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Disability Claims Processor Jobs

Company

Kaiser Permanente
Address , Bakersfield, 93309
Employment type FULL_TIME
Salary $25.95 - $29.53 an hour
Expires 2023-10-09
Posted at 9 months ago
Job Description
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 payors.

Essential Functions:
  • Upholds Kaiser Permanente's 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 payor/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:
  • One (1) year relevant experience in health care industry.
  • High School Diploma/GED.
  • 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.

Notes:

  • This is a hybrid on-site/remote position processing Disability claims with EDD and fulfilling requests for Release of Information
  • Preferred experience with processing disability claims with EDD and release of Information processing.

PrimaryLocation : California,Bakersfield,Discovery Plaza Medical Offices
HoursPerWeek : 40
Shift : Day
Workdays : Mon, Tue, Wed, Thu, Fri
WorkingHoursStart : 06:00 AM
WorkingHoursEnd : 07:00 PM
Job Schedule : Full-time
Job Type : Standard
Employee Status : Regular
Employee Group/Union Affiliation : B20|UFCW|Local 770
Job Level : Individual Contributor
Job Category : Insurance & Claims
Department : Discovery Plaza MOB - Chrt Rm-Medical Correspondence - 0806
Travel : Yes, 25 % of the Time
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.