Disability Claims Processor (Bilingual) On Call

Kaiser Permanente; Lancaster (CA); On-site; USD 40,000 - 60,000; Full time

Job summary

Kaiser Permanente in California is seeking a Patient Business Services Disability Claims Processor. The role abstracts medical information and diagnoses using ICD-9 codes and coordinates disability claims with employers, insurers, unions, and state disability offices.

The position requires a High School Diploma/GED, 1 year in health care, medical terminology/ICD-9 proficiency, and 45 WPM typing. Bilingual English/Spanish Level II is required. On-call hours may vary.

Qualifications

• High School Diploma or GED is required.
• At least 1 year relevant experience in health care.
• Proficiency in Medical Terminology and ICD-9 coding.
• Typing speed of 45 WPM or as required by Medical Center.

Responsibilities

• Abstracts medical information and diagnoses using ICD-9 codes.
• Screens disability claims and orders medical records.
• Screens and coordinates with employers, insurers, unions, State Disability Offices and other third party payers.
• Follows claims with physicians until the patient disability claim ends.
• Maintains courteous relations with the public, patients and staff.

Skills

Medical Terminology & ICD-9 coding

Typing speed 45 WPM

Bilingual English/Spanish (Level II)

Education

High School Diploma/GED

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.

Notes:

• 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