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Kaiser Permanente

Integrated healthcare provider and payer platform

Occupational Health Services Claims Processor 1 - Bilingual

Clinical Support & Patient AdministrationUpdated on Nov 5
Full-timeBakersfield, CA, USANo salary listedIn-person

About the Job

Requirements

  • Typing speed of 35 words per minute is required, with testing completed by the end of the posting period.
  • At least one year of relevant clerical and customer-service experience in Workers’ Compensation is required.
  • Must pass a medical terminology test.
  • Knowledge of Workers’ Compensation claims processing is required.
  • Cash-handling experience is required.
  • Ability to research, summarize, and communicate clearly to the public, verbally and in writing, is required.
  • Ability to use a computer to perform assigned duties is required.
  • Bilingual English/Spanish at Level I is required.
  • Must pass or have passed the bilingual test within the last 12 months, or be active in the QBS program.
  • Must have a high school diploma or GED.

Responsibilities

  • Provide patient and visitor reception, check patients in and out, handle cash, schedule appointments, and perform other Occupational Health Services clerical duties as directed.
  • Obtain employer and carrier information for billing and reporting, contact employers and carriers to obtain treatment authorization or claim-status information, review records for potential billing opportunities, and transfer charges to the appropriate account when applicable.
  • Enter claim information into internal computer systems; order and photocopy medical records; cover other desks or functions during vacations and workload fluctuations; clear designated Health Connect work queues daily; create patient accounts; and provide professional service to patients, employers, and carriers.
  • Provide claim-status information, create patient accounts and files, and input and maintain information in the appropriate systems.
  • Answer and screen incoming departmental phone calls, receive and filter messages to providers, clinicians, case managers, and case coordinators through Health Connect, and reply as appropriate.
  • Greet patients and visitors, determine the nature of their visit, handle customer inquiries, assist patients with required forms, request internal and external records, create accounts in internal systems, and transfer charges to the appropriate Health Connect patient account.
  • Schedule appointments for Workers’ Compensation patients; interact with internal and external customers to schedule appointments or obtain information; and retrieve paperwork from internal departments as necessary.
  • Consolidate or correct duplicate accounts using appropriate system functions, enter notes on patient cases, review subpoena requests, check internal systems for duplicate visits, complete transfer-of-care forms, and clear designated Health Connect work queues daily.
  • Open and distribute mail, match bills to reports, and mail them to carriers with other necessary documentation.
  • Type required documentation in current systems, prepare office-supply orders, and process payments and collections for Occupational Health Services as required.
  • Perform other duties required to maintain efficient departmental operations and promote, ensure, and improve customer service to internal and external customers in accordance with organizational policies and procedures.

About the Company

Kaiser Permanente

Integrated healthcare provider and payer platform

Kaiser Permanente runs an integrated healthcare platform that lets members manage and pay medical, premium, and pharmacy bills online. It serves Medicare Advantage, Individual and Family, and non-employer plans, offering options to pay as a guest or set up payment plans. The platform works by presenting a centralized online portal where users can view bills, choose how to pay, and handle multiple types of charges in one place. Revenue comes from premiums and medical services fees, while the service aims to reduce administrative work for both providers and patients and encourage on-time payments. What sets Kaiser Permanente apart is its combination of healthcare services with a single billing experience across multiple plan types, focusing on a user-friendly, centralized payment process rather than handling billing through separate systems. Its goal is to provide a straightforward, reliable way for members to manage and pay their bills, improving convenience and payment timeliness.

Company size
10,001+
Company stage
Grant
Total funding
$7.5M
Headquarters
Oakland, CA
Founded
1945

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