22 Sep

Account Administration Representative Jobs Vacancy in Kaiser Permanente San Diego

Account Administration Representative
Kaiser Permanente
San Diego CA
22 Sep, 2017 30+ days ago

Kaiser Permanente San Diego urgently required following position for Account Administration Representative. Please read this job advertisement carefully before apply. There are some qualifications, experience and skills requirement that the employers require. Does your career history fit these requirements? Ensure you understand the role you are applying for and that it is suited to your skills and qualifications.

Follow the online directions, complete all the necessary fields, and provide all relevant information so your application is submitted correctly. When you click the 'Apply this Job' button (open in new window) you will be taken to the online application form. Here you will be asked to provide personal and contact details, respond to employment-related questions, and show how you meet the key selection criteria.

Account Administration Representative Jobs Vacancy in Kaiser Permanente San Diego Jobs Details:

To work as a team member of the California Srv Center (CSC) which is the Membership Accounting & Contracts Administration functions for the California Division. The overall objectives of this position is to perform the account maintenance, billing, reconciliation, reporting & customer srv related activities. Duties also include performing database maintenance & research tasks to support the contracts administration, cash control operations & assignment of medical record numbers, to generate & distribute contracts & member I.D. cards, to provide facilities support & to enter documents into the workflow imaging system.

Essential Functions:
Identifying, researching & reconciling billing payments amounts to ensure accurate eligibility determination, payment, revenue & membership records.

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

Supporting eligibility inquiries.

Ensuring bills are correct & mailed timely.

Interacting w/ purchaser benefit administrators to answer questions & explain Health Plan policy & contractual provisions related to membership & billing.

Resolving related problems.

Assisting Health Plan purchaser contacts & sales & srv representatives in the sales process & the analysis & resolution of problems related to membership accounting.

Conducting audits of purchasers w/ large payment variances, unallocated payments or other specified criteria.

Resolving payment discrepancies & delinquencies.

Ensuring purchasers compliance w/ Health Plan policies & contractual provisions.

Preparing reports & managing purchaser correspondence.

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

Assisting w/ the production & distribution of payment-related reports required by purchasers & management, & by operating & maintaining printers & other related peripheral equipment.

Supporting Medicare processing & reporting requirements.

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

Assisting w/ the production & distribution of contracts & related notices for new & renewing purchasers & individuals.

Answering, researching, issuing & resolving problems related to medical records numbers (MRN) & 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 w/ groups & Information Srvs, resolving problems, maintaining & operating related equipment & maintaining supporting logs/records.

Identifying, coding, batching, scanning & indexing documents for imaging.

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

Working w/ internal & external customers & vendors to resolve any issues related to support srvs activities.

Collecting & monitoring productivity & customer srv quality measures.

Participating team-based projects & contributing to customer srv & operations improvements initiatives.

Assisting w/ training as required.

Facilitating communications across all lines of business & w/ other Kaiser Permanente departments.

Participating in purchasers performance evaluations & performance target setting activities.

Perform other duties as they are assigned.

Basic Qualifications:


License, Certification, Registration


Additional Requirements:
Proficiency in math, data entry, typing, spelling and grammar, for whichtest 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 Qualifications:
Minimum two (2) years of 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.

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