Kaiser Permanente • Anaheim, CA 92805
Job #2630616257
Under direct supervision, Provides patient/visitor reception; check in and out; cash handling appointment scheduling; and other Occupational Health Services duties clerical duties as directed. Obtains employer/carrier information for billing/reporting purposes; contact employers/carriers to obtain authorization for treatment or report status of claims. Review of records to identify potential billing opportunities and transfer charges to appropriate account, if applicable. Enter pertinent claim information into KP internal computer systems. Ordering and photocopying medical records; temporarily cover other desk/functions due to vacation and workload fluctuations; clears designated Health Connect work queues daily, creates patient accounts to register patients and fills in the required KP computerized systems, provides personalized and professional patient/employer/carrier services. Individual must be customer service oriented. Extensive contact with members, non-members, physicians, third party administrators/carriers and employers/clients. Must be able to provide status of claim; create patient accounts and files; Input and maintain information on all appropriate systems as utilized by Kaiser Permanente. Requires excellent interpersonal skills and the ability to multitask in a busy environment.
Experience
Typing 35 wpm required.
All testing must be completed by the end of posting period.
Minimum of one (1) year relevant clerical and customer service experience in Workers Compensation.
Successfully passed a medical terminology test.
Knowledge of Workers Compensation claims Processing.
Cash handling experience.
Ability to research, summarize and communicate clearly to the public, both verbally and in writing.
Ability to use computer to perform assigned duties.
EQUIPMENT UTILIZED:
Computer
Adding Machine
Fax Machine
Photocopier
Telephone
Typewriter
Education
License, Certification, Registration
Must successfully pass or have passed the bilingual test (within the last 12 months), or be active in the QBS program.
Required to work 8:30am-5:30pm if operationally needed.
20+ hrs. Required to float to other KPOJ locations & employer work sites. Required to float same day to other KPOJ locations.
COMPANY: KAISER
TITLE: Occupational Health Service Claims Processor I (Bilingual)
LOCATION: Anaheim, California
REQNUMBER: 1234154
External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.
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