Description: Job Summary:

To provide Workers compensation representation in the medical office setting and act as a liaison between Occupational Health and internal and external customers. Handles patient registration and check-in. Provides telephone reception and appointing services for the patient in accordance with regional policies and procedures. They work directly under the supervision of the Manager and in collaboration with the Health Care Team.

Essential Responsibilities:

• Maintain working knowledge of departmental policies and procedures. Maintain working knowledge of employer/insurer contracts to ensure contractual obligations are met. Master, exhibit and maintain proficient skills in the extensive use of multiple computer systems, including but not limited to: Healthconnect and Agility. In a professional manner manage multiple tasks simultaneously during constant prioritizing of workload and while working with numerous interruptions, some of which may be confrontational.


• Respond to requests for relevant medical treatment information to insurers, case managers and attorney representatives while simultaneously insuring patient confidentiality within current federal laws, workers comp laws and Kaiser Permanente policies. Track and assure receipt of all reports/records from outside providers relevant to injured workers. Function at all times when interacting with all contacts in a service oriented manner that promotes customer satisfaction. Messaging: Review medical chart to collect information for messages to send to health care team. Routes incoming calls from patients, physicians, nurses and other departments according to scripts and guidelines. Forwards medical and other complex inquires to appropriate personnel. Take messages as necessary. Manage electronic in-basket in multiple system applications.


• Assist and educate injured workers in person or by phone with information and available resources related to workers compensation . Direct injured workers to appropriate resource within our Program.


• Appropriately document employment information and date of injury in Healthconnect.


• Identify and report organization policy/procedure inconsistencies. Recognition and resolution of complex problems. Maintain professional appearance at all times.


• Appointing: Review medical chart to appoint according to scripts and guidelines. Assist with Scheduling/rescheduling/canceling appointments for services, according to scripts and guidelines.


• General Services: Assist patients by providing phone numbers, facility directions and office layouts; directing to other departments and administrative services for further information, for example (but not limited to) Membership Services, Dental and Pharmacy. Handle ingoing and outgoing departmental mail and correspondence with patients.


• Perform other duties as requested.

Basic Qualifications:

Experience

• Minimum one (1) recent medical office setting or related insurance experience.

Education

• High School Diploma or General Education Development (GED) required.

License, Certification, Registration

• N/A

Additional Requirements:

• Medical terminology/anatomy computer application.


• Clear communication skills both written and verbal.


• Excellent customer service skills.


• Demonstrated record of dependability and documented good attendance.


• Manage multiple tasks simultaneously during constant prioritizing of workload.


• Working with numerous interruptions, some of which may be confrontational.


• Assist with claim scenarios.


• Continuous review and prioritizing of large volume of work.

Preferred Qualifications:

• Two (2) years prior medical office experience in a hospital or medical office setting with some billing experience; OR


• Two (2) years prior working experience in workers compensation.


• Working knowledge of Kaiser Permanente organization policies/procedures and health plan coverages/benefits.


• Working knowledge of Kaiser Permanente computer systems and applications.


• Working knowledge of business office practices.


• Basic knowledge of office equipment, i.e. Fax machine, photo-copier, printer, etc.

Notes:

• Travel (not common) to include: KPB, OJS (San Rafael) and OJC (Columbia Tech), if needed for coverage.

Primary Location: Oregon,Beaverton,KP On the Job - Tanasbourne
Scheduled Weekly Hours: 40
Shift: Day
Workdays: Mon, Tue, Wed, Thu, Fri
Working Hours Start: 07:45 AM
Working Hours End: 04:15 PM
Job Schedule: Full-time
Job Type: Standard
Worker Location: Onsite
Employee Status: Regular
Employee Group/Union Affiliation: W06|SEIU|Local 49
Job Level: Individual Contributor
Department: KPOJ Tanasbourne - Occupational Hlth-Clin Nurse - 1008
Pay Range: $23.16 - $25.02 / hour The ranges posted above reflect the location in the job posting. The salary range may vary if you reside in a different location or state than the location posted.
Travel: Yes, 10 % of the Time
On-site: Work location is on-site (KP designated office, medical office building or hospital). Worker location must align with Kaiser Permanente's Authorized States policy. 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. Submit Interest

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