What are the responsibilities and job description for the Medical Claims Processor position at AppleOne?
Medical Claims Examiner
$22/hour Long-Term Temp Contract
Monday–Friday 8:00 AM – 5:00 PM
Ready to put your medical claims expertise to work in a stable, long-term role? Join a growing healthcare organization where accuracy matters and your skills make a real impact.
What You’ll Do
Review, audit, and process medical and facility claims for a Knox-Keene licensed HMO
Resolve suspended claims for PCPs, labs, radiology, physical therapy, and select specialists
Apply contract benefits, policies, and procedures to ensure accurate payment
Identify billing errors, eligibility issues, and potential fraud
Perform manual benefit calculations and route complex claims as needed
What We’re Looking For
MUST HAVE High School Diploma or equivalent
MUST HAVE at least 1 year of recent medical claims processing experience
Type at least 30 WPM
Pay: $22/hour
Schedule: Monday–Friday, 8:00 AM–5:00 PM
Contract: Long-term temporary contract
Apply now and take the next step in your medical claims career!
Equal Opportunity Employer / Disabled / Protected Veterans
The Know Your Rights poster is available here:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf
The pay transparency policy is available here:
https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_ English_formattedESQA508c.pdf
For temporary assignments lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.
We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.
AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.
https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf
We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
#1087
$22/hour Long-Term Temp Contract
Monday–Friday 8:00 AM – 5:00 PM
Ready to put your medical claims expertise to work in a stable, long-term role? Join a growing healthcare organization where accuracy matters and your skills make a real impact.
What You’ll Do
Review, audit, and process medical and facility claims for a Knox-Keene licensed HMO
Resolve suspended claims for PCPs, labs, radiology, physical therapy, and select specialists
Apply contract benefits, policies, and procedures to ensure accurate payment
Identify billing errors, eligibility issues, and potential fraud
Perform manual benefit calculations and route complex claims as needed
What We’re Looking For
MUST HAVE High School Diploma or equivalent
MUST HAVE at least 1 year of recent medical claims processing experience
Type at least 30 WPM
Pay: $22/hour
Schedule: Monday–Friday, 8:00 AM–5:00 PM
Contract: Long-term temporary contract
Apply now and take the next step in your medical claims career!
Equal Opportunity Employer / Disabled / Protected Veterans
The Know Your Rights poster is available here:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf
The pay transparency policy is available here:
https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_ English_formattedESQA508c.pdf
For temporary assignments lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.
We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.
AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.
https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf
We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
#1087
Salary : $45,800