Disability Claims Processor

4 weeks ago


Downey, United States Kaiser Permanente Full time

**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**:

- Able to provider excellent customer service.
- This is an on call position, days and hours may vary.

PrimaryLocation : California,Downey,Downey Boeing - Independence Park

HoursPerWeek : 1

Shift : Day

Workdays : Mon, Tue, Wed, Thu, Fri

WorkingHoursStart : 09:00 AM

WorkingHoursEnd : 05:30 PM

Job Schedule : Call-in/On-Call

Job Type : Standard

Employee Status : Regular

Employee Group/Union Affiliation : B01|SEIU|Local 399

Job Level : Individual Contributor

Job Category : Insurance & Claims

Department : Health Information Management / Disability Services

Travel : No



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