Disability Claims Processor

Kaiser Permanente-posted 9 months ago
Lancaster, CA
Ambulatory Health Care Services
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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.

  • 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.
  • 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
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