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. CLAUSE This position may be filled by a candidate stationed at any Bakersfield location excluding 5055 California Avenue. Please use unrepresented Job Code 18556 when posting this position at 5055 California Avenue. Should you have questions please contact your local HR, Labor Representative, or Regional Compensation Consultant.
Basic Qualifications:
Experience
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
COMPANY: KAISER
TITLE: Disability Claims Processor-Kern
LOCATION: Bakersfield, California
REQNUMBER: 1369812
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.