solving skills to verify patient identification and minimize duplicate medical records.
• Interview patients to obtain/determine payer source, financial, and demographic information; obtain appropriate signatures.
• Verify, identify, and input Other Coverage Information (OCI), primary, secondary, and tertiary payers.
• Revenue Collection:
• Determine and collect cost-shares and partial payments for services.
• Enter/verify payments in the computer, close cash drawers, count currency, checks, and credit card payments at the end of each shift, and create deposits.
• Maintain billing accuracy and compliance per KPNW and National Revenue Cycle policies.
• Communicate KPNW policy on payment of services or prepayment when significant patient liabilities are identified.
• Collect past due balances and refer to financial counselors as appropriate.
• Appointing & Messaging:
• Take messages according to scripts and guidelines.
• Schedule and/or cancel appointments based on member needs and regional policies.
• Make return appointments and referrals if applicable.
• Regulatory/Organizational Compliance:
• Explain and request patients to sign regulatory forms (e.g., consent, release).
• Make copies or scan patient identification, insurance information, and other related forms.
• Understand and adhere to rules and regulations of Medicare, Medicaid, Managed Care, and Commercial payers regarding referrals, preauthorization, and pre-certification.
• Maintain compliance with CMS by accurately completing Medicare Secondary Payer screening information.
• Explain basic KPNW Medical Center and/or clinic policies and procedures to patients.
• General Services:
• Stock appropriate forms and supplies.
• Handle supplies and equipment in a cost-effective manner according to standards.
• Assist patients by providing phone numbers, facility directions, and office layouts; direct to other departments.
• Assist with the orientation of new personnel if applicable.
• Perform all other duties as assigned consistent with the job description.

Requirements & Tech Stack

• Keyboarding/Typing and navigating multiple computer applications in a Windows environment including data input: 2 years of experience.
• Excellent verbal and written English communication skills.
• Excellent organizational skills, flexibility, and ability to switch tasks frequently.
• Strong complex problem-solving skills and ability to make decisions independently.

Qualifications

• Basic Qualifications:
• Six (6) months of health care financial OR six (6) months of cash handling OR six (6) months customer service experience in a high-volume customer service environment.
• Current KP Coalition employees have this experience requirement waived per the National Agreement.
• Education:
• High School Diploma or General Education Development (GED) required.
• Additional Requirements:
• Final candidates will complete an approved medical terminology course within six months of the date of hire.

Preferred Qualifications

• Previous hospital or ambulatory clinic registration experience.
• Previous experience with EPIC applications.
• Certification by HFMA or NAHAM preferred.