Mar 20, 2026
Kaiser Permanente
-May be entitled to translation/bilingual, shift or other wage premiums as governed by the applicable collective bargaining agreement. Please refer to the respective collective bargaining agreement for additional information on such wage premiums: https://www.lmpartnership.org/local-contracts. Job Summary: Under general supervision, assess and analyze inquiries related to medical claims/bills, authorizations and adjustments for payment or denial within contract agreement or regulatory requirements using knowledge or medical claim/bill payment processing and medical regulations. Investigates/researches claims that may require reprocessing due to system errors, contract changes, examiner errors, regulatory requirements or fee schedule changes. Coordinates with other health plan departments to correct data (e.g., benefit or systems errors) as necessary. Considers how actions contribute to quality outcomes and member/provider satisfaction. Essential...
Professional Diversity Network
Denver, CO, USA
Full-Time
