Eligibility Clerk (Spanish) - Military Veterans

AppleOne is proud to present:
Our client is looking to hire an Eligibility Clerk. This role is to assist with processing, managing, and maintaining health insurance-related documents and claims.

Key Responsibilities:
Processing Claims: assist in reviewing, processing, and verifying insurance claims to ensure they meet the necessary requirements for approval and reimbursement.

Customer Service: interact with customers, answering questions about policy details, claim statuses, and billing issues. (must be bilingual English/Spanish).

Data Entry: enter data into computer systems related to insurance policies, claims, and other administrative records, ensuring accuracy and compliance with regulations.

Maintaining Records: maintain accurate files of insurance policies, claims, and billing documentation, either in digital or physical formats.

Billing: help with billing procedures, ensuring that correct charges are applied to patient accounts and that insurance payments are tracked and processed efficiently.

Verification of Insurance Coverage: Verify insurance coverage, including checking policy details to confirm eligibility and benefits before procedures or treatments.

Compliance: Ensure that all processes comply with healthcare regulations, insurance policies, and privacy laws such as HIPAA (Health Insurance Portability and Accountability Act).

Required Skills and Qualifications:
Attention to Detail: Accuracy is crucial in processing claims and entering information correctly.
Communication Skills: Good verbal and written communication is needed for interacting with policyholders, healthcare providers, and other departments.
Organizational Skills: The ability to manage and prioritize numerous documents and tasks effectively.
Knowledge of Insurance Terminology: Understanding of medical codes, billing procedures, and insurance policies.
Technical Skills: Proficiency with office software (Excel, Word) and specialized insurance management software.
Basic Accounting Skills: basic knowledge of accounting or billing procedures.

For immediate consideration, apply today!



EEO/AA Employer/Vet/Disabled.





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





We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records. 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.


#1038

Experienced (Non-Manager)