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Disability Claims Processor

Primary Location Los Angeles, California Schedule Call-in/On-Call Shift Day Salary $28.44 - $31.51 / hour

Job Number 1339680 Date posted 05/05/2025

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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

Notes:

This is an on call position, days and hours may vary.

Primary Location: California,Los Angeles,Mental Health - A Scheduled Weekly Hours: 1 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri Working Hours Start: 08:30 AM Working Hours End: 05:00 PM Job Schedule: Call-in/On-Call Job Type: Standard Worker Location: Onsite Employee Status: Regular Employee Group/Union Affiliation: B01|SEIU|Local 399 Job Level: Individual Contributor Department: LA Mental Health Center - O/P Financial Counselors - 0806 Pay Range: $28.44 - $31.51 / hour Travel: No

Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.

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