Medical Claims Examiner
Bakersfield, CA
Monday–Friday, 8 AM–5 PM
Pay: $22/hour
Type: Long-Term Temporary

If you take pride in catching small details others miss, and love bringing order to complex paperwork, this role is for you. We’re looking for a Medical Claims Examiner who can process medical and facility claims with accuracy, fairness, and efficiency. You’ll review claims, spot inconsistencies, and make sure every payment is correct—because getting it right the first time matters.

What You’ll Do
Review and process all types of medical and facility claims for payment.

Resolve system-suspended claims for PCPs, labs, radiology, specialists, and physical therapy.

Deny incorrect claims following company policy.

Identify billing errors and potential fraudulent activity.

Verify eligibility and insurance coverage online or through POS systems.

Manually calculate benefits when needed.

Prepare claims that require additional review by other departments.

Maintain productivity and accuracy standards.

Report overpayment refunds and track them accordingly.

Contribute to a positive, collaborative work environment while staying focused and detail-driven.

What You Bring
MUST HAVE Minimum of 1 year of medical claims processing experience.
Familiarity with HCPCS, CPT, and ICD-10 coding.
Knowledge of UB04 and CMS1500 forms.
Ability to work independently and adapt in a fast-paced setting.

Why You’ll Like It Here
Monday–Friday daytime hours with weekends off.
Stable, long-term temp opportunity in the medical field.
A supportive team that values accuracy, problem-solving, and accountability.

If you’re ready to put your claims expertise to good use and join a professional, steady-paced team, apply today for this Medical Claims Examiner role in Bakersfield.

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.