Disability Claims Processor

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

• High School Diploma/GED

• N/A

PrimaryLocation : California,Lancaster,Lancaster Medical Offices
HoursPerWeek : 1
Shift : Day
Workdays : Mon, Tue, Wed, Thu, Fri
WorkingHoursStart : 07:00 AM
WorkingHoursEnd : 05:00 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
Department : Lancaster/Antelope West MOB – PBS-Insurance Department – 0806
Travel : Yes, 15 % of the Time
Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.

For jobs where work will be performed in unincorporated LA County, the employer provides the following statement in accordance with the Los Angeles County Fair Chance Ordinance. Criminal history may have a direct, adverse, and negative relationship on the following job duties, potentially resulting in the withdrawal of the conditional offer of employment:

• Consistently supports compliance and the Principles of Responsibility (Kaiser Permanente’s Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state, and local laws and regulations, accreditation, and licensure requirements (where applicable), and Kaiser Permanente’s policies and procedures.

• Models and reinforces ethical behavior in self and others in accordance with the Principles of Responsibility, adheres to organizational policies and guidelines; supports compliance initiatives; maintains confidences; admits mistakes; conducts business with honesty, shows consistency in words and actions; follows through on commitments.

• Job duties with at least occasional or possible access to: (1) patients, the general public, or other employees; (2) confidential protected health information and other confidential KP information (including employee, proprietary, financial or trade secret information); (3) KP property and assets, for example, electronic assets, medical instruments, or devices; (4) controlled substances regulated by federal law or potentially subject to diversion.