Consistently supports compliance and the Principles of Responsibility (Kaiser Permanentes Code of Conduct) by maintains the privacy and confidentiality of information and protects the assets of the organization.$32k-37k yearly est.60d+ ago
Customer Service Specialist I
We know that having a diverse and inclusive workforce makes Kaiser Permanente a better place to receive health care, a more supportive partner in our communities we serve, and a more fulfilling place to work. Working at Kaiser Permanente means that you agree to and abide by our commitment to equity and our expectation that we all work together to create an inclusive work environment focused on a sense of belonging and wellbeing.$3k monthly8d ago
Customer Service Specialist I
LOCATION: Spokane, Washington$38k-45k yearly est.60d+ ago
On-Call Appointment Center Service Representative
LOCATION: El Cajon, California$35k-40k yearly est.31d ago
Collector Support Rep -PFS
LOCATION: Pasadena, California$33k-38k yearly est.25d ago
Customer Relations Representative
Receives and services telephone and walk-in inquiries. Maintains patient/guarantor and insurance information on systems. Acts as representative for organization. Researches and resolves account inquiries. Maintains current knowledge of Kaiser health plan benefits and policies, and government programs and commercial insurances billing requirements.
Essential Functions:- Receives and responds to inquiries from patients, insurance carriers, employers, staff and external agencies. Obtains and documents necessary information. Answers questions and resolves billing issues.- Greets, assists, and responds to customers. Utilizes telephone equipment and/or tools to ensure adequate handling of phone calls. Ensures adequate phone coverage to support volume of incoming telephone calls.- Receives and receipts payments received for receivables and forwards to data entry to prepare bank deposit and cash jacket.- Gathers and enters pertinent account information. Completes account reconciliation, correct billings and/or payment allocations. Documents accurate and complete account notes in tracking system for all account activity.- Researches documents and all other available sources to determine validity of refunds, adjustment or writeoffs. Prepares refunds, adjustment and write-off requests. Submits request to data entry to process.- Manages credit balance report and insures credits allocations and refunds are resolved within standards. - Tracks and validates co-pay maximum requests. Coordinates with claims as necessary and issues co-pay max cards and reports.- Maintains open communication with patients, insurance carriers, external agencies, and staff to assure proper and adequate exchange/interpretation of data and information.- Performs other duties and accepts responsibility as assigned.
Basic Qualifications:Experience - Two (2) years customer service experience.- One (1) year medical billing and collections experience.Education- Associate's degree in English, business or related field, or two (2) years directly related experience.License, Certification, Registration- N/A
Additional Requirements:- Type 40 wpm.- 10-key by touch.- Demonstrated ability to motivate debtors to pay.- Demonstrated knowledge of and skill in adaptability, conflict resolution, customer service, interpersonal relations, multi-task oriented, oral communication, problem solving, teamwork, and written communication.- Demonstrated knowledge of and skill in word processing, spreadsheet, and database PC applications.- Talking to co-workers, customers, outside vendors, and on the telephone.- Reading, writing, speaking, understanding English.- Training/giving and receiving instructions.- Mathematical ability, attention to detail (e.g. organization, prioritization, proofing), concentration and alertness.
Preferred Qualifications:- Customer service experience in healthcare.- Medicare/Medicaid/HMO billing and collections experience.- Experience utilizing automated call distribution or multi-line phone system.- Bachelor's degree in English, business or related field.- Familiarity with professional and hospital billing.- Certified Coding Specialist (CCS) by the American Health Information Management Association (AHIMA) or Certified Professional Coder (CPC) by the American Association of Professional Coders (AAPC).
COMPANY: KAISER
TITLE: Customer Relations Representative
LOCATION: Honolulu, Hawaii
REQNUMBER: 1156666
External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.$37k-43k yearly est.8d ago
Customer Relations Representative
Receives and services telephone and walk-in inquiries. Maintains patient/guarantor and insurance information on systems. Acts as representative for organization. Researches and resolves account inquiries. Maintains current knowledge of Kaiser health plan benefits and policies, and government programs and commercial insurances billing requirements.
Essential Functions:
* Receives and responds to inquiries from patients, insurance carriers, employers, staff and external agencies. Obtains and documents necessary information. Answers questions and resolves billing issues.
* Greets, assists, and responds to customers. Utilizes telephone equipment and/or tools to ensure adequate handling of phone calls. Ensures adequate phone coverage to support volume of incoming telephone calls.
* Receives and receipts payments received for receivables and forwards to data entry to prepare bank deposit and cash jacket.
* Gathers and enters pertinent account information. Completes account reconciliation, correct billings and/or payment allocations. Documents accurate and complete account notes in tracking system for all account activity.
* Researches documents and all other available sources to determine validity of refunds, adjustment or writeoffs. Prepares refunds, adjustment and write-off requests. Submits request to data entry to process.
* Manages credit balance report and insures credits allocations and refunds are resolved within standards.
* Tracks and validates co-pay maximum requests. Coordinates with claims as necessary and issues co-pay max cards and reports.
* Maintains open communication with patients, insurance carriers, external agencies, and staff to assure proper and adequate exchange/interpretation of data and information.
* Performs other duties and accepts responsibility as assigned.
Basic Qualifications:
Experience
* Two (2) years customer service experience.
* One (1) year medical billing and collections experience.
Education
* Associate's degree in English, business or related field, or two (2) years directly related experience.
License, Certification, Registration
* N/A
Additional Requirements:
* Type 40 wpm.
* 10-key by touch.
* Demonstrated ability to motivate debtors to pay.
* Demonstrated knowledge of and skill in adaptability, conflict resolution, customer service, interpersonal relations, multi-task oriented, oral communication, problem solving, teamwork, and written communication.
* Demonstrated knowledge of and skill in word processing, spreadsheet, and database PC applications.
* Talking to co-workers, customers, outside vendors, and on the telephone.
* Reading, writing, speaking, understanding English.
* Training/giving and receiving instructions.
* Mathematical ability, attention to detail (e.g. organization, prioritization, proofing), concentration and alertness.
Preferred Qualifications:
* Customer service experience in healthcare.
* Medicare/Medicaid/HMO billing and collections experience.
* Experience utilizing automated call distribution or multi-line phone system.
* Bachelor's degree in English, business or related field.
* Familiarity with professional and hospital billing.
* Certified Coding Specialist (CCS) by the American Health Information Management Association (AHIMA) or Certified Professional Coder (CPC) by the American Association of Professional Coders (AAPC).
Primary Location: Hawaii,Honolulu,Regional Admin Low Rise Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri Working Hours Start: 08:00 AM Working Hours End: 04:30 PM Job Schedule: Full-time Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: HL5|UNITE HERE|Local 5 Job Level: Individual Contributor Department: Regional Administrative Office - PFS Mgmt & Supprt - 1201 Pay Range: $25.79 - $27.27 / hour Travel: No At Kaiser Permanente, equity, inclusion and diversity are inextricably linked to our mission, and we aim to make it a part of everything we do. We know that having a diverse and inclusive workforce makes Kaiser Permanente a better place to receive health care, a more supportive partner in our communities we serve, and a more fulfilling place to work. Working at Kaiser Permanente means that you agree to and abide by our commitment to equity and our expectation that we all work together to create an inclusive work environment focused on a sense of belonging and wellbeing.
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.
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*$25.8-27.3 hourly8d ago
Administrative Services Specialist III
Independently plans and executes information maintenance and distribution by drafting standard and nonstandard presentations, detailed correspondence, and reports. Executes workflow independently by assisting in the novel resolution of standard and nonstandard requests from department managers on an ad-hoc basis. Contributes to event coordination by beginning to develop relationships with leaders assistants and an understanding of organizational hierarchy when coordinating and calendaring meetings for directors and their direct teams, independently. Contributes to event execution by assisting senior colleagues to gather materials, plan, and arrange medium-scale events. Enacts data maintenance and management by integrating department data and documentation retention policies into all products.
Essential Responsibilities:
* Pursues effective relationships with others by proactively providing resources, information, advice, and expertise with coworkers and members. Listens to, seeks, and addresses performance feedback; provides mentoring to team members. Pursues self-development; creates plans and takes action to capitalize on strengths and develop weaknesses; influences others through technical explanations and examples. Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; helps others adapt to new tasks and processes. Supports and responds to the needs of others to support a business outcome.
* Completes work assignments autonomously by applying up-to-date expertise in subject area to generate creative solutions; ensures all procedures and policies are followed; leverages an understanding of data and resources to support projects or initiatives. Collaborates cross-functionally to solve business problems; escalates issues or risks as appropriate; communicates progress and information. Supports, identifies, and monitors priorities, deadlines, and expectations. Identifies, speaks up, and implements ways to address improvement opportunities for team.
* Independently plans and executes information dissemination by: drafting standard and nonstandard presentations, handouts, reports/spreadsheets, graphics, status reports, resource management reports, and other deliverables with regular review from senior colleagues; riting detailed correspondence (e.g., letters, reports, confidential documents) to staff, managers, and external members/providers, with review from team or manager; ing, sorting, and maintaining the integrity of department files, independently; ng a variety of software and databases to retrieve required information to write detailed reports.
* Executes the work flow of the department independently by: assisting in the novel resolution of standard and nonstandard requests from department managers on an ad-hoc basis; independently anticipating and offering assistance for business needs (e.g., manager email requests) that require support; operating standard office equipment (e.g., email, fax, xerox); beginning to maintain databases and websites, with review from senior colleagues/managers; maintaining inventory control, stocking, and providing solutions for department office inventory, equipment, and employee work environment resources (e.g., space assignment, computer) in alignment with budgetary policies and escalating inventory issues; receiving, screening, and referring nonstandard and standard incoming and outgoing emails, calls, and visits to the appropriate staff member; investigate time card issues and provide recommendations to management; learning about new staffing onboarding activities and assisting in execution, when necessary; and leveraging the HR information system to maintain knowledge of the contract language, standard/nonstandard pay practices (e.g., travel, shift differentials), and changes to job functions, job descriptions, and role goals, consulting senior colleagues or managers as needed.
* Contributes to event coordination by: beginning to develop relationships with leaders assistants and an understanding of organizational hierarchy to leverage when coordinating, calendaring, and facilitating meetings for directors and their direct teams with front line employees, independently; may be independently planning for meeting facilitation through PowerPoint presentation coordination, taking parking lot notes, ensuring equipment works, and ordering food when appropriate; finding and booking meeting standard and nonstandard rooms appropriate for the audience and meeting objectives, with general oversight.
* Contributes to event execution by: assisting senior colleagues to gather materials, plan, and arrange medium-scale events; organizing standard and nonstandard travel arrangements large, complex events for department head and/or multiple managers; assisting in execution of medium group meetings, conferences; providing on-site coordination for nonstandard and standard issues; independently plans coordination and execution of audio-visual equipment, conference rooms, and catering for events, with review by team or manager; and distributing the agenda, taking meeting minutes, summarizing and finalizing meeting summaries, and coordinating guest presentations in department meetings.
* Enacts human-resources data maintenance and management by: integrating department data and documentation retention policies into all products; inputting, compiling, organizing, validating, tracking, and maintaining data integrity for standard databases; and formatting straightforward graphs, spreadsheets, and reports.
Minimum Qualifications:
* High School Diploma or GED, or equivalent AND two (2) years of experience in administrative support or related field, OR Minimum three (3) years of experience in administrative support or related field.
* N/A
Preferred Qualifications:
* One (1) year of work experience in a role requiring interaction with senior leadership (e.g., Director level and above).
* One (1) year of experience developing and delivering presentations to management.
Primary Location: California,Fremont,Fremont Ohlone - Rancho Medical Offices Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri Working Hours Start: 08:30 AM Working Hours End: 05:00 PM Job Schedule: Full-time Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: NUE-NCAL-09|NUE|Non Union Employee Job Level: Individual Contributor Specialty: Administrative Services Department: Fremont Hospital - Physical Therapy - 0206 Pay Range: $78900 - $102080 / year Travel: Yes, 25 % of the Time At Kaiser Permanente, equity, inclusion and diversity are inextricably linked to our mission, and we aim to make it a part of everything we do. We know that having a diverse and inclusive workforce makes Kaiser Permanente a better place to receive health care, a more supportive partner in our communities we serve, and a more fulfilling place to work. Working at Kaiser Permanente means that you agree to and abide by our commitment to equity and our expectation that we all work together to create an inclusive work environment focused on a sense of belonging and wellbeing.
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.
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*$78.9k-102.1k yearly8d ago
Engagement Specialist II - Bilingual
Accountable for creating sales opportunities through targeted enrollment activities to increase membership and build support for KP. + Engage customer and broker contacts to ensure understanding of KP and how we serve consumers. Identify the key personnel, the functions they perform, their role in the Direct Marketing process and their opinions about KP in conjunction with the Account Manager/Executive Account Manager. Identify key KP personnel who can enhance the business relationship. Proactively communicate advantages of KP and link to customer business needs. + Engage union contacts to ensure understanding of KP and how we serve union members. Identify the unions key personnel, the functions they perform, their role in the DM process and their opinions about KP. Use union relationships to gain access to steward meetings, retiree clubs, new member orientations, etc. to present and sell KP. + Initiate any and all opportunities outside of open enrollment to engage with members and potential members to ensure understanding of and commitment to KP. + Engage broker and customer contacts to ensure understanding of KP technology tools (e.g. kp.org., My Health Manager, KP Mob$49k-66k yearly est.60d+ ago
Engagement Specialist II - Bilingual
Accountable for creating sales opportunities through targeted enrollment activities to increase membership and build support for KP. + Engage customer and broker contacts to ensure understanding of KP and how we serve consumers. Identify the key personnel, the functions they perform, their role in the Direct Marketing process and their opinions about KP in conjunction with the Account Manager/Executive Account Manager. Identify key KP personnel who can enhance the business relationship. Proactively communicate advantages of KP and link to customer business needs. + Engage union contacts to ensure understanding of KP and how we serve union members. Identify the unions key personnel, the functions they perform, their role in the DM process and their opinions about KP. Use union relationships to gain access to steward meetings, retiree clubs, new member orientations, etc. to present and sell KP. + Initiate any and all opportunities outside of open enrollment to engage with members and potential members to ensure understanding of and commitment to KP. + Engage broker and customer contacts to ensure understanding of KP technology tools (e.g. kp.org., My Health Manager, KP Mob$50k-69k yearly est.60d+ ago
Engagement Specialist III
Accountable for creating sales opportunities through targeted enrollment activities to increase membership and build support for KP. + Engage customer and broker contacts to ensure understanding of KP and how we serve consumers. Identify the key personnel, the functions they perform, their role in the Direct Marketing process and their opinions about KP in conjunction with the Account Manager/Executive Account Manager. Identify key KP personnel who can enhance the business relationship. Proactively communicate advantages of KP and link to customer business needs. + Engage union contacts to ensure understanding of KP and how we serve union members. Identify the unions key personnel, the functions they perform, their role in the DM process and their opinions about KP. Build and use union relationships to gain access to steward meetings, retiree clubs, new member orientations, etc. to present and sell KP. + Initiate any and all opportunities outside of open enrollment to engage with members and potential members to ensure understanding of and commitment to KP.$49k-66k yearly est.60d+ ago
Respiratory Care Coordinator - Sleep Specialist
$42k-52k yearly est.60d+ ago
Administrative Services Specialist III
$41k-50k yearly est.60d+ ago
Member Engagement Specialist (Bilingual Spanish)
Provide Kaiser Permanente new members that are currently receiving a subsidy (for example those who are dual eligible (Medicare-Medicaid), Medicaid or Covered California) an onboarding service, including outreach, orientation, and education on Kaiser Permanente (KP) clinical and non-clinical services and resources. Provide member information to health care coordination teams to facilitate care activities within Kaiser Permanente and through community based agencies. + Assess the need for and coordinate referrals to Kaiser Permanente services (e.g. Care Coordination, Health Education, etc.) when member expresses concerns that are serious or there are social determinant needs. + Orient and educate members on Kaiser Permanente benefits and services, including assisting with selection and/or change of primary care physician, explaining dental coverage and helping members determine their dental carrier, educating on Advanced Directive information, and explaining the difference between emergency and urgent care visits. + Register members for kp.org, reset kp.org password for members and household members and assist with downloading Kaiser Permanente Prevention app.$38k-44k yearly est.42d ago
Operator, Call Center Paging
Facilitate communication between MAPMG physicians, area hospital staff/physicians and other pertinent Kaiser Health Plan staff through the use of the paging system.$27k-32k yearly est.60d+ ago
Material Customer Service Associate
TITLE: Material Customer Service Associate$32k-36k yearly est.60d+ ago
