Industrial Report Billing Specialist

Industrial Report Billing Specialist

Company: Kaiser Permanente

Job Number: 1430578

Location: Fresno Orchard Plaza Medical Offices, Fresno, California

Job Type: Full-Time | Regular

Work Arrangement: On-Site

Working Days: Monday–Friday

Working Hours: 9:00 AM - 5:30 PM

Scheduled Hours: 40 Hours Per Week

Shift: Day Shift

Pay Range: $41.08 - $43.22 Per Hour

Job Level: Entry-Level

Job Overview

Kaiser Permanente is seeking a detail-oriented Industrial Report Billing Specialist to support occupational health and workers' compensation operations at its Fresno Orchard Plaza Medical Offices.

The selected candidate will be responsible for preparing and maintaining industrial medical reports, managing workers' compensation claim documentation, verifying insurance and employer information, and coordinating with healthcare providers, employers, and insurance carriers. This role ensures that all industrial injury-related documentation, billing information, and reports are processed accurately and in compliance with applicable state and federal regulations.

Key Responsibilities

Industrial Medical Reporting and Documentation

• Prepare, maintain, and update industrial medical reports and workers' compensation claim files.
• Verify patient, employer, insurance carrier, and claim number information.
• Review physician documentation and extract relevant medical information for industrial injury reports.
• Ensure appropriate diagnostic coding and obtain required provider signatures.
• Maintain accurate claim records and link medical documentation to the correct industrial claim files.
• Submit required reports, forms, and documentation to insurance carriers within established deadlines.
• Coordinate follow-up appointments according to the prescribed treatment plan.

Workers' Compensation Claims Management

• Investigate and process newly identified industrial injury cases and previously unreported services.
• Review medical records to determine whether services are related to occupational injuries or illnesses.
• Identify incorrectly registered non-industrial services and notify the Revenue Cycle team.
• Prepare claim files and documentation for late-discovered cases.
• Support billing for industrial pharmacy charges that are not associated with existing claims.
• Collaborate with Revenue Cycle teams to obtain required information and facilitate billing.

Claims Processing and Administrative Support

• Review and process incoming and outgoing correspondence related to industrial claims.
• Handle claim-related inquiries, documentation, and administrative closures.
• Notify Revenue Cycle and relevant personnel regarding denied or unauthorized claims.
• Contact employers and insurance claims administrators to obtain treatment authorizations.
• Verify responsible third-party payers for workers' compensation services.
• Maintain accurate records of claim-related communications and follow-up activities.

Communication and Coordination

• Handle phone calls and inquiries from patients, physicians, employers, insurance carriers, and other authorized parties.
• Communicate claim updates and obtain missing information when required.
• Coordinate with internal departments to ensure timely reporting and billing.
• Support service quality, reporting accuracy, and customer satisfaction standards.
• Assist in training new team members and participate in company-provided training programs.

Required Qualifications

Experience

• Minimum 2 years of experience in Occupational Health, Workers' Compensation, or insurance-related claims processing, adjudication, or claims examination.

Education

• High School Diploma or GED is required.

Technical Requirements

• Proficiency in Microsoft Word and Microsoft Excel.
• Familiarity with electronic medical records (EMR) systems and computer-based applications.
• Ability to pass medical terminology, Microsoft Word, and Microsoft Excel assessments.
• Ability to pass a typing test with a minimum speed of 40 words per minute.

Additional Requirements

• Strong verbal and written communication skills.
• Excellent attention to detail and organizational abilities.
• Customer-focused approach with effective problem-solving skills.
• Ability to work collaboratively in a Labor/Management Partnership environment.

Preferred Qualifications

• Knowledge of California Workers' Compensation laws and claims procedures.
• Familiarity with ICD diagnosis coding.
• Previous experience in occupational medicine or industrial medical reporting.

Compensation and Benefits

• Competitive hourly pay ranging from $41.08 to $43.22.
• Market-competitive total rewards package.
• Compensation based on relevant experience, education, skills, and qualifications.
• Equal employment opportunity and an inclusive workplace.

Work Schedule

Working Days: Monday–Friday

Working Hours: 9:00 AM - 5:30 PM

Shift: Day Shift

Weekly Hours: 40 Hours

Work Location: On-Site

How to Apply

Interested candidates can submit their applications through the official Kaiser Permanente careers portal.

Job Application Link

https://kp.taleo.net/careersection/external/jobapply.ftl?job=1430578&src=JB-10088

Company Website

https://healthy.kaiserpermanente.org/

Kaiser Permanente is an equal opportunity employer committed to maintaining a fair, respectful, and inclusive workplace. All qualified applicants will be considered without discrimination based on protected characteristics or status.