OHS Claims Processor I (Bilingual)

Job Summary:

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, n...