Disability Claims Processor On Call

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 Permanente’s 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 High school diploma/GED, one year relevant experience in the health‑care industry, demonstrated ability to utilize medical terminology and ICD‑9 coding at an appropriate level, typing 45 WPM or as required by the medical center. Education High school diploma/GED License, Certification, Registration N/A Notes This is an on‑call position; working days and hours may vary within the specified shift. #J-18808-Ljbffr Kaiser Permanente