Immediate need for a Claims Associate for our client located in Plantation, FL.

Your main responsibilities will include:

Claims Review:
* Set up new claims, create claim forms, scan claims to be processed and process claims.
* Interact with providers to obtain additional documents for proper processing.
* Evaluate coverage for claims submitted.
* Verify coverage via internal system and attach support documents to claims.
* Send out communication acknowledging and explaining the claim adjudication process to members.

Required:

* Knowledge of medical codes and terminology, billing practices, policies, and procedures.
* Able to read and understand primary explanation of benefits (EOB) forms.
* Medical billing experience
* Previous customer service experience.
* Strong computer skills with Excel and knowledge of Microsoft Office suite.

Apply for this great position as a claims associate today!

AppleOne is proud to be an Equal Opportunity Employer. We believe in people, and we are committed to working with people of all backgrounds and connecting them with clients and companies who share our goals of diversity and inclusiveness. All qualified applicants will receive consideration for employment without regard to race, religion, ancestry, color, national origin, age, gender identity or expression, genetic information, marital status, medical condition, disability, protected veteran status, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable federal, state, or local laws..

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_%20English_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