Description |
We the people of Kaiser Permanente believe in the endless pursuit of excellence, and in health and well-being for all. At Kaiser Permanente Mid-Atlantic States, we've built our culture on communication, teamwork, and respect. From our financial professionals and IT team members to our RNs and physicians on the front line of care-we work together to support each other's goals and promote a balance between work and life. And we do it all in a dynamic landscape. From the excitement of our nation's capital to the scenic coastlines of Maryland and Virginia, the Mid-Atlantic area offers plenty of year-round activity, making it the perfect place for you and your family to call home. Join us.
Two positions available
Coordinates all Medical Financial Assistance Patient Financial Services activities to support the Charity Care program of Kaiser Permanente Mid Atlantic.
Essential Functions:
- Works with Kaiser Permanente Case Management, Member Services, MARS Representatives, and PFS Manager/Director to identify and obtain all financial and related documents for Medical Financial Assistance application.
- Prepares all MFA case files for determination review.
- This includes but is not limited to credit reports, tax forms, pay stubs, bank statements, disability forms, SSA forms, pension/annuity forms, applications, etc.
- Responds to requests for additional information.
- Manages all approved/denied MFA cases once approved or denied by the Patient Financial Services Director or Management designee.
- Mails all correspondence including but not limited to approval letters, denial letters, and request for additional information.
- Runs reports via two vendors to verify credit and Federal poverty level for all patients who apply for MFA.
- Follows up and adjusts patient accounts in HealthConnect weekly to direct charity care dollars appropriately relieving the patient's accounts receivable liability as appropriate - includes writing off charges associated with MFA patient accounts.
- Manages all pending cases running reports for outstanding delinquent response cases.
- Manages case load by identifying appropriate follow up time lines and next steps.
- Initiates collection activities for negative balances accrued by Non-Plan or Out-of-Area providers.
- Reviews and responds to various forms of inquiries from Case Management, Community Benefits, Member Services, MARS Representatives, and patients.
- Answers all inquiries and correspondence including MACESS inquiries related to MFA.
- Maintains database for auditing and analysis.
- Performs other duties as directed.
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Requirements |
Basic Qualifications:
- Combination of two (2) years of experience in data analysis and/or research is required.
- One (1) year of charity care experience or two (2) years in a Patient Financial Services Specialist position with interest in charity care required.
- One (1) year of patient account management experience, such as charges, payments, credits and debits analysis is required.
- One (1) year of experience in customer service required.
- Experience in Microsoft Word and Excel is required.
- Associates degree in behavioral health, health sciences or business or equivalent years of experience.
- Demonstrated expertise in time management skills and strong detail oriented skills is required.
Preferred Qualifications:
- One (1) year of experience in Access is preferred.
- Experience with electronic medical record is preferred.
- Bachelor's degree in behavioral health, health sciences or business preferred.
- Knowledge of Epic suite of applications, Resolute, Prelude, Cadence, EpicCare preferred.
Primary Location: Maryland-Rockville
Scheduled Hours (1-40): 40
Shift: Day
Working Days: Monday - Friday
Working Hours Start: 8:30am
Working Hours End: 5:00pm
Schedule: Full-time
Job Type: Standard
Employee Status: Regular
Employee Group: Salaried Employees
Job Level: Individual Contributor
Job: Accounting, Finance and Actuarial Services
Public Department Name: Patient Financial Services
Travel: Yes, 5% of the time
Job Eligible for Benefits: Yes
External hires must pass a background check/drug screen. We are proud to be an equal opportunity/affirmative action employer.
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