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Disability Claims Processor (Bilingual)
Lancaster, CAPer DiemSeen 1w agoSeen in employer's feed 1w ago
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Job overview
The Patient Business Services Disability Claims Processor screens disability claims, interviews patients, locates and orders medical records, and abstracts medical information and diagnoses using ICD-9 codes. The role coordinates claims with employers, insurers, unions, state disability offices, workers’ compensation, and other third-party payers, and follows claims with physicians until the disability claim ends. This is an on-call position with variable days and hours.
Skills & qualifications
Skills
Qualifications
Full job description
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:
- Bilingual (English/Spanish) Level II required.
Preferred Qualifications:
Notes:
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This is an on call position, days and hours may vary
-
Must successfully pass or have passed the bilingual test (within the last 12 months), or be active in the QBS program
COMPANY: KAISER
TITLE: Disability Claims Processor (Bilingual)
LOCATION: Lancaster, California
REQNUMBER: 1436921
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.