Disability Claims Processor (Bilingual) 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 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.