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Customer Service Representative

Kaiser Permanente

KPC SANTA ANA, Santa Ana, CA, US$43,680 - $65,5208 months ago
88 views43 saves0 applies

Benefits

Health Insurance

Job Type

full time

Description

* THIS IS A FULLY ONSITE POSITION*

SUMMARY

Answers telephones, routes callers, takes messages and provides routine information to callers

REQUIREMENTS

RESPONSIBILITIES AND DUTIES:

  • Maintains established departmental policies and procedures, objectives, quality improvement program, safety, environmental and infection control standards.
  • Operates microfilm equipment in retrieving file data.
  • Interprets insurance program procedures and provisions to resolve routine patient billing inquires and problems.
  • Counsels patients requiring external financial assistance, including recommending third parties.
  • Answers all inquiries regarding patient accounts.
  • Researches credit balance accounts, refunds overpayments to patient, guarantor or third party payer.
  • Secures information relative to patient’s financial status or insurance coverage. May complete insurance forms, verify insurance coverage, and secure other information if needed.
  • Prepares appropriate information for billing personnel.
  • Answers telephones, routes callers, takes messages and provides routine information to callers. Responds promptly to inquiries and requests.
  • Negotiates contractual payment plans with patients as authorized.
  • Performs a variety of routine typing and clerical duties as necessary.
  • Receives complaints of poor or inadequate service and determines action to be taken.
  • Traces missing files.
  • Attends meetings as required.
  • Other duties as assigned.

EDUCATION & EXPERIENCE REQUIREMENTS:

  • High school diploma or combination of relevant experience and education required.
  • Previous customer service experience required
  • Healthcare experience highly preferred

SKILLS & ABILITIES REQUIREMENTS:

  • Outstanding communication, interpersonal, mulit-tasking and analytical skills
  • The ability work well with minimal supervision in a high-volume environment
  • Proven ability to remain composed and professionally under difficult situations with a strong team approach
  • PC proficiency with various Windows applications
  • Knowledge of phone systems and technology
  • Skill in recognizing and responding to emergency/high-priority situations

PHYSICAL REQUIREMENTS:

  • Body Positions: Sitting and standing for prolonged periods.

  • Body Movements: Arm and hand dexterity.

  • Body Senses: Must have command of close and distant sight, color perception and hearing.

  • Strength: Ability to lift and move up to 25-pounds.

Working Environment:

  1. Work in an office, where the climate is controlled
  2. Occasional travel between medical groups and/or hospitals when necessary. 0-25 % of the time.

OSHA exposure category: III

  1. Category I – Position includes tasks that involve exposure to Blood borne Pathogens.
  2. Category II – Position includes tasks that do not have exposure to Bloodborne Pathogens, however employment may require unplanned Category I tasks.
  3. Category III – Positions includes tasks that do not involve exposure to Bloodborne Pathogens. This position would not be required to perform Category I tasks.

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Skills

windowsquality improvementinfection controlcustomer service

About Kaiser Permanente

Kaiser Permanente is one of the nation's leading providers of integrated health care services and innovative health plans.

healthcare, insuranceWebsite