Disability Claims Processor

Kaiser Permanente • Lancaster, CA

308d

About The Position

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.

Requirements

• 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

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.

What This Job Offers

• Industry: Ambulatory Health Care Services
• Education Level: High school or GED