Job Information
Kaiser Permanente Disability Claims Processor in Downey, California
Job Summary:
The Patient Business Services Disability Claims Processor is responsible for abstracting medical information and diagnosis, using ICD-9 codes as required. Coordinates disability claims with employers, insurance carriers, Unions, State Disability Offices, Workers Compensation and/or other third party payers.
Essential Responsibilities:
Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities, and applicable state, federal and local laws. Screens disability claims, interviews patients, locates and orders medical records. Abstracts medical information and diagnoses using ICD-9 codes. Screens correspondence of State, Federal, and commercial disability claim forms. Assembles bills/reports and sends to appropriate payer/collections. Reviews authorization for release of medical information. Follows original and supplemental disability claims with physicians until the patient disability claim has ended. Establishes and maintains courteous and cooperative relations with the public, patients and other personnel. Performs other duties as required.
Basic Qualifications:
Experience
High School Diploma/GED One (1) year relevant experience in health care industry Demonstrated ability to utilize Medical Terminology and International Classification Diagnosis (ICD -9) coding at a level appropriate to the job Typing 45 WPM or as required by Medical Center
Education
- High School Diploma/GED
License, Certification, Registration
- N/A
Additional Requirements:
Preferred Qualifications:
Notes:
This is an on call position, days and hours may vary.
Maintain Care Experience-additional job duties as needed
Employee must be available for a minimum of 10 shifts per month
COMPANY: KAISER
TITLE: Disability Claims Processor
LOCATION: Downey, California
REQNUMBER: 1246615
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.