Primary Responsibilities:
• Complies with departmental Business Rules and Standard Operating Procedures
• Focuses efforts on decreasing the accounts receivable, increasing cash, and/or reducing bad debt
• Interprets explanation of benefits for appropriate follow up action
• Utilizes payer portals to verify eligibility, claim status and/or to obtain better claim insight information
• Works directly from our main system to review and resolve claims for accurate resolution
• Review and research denied claims by navigating multiple systems, to accurately capture data/information for accurate
processing
• Monitor outstanding balances within accounts and take appropriate actions to ensure clients pay as billed
• Manage the preparation of invoices and complete reconciliation of billing with accounts receivable
• Communicate and collaborate with Patient Access or other back-end departments to ensure clear understanding on claims
errors/issues and trends, using clear and simple language
• Conduct data entry and re-work for adjudication of claims
• Responsible for maintaining access to payor portals current and secure
• Work on multiple simultaneous projects as needed
• Work with PHI standards, and electronic health record access compliance
• Meet the performance goals established for the position in the areas of efficiency, accuracy, quality, client satisfaction and
attendance
• This position is full-time (40 hours/week) with business operating hours operating from Monday – Friday from 8:00AM –
8:00PM. It may be necessary, given the business need, to work occasional overtime and/or weekends or holidays
• If selected for this position, it is required that you successfully complete the UnitedHealth Group new hire training and
demonstrate proficiency to continue in the role
• Complete outbound calls as needed to payors for claim status

• 6+ months of experience in collections, billing or healthcare claims
• Demonstrated ability using computer and Windows PC applications, which includes strong keyboard and navigation skills and
ability to learn new computer programs



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_%20English_formattedESQA508c.pdf

For temporary assignments lasting 13 weeks or longer, AppleOne 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.