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Kaiser Permanente · 1 day ago

Account Administrative Representative FT Temporary

San Diego, CA

Full-time

Onsite

Entry Level

2+ years exp

Kaiser Permanente is seeking an Account Administrative Representative to work as a team member of the California Service Center. The role involves account maintenance, billing, reconciliation, reporting, and customer service related activities, while ensuring accurate eligibility determination and compliance with Health Plan policies.

Health CareHospitalMental HealthNon ProfitPersonal Health

Comp. & Benefits

Responsibilities

Identifying, researching and reconciling billing payments amounts to ensure accurate eligibility determination, payment, revenue and membership records

Setting up and maintaining member data including but not limited to processing enrollments, corrections, retroactivity adjustments and terminations

Supporting eligibility inquiries

Ensuring bills are correct and mailed timely

Interacting with purchaser benefit administrators to answer questions and explain Health Plan policy and contractual provisions related to membership and billing

Resolving related problems

Assisting Health Plan purchaser contacts and sales and service representatives in the sales process and the analysis and resolution of problems related to membership accounting

Conducting audits of purchasers with large payment variances, unallocated payments or other specified criteria

Resolving payment discrepancies and delinquencies

Ensuring purchasers compliance with Health Plan policies and contractual provisions

Preparing reports and managing purchaser correspondence

Receiving, entering data, reviewing, researching balancing, and applying daily purchaser deposits and sources from the bank in a timely and accurate fashion

Assisting with the production and distribution of payment-related reports required by purchasers and management, and by operating and maintaining printers and other related peripheral equipment

Supporting Medicare processing and reporting requirements

Ensuring that changes to contracts are quickly and accurately updated in the contract systems

Assisting with the production and distribution of contracts and related notices for new and renewing purchasers and individuals

Answering, researching, issuing and resolving problems related to medical records numbers (MRN) and performing any required follow up activities on a 24 hour per day, 7 day a week basis

Processing purchasers eligibility reported electronically by coordinating the exchange of media with groups and Information Services, resolving problems, maintaining and operating related equipment and maintaining supporting logs/records

Identifying, coding, batching, scanning and indexing documents for imaging

Providing office services support including but not limited to picking up, sorting and delivering mail, filing and retrieving documents, ordering and distributing office supplies, performing miscellaneous facilities maintenance tasks and providing photocopying and copier maintenance

Working with internal and external customers and vendors to resolve any issues related to support services activities

Collecting and monitoring productivity and customer service quality measures

Participating team-based projects and contributing to customer service and operations improvements initiatives

Assisting with training as required

Facilitating communications across all lines of business and with other Kaiser Permanente departments

Participating in purchasers performance evaluations and performance target setting activities

Perform other duties as they are assigned

Qualification

Accounting experienceData entryCustomer serviceMath proficiencyPC Windows experienceProblem solvingTeamworkConflict resolutionCommunication skillsFlexibility

Required

Proficiency in math, data entry, typing, spelling and grammar, for which test are required

Demonstrated ability to work in a team-based environment

Successful customer service track record

Ability to diagnose, analyze and solve a variety of quantitative and qualitative problems

Ability to communicate clearly and professionally

Computer experience preferably in a PC windows based environment

Willing to learn new tasks and adapt to new business requirements

Excellent conflict resolution and decision making capabilities

Ability to work productively at multiple tasks

Ability to adapt to change and be flexible in shifting priorities

Preferred

Minimum of two (2) years experience in accounting, finance or related field preferred

Experience with operations of peripheral equipment, such as printers or magnetic tape equipment, and knowledge of operating systems commands such as MVS/ESA and JES2 mainframe application, and tape management systems preferred

Experience with mainframe application and computer transaction processing preferred