Kaiser Permanente Customer Service Specialist

- 37 Jobs
  • 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
  • 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
  • On-Call Appointment Center Service Representative

    LOCATION: El Cajon, California
    $35k-40k yearly est.31d 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
  • 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. Load More Expected Employee Conduct > Share This Job *
    $25.8-27.3 hourly8d ago
  • Respiratory Care Coordinator - Sleep Specialist

    Assists in the planning, development and implementation of respiratory care programs that coordinate high quality, cost-effective care for patients with Sleep Disorders. Collaborates with managers, physicians and patient care staff to identify and resolve pulmonary care system issues. Directly facilitates pulmonary care functions that expedite the patients' work-up and follow-up in both the hospitals and clinics. Essential Responsibilities: + Educate patients in a class room setting on various sleep disorders. + Instruct patients on home diagnostic sleep equipment. + Reading sleep studies and providing preliminary diagnosis to patients. + Instruct patients on the proper use of therapeutic equipment used for Obstructive Sleep Apnea and other home ventilatory support systems. + Process referrals to other sleep entities and healthy living providers. + Assists in the planning, development and implementation of respiratory care programs that coordinate high quality, cost-effective care for patients with COPD, hypoventilation, neuro-muscular disease, Sleep Apnea and all other sleep disorders. + Collaborates with managers, physicians and patient care staff to identify and resolve Sleep Disorder issues as well as Pulmonary Care Issues. + Conduct follow up consultations with CPAP users to ensure adherence or refer patients to alternative treatment. + Inform patients of the sleep physician's final results. + Provide case manager consultations to patients referred by the physicians. + Consistently supports compliance and the Principles of Responsibility (Kaiser Permanente's Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state and local laws and regulations, accreditation and licenser requirements (if applicable), and Kaiser Permanente's policies and procedures. + In addition to defined technical requirements, accountable for consistently demonstrating service behaviors and principles defined by the Kaiser Permanente Service Quality Credo, the KP Mission as well as specific departmental/organizational initiatives. + Also accountable for consistently demonstrating the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other, to our members, and to purchasers, contracted providers and vendors. + Kaiser Permanente is an EEO/AA Employer. Basic Qualifications: Experience + Minimum one (1) year of sleep disorder-related experience required. Education + Bachelor's Degree in Respiratory Care, Health Care Administration or four (4) years of experience in a directly related field required. + High School Diploma or General Education Development (GED) required. License, Certification, Registration + Current and valid California respiratory care practitioner license required. + National board of registered respiratory therapist certificate required (RRT). + AHA BLS certification required. + Sleep Disorder Specialist (SDS) by the National Board of Respiratory Care (NBRC) OR Registered Polysomnographic Technologist Additional Requirements: + Knowledge of federal, state, and local regulations. + Computer skills and experience with nasal CPAP and BIPAP equipment required. + Must be able to work in a Labor/Management Partnership environment. Preferred Qualifications: + Recent experience facilitating performance improvement projects and experience planning, coordinating and implement programs preferred. + Recent experience in patient education in respiratory disease and sleep disorders preferred. Notes: + This position will support sleep lab in Corona and may travel to Moreno Valley COMPANY: KAISER TITLE: Respiratory Care Coordinator - Sleep Specialist LOCATION: Corona, California REQNUMBER: 1136179 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.
    $42k-52k yearly est.60d+ ago
  • Customer Service Representative 1

    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
  • Administrative Services Specialist III

    $78.9k-102.1k yearly8d ago
  • Service Representative - Ambulatory Services

    Acts as first point of contact for Kaiser Permanente members/patients and assists members/patients through registration process under minimal direct supervision. Provides reception for designated area(s); verifies patient's visit with pre- established appointment scheduling; registers patients; verifies and selects appropriate insurance coverage including confirmation of alternate insurance, and assists members at designated KP interactive and emerging technologies and on all Kaiser Permanente sponsored electronic devices and technologies. Schedules member and non-member appointments and follow-ups, by telephone, mail, electronically or in person utilizing Kaiser Permanente's computer systems as directed by provider or pre-established protocol.
    $33k-39k yearly est.4d ago
  • Service Representative - Ambulatory Services

    Acts as first point of contact for Kaiser Permanente members/patients and assists members/patients through registration process under minimal direct supervision. Provides reception for designated area(s); verifies patient's visit with pre- established appointment scheduling; registers patients; verifies and selects appropriate insurance coverage including confirmation of alternate insurance, and assists members at designated KP interactive and emerging technologies and on all Kaiser Permanente sponsored electronic devices and technologies. Schedules member and non-member appointments and follow-ups, by telephone, mail, electronically or in person utilizing Kaiser Permanente's computer systems as directed by provider or pre-established protocol.
    $33k-39k yearly est.9d ago
  • Service Representative - Ambulatory Services

    Acts as first point of contact for Kaiser Permanente members/patients and assists members/patients through registration process under minimal direct supervision. Provides reception for designated area(s); verifies patient's visit with pre- established appointment scheduling; registers patients; verifies and selects appropriate insurance coverage including confirmation of alternate insurance, and assists members at designated KP interactive and emerging technologies and on all Kaiser Permanente sponsored electronic devices and technologies. Schedules member and non-member appointments and follow-ups, by telephone, mail, electronically or in person utilizing Kaiser Permanente's computer systems as directed by provider or pre-established protocol.
    $33k-39k yearly est.14d ago
  • Service Representative - Ambulatory Services - Part Time

    Acts as first point of contact for Kaiser Permanente members/patients and assists members/patients through registration process under minimal direct supervision. Provides reception for designated area(s); verifies patient's visit with pre- established appointment scheduling; registers patients; verifies and selects appropriate insurance coverage including confirmation of alternate insurance, and assists members at designated KP interactive and emerging technologies and on all Kaiser Permanente sponsored electronic devices and technologies. Schedules member and non-member appointments and follow-ups, by telephone, mail, electronically or in person utilizing Kaiser Permanente's computer systems as directed by provider or pre-established protocol.
    $23.8-26.3 hourly2d ago

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