Job ID: 1818421
Reference Code: RN-Medical-Claims Specialist
Job Summary Required Qualifications and Skills
We are seeking a detail-oriented Medical Claims Specialist for a temp-to-hire opportunity in Lakewood, NJ. This role supports a busy healthcare claims department by organizing medical records, tracking claims activity, assisting with appeals, and communicating with facilities and internal team members.
This is a great opportunity for a college graduate or early-career professional who is eager to build experience in healthcare claims, medical records, documentation, and administrative support. The ideal candidate will enjoy working in a fast-paced environment, learning new systems, and contributing to a supportive team where accuracy, organization, and clear communication are valued.
Key Responsibilities
- Pull, review, organize, and compile medical records from systems such as Net Health and SharePoint.
- Track claims requests, submissions, denials, appeals, and related activity in spreadsheets according to department standards.
- Prepare records for reviewer evaluation by organizing documentation based on provided checklists.
- Communicate professionally with facilities and internal team members to fulfill record requests in a timely manner.
- Submit medical records online or by physical mail as required.
- Support intake functions, email management, documentation updates, and general claims support tasks.
Compensation and Benefits
- Pay rate: $23 per hour.
- Job type: Temp-to-hire.
- Location: Lakewood, NJ.
- Review, organize, and submit medical records for claims and appeals processing.
- Maintain accurate tracking spreadsheets for requests, submissions, denials, and appeals.
- Communicate with facilities and internal claims team members to support timely record completion.
- Support department workflow by managing documentation, emails, and claim-related requests.
- College graduate.
- 1 to 2 years of relevant experience preferred, or strong willingness to learn healthcare claims support.
- Comfortable using computers to review, compile, organize, and submit medical records.
- Ability or willingness to learn Microsoft Excel and similar spreadsheet programs.
- Basic professional writing skills, including the ability to write clear and courteous emails.
- Strong attention to detail, accuracy, and organization.
- Ability to follow instructions, meet department standards, and work efficiently in a fast-paced environment.
- Strong communication skills and a professional, service-focused approach.
- Fast learner with the ability to stay productive while managing multiple requests.
Preferred Qualifications
- Prior experience in healthcare services, medical records, claims support, appeals, or insurance-related administrative work.
- Familiarity with Net Health, SharePoint, PDF Xchange, or similar healthcare documentation systems.
- Experience maintaining tracking logs, spreadsheets, or reporting tools.
- Interest in growing within healthcare claims, claims review, or medical documentation support.
Equal Opportunity Employer / Disabled / Protected Veterans
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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.
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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.