Claims Representative Associate

This applies to direct care staff (Examples: RN, LPN, Nurse Aides, Therapists) referred to Kentucky nursing facilities, assisted living communities, or long-term care facilities, in accordance with KRS 216.793. Only applicable for San Francisco Candidates : Under the San Francisco Lactation in the Workplace Ordinance, we will provide written notice of lactation accommodation rights, and this notice will automatically be given upon hiring, any inquiry of parental leave or lactation accommodation.

Pride Health is hiring a Claims Representative Associate to support our client’s medical facility in Everett, WA98203.This is a 3+ month contract assignment (convertible to permanent based on your work performance). and a great way to start working with a top-tier healthcare organisation!

Specific Duties:

• Retrieved and reviewed medical records from electronic health record (EHR) systems and internal databases.
• Gathered and organized required medical documentation based on insurance company requests.
• Submitted medical records and supporting documentation to insurance companies within required timelines.
• Verified records for completeness and accuracy before submission to ensure all requested information was included.
• Monitored record requests and submission status, followed up on pending documentation, and maintained accurate records of all submissions.

Requirements:

• Minimum of 2 years of experience in a healthcare or customer service environment
• Strong communication and interpersonal skills
• Organizational and multitasking abilities
• Proficiency with scheduling systems and electronic medical records preferred

What skills/attributes are nice to have, and will set a candidate apart?

• Strong efficiency and time management skills
• Excellent communication skills
• Professionalism and maturity
• Dependability and accountability
• Demonstrated longevity and stability in previous roles

Additional Information:

• Location: Everett, WA 98203
• Job Type: 6+ months contract to hire
• Schedule: M-F 8:00 am – 5:00 pm
• Pay Range: $19-$20/hr. on W2 

*Offered pay rate will be based on education, experience, and healthcare credentials.
 

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For workers in the United States, PrideGlobal and it's affiliates offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, pet insurance and employee discounts with preferred vendors.

Equal Employment Opportunity
PrideGlobal and it's affiliates are an equal opportunity employer. We do not discriminate on the basis of the race, religious creed, color, national origin, ancestry, physical disability, mental disability, reproductive health decision making, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, veteran or military status, or any other characteristic protected by applicable federal, state, or local law.

Fair Chance Employment
PrideGlobal and it's affiliates are a Fair Chance employer. We consider all qualified applicants, including those with criminal histories, in a manner consistent with applicable state and local Fair Chance laws and ordinances, including, the California Fair Chance Act and all applicable local Fair Chance ordinances.

Accommodations
We are committed to providing reasonable accommodations to applicants and employees with disabilities. If you require a reasonable accommodation to participate in the application or interview process, or to perform the essential functions of this role, please contact us.

Only applicable for San Francisco Candidates: Under the San Francisco Lactation in the Workplace Ordinance, we will provide written notice of lactation accommodation rights, and this notice will automatically be given upon hiring, any inquiry of parental leave or lactation accommodation.

Only applicable for Kentucky positions: For this type of employment, state law requires a criminal record check as a condition of employment. This applies to direct care staff (Examples: RN, LPN, Nurse Aides, Therapists) referred to Kentucky nursing facilities, assisted living communities, or long-term care facilities, in accordance with KRS 216.793.