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Claims Rep Jobs in Santa Rosa, CA (NOW HIRING)

Biller/Coder

Healdsburg, CA · On-site

$21.50 - $27.50/hr

This role is responsible for processing claims in a timely manner and managing assigned work queues ... The requirements listed below are representative of the knowledge, skills, and/or abilities ...

Biller/Coder

Healdsburg, CA · On-site +1

$29.33 - $36.06/hr

This role is responsible for processing claims in a timely manner and managing assigned work queues ... The requirements listed below are representative of the knowledge, skills, and/or abilities ...

Biller/Coder

Healdsburg, CA · On-site

$21.50 - $27.50/hr

This role is responsible for processing claims in a timely manner and managing assigned work queues ... The requirements listed below are representative of the knowledge, skills, and/or abilities ...

(8589) Novato: Customer Service Rep

Novato, CA · On-site

$18.75 - $25.50/hr

As a Customer Service Representative (CSR), you are the first and sometimes the only impression of us. Your contact with every Customer plays an essential key role that helps us create smiles by ...

(8589) Novato: Customer Service Rep

Novato, CA · On-site

$18.75 - $25.50/hr

As a Customer Service Representative (CSR), you are the first and sometimes the only impression of us. Your contact with every Customer plays an essential key role that helps us create smiles by ...

Customer Representative Agent

Napa, CA · Remote

$18.25 - $24.75/hr

About the job Travel customer representative As a Travel Customer Representative, you will play a key role in supporting our clients throughout their travel journey from the moment they book to the ...

(8576) Petaluma: Customer Service Rep

Petaluma, CA · On-site

$18.50 - $25/hr

As a Customer Service Representative (CSR), you are the first and sometimes the only impression of us. Your contact with every Customer plays an essential key role that helps us create smiles by ...

Showing results 21-40

Claims Rep information

See Santa Rosa, CA salary details

$12

$26

$45

How much do claims rep jobs pay per hour?

As of Sep 10, 2026, the average hourly pay for claims rep in Santa Rosa, CA is $26.38, according to ZipRecruiter salary data. Most workers in this role earn between $19.95 and $29.95 per hour, depending on experience, location, and employer.

What is the difference between Claims Rep vs Claims Adjuster?

AspectClaims RepClaims Adjuster
Required CredentialsHigh school diploma or equivalent; some roles may require insurance licensesHigh school diploma; state licensing often required; certifications like AIC or CPCU beneficial
Work EnvironmentOffice setting, customer service interactions, administrative tasksField or office-based, investigating claims, inspecting damages
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, public adjusting firms
Common Search & ComparisonClaims Rep vs Claims Adjuster

Claims Reps primarily handle customer service, processing claims, and administrative duties within insurance companies. Claims Adjusters focus on investigating claims, inspecting damages, and determining claim validity. While both roles require insurance knowledge and sometimes similar certifications, Claims Adjusters typically perform more fieldwork and damage assessments, whereas Claims Reps focus on customer interactions and claim processing.

What cities near Santa Rosa, CA are hiring for Claims Rep jobs?

Cities near Santa Rosa, CA with the most Claims Rep job openings:

Infographic showing various Claims Rep job openings in Santa Rosa, CA as of August 2026, with employment types broken down into 1% Internship, 81% Full Time, 16% Part Time, and 2% Contract. Highlights an 79% Physical, 5% Hybrid, and 16% Remote job distribution, with an average salary of $54,863 per year, or $26.4 per hour.

Revenue Cycle Manager

Healdsburg, CA • On-site

Alliance Medical Center
Outpatient Health Care • 51 - 200 employees

Full-time

Posted 21 days ago


Job description

Summary
The Revenue Cycle Manager oversees the billing unit (Billing Leads, Medical billers/payment posting staff) and makes day-to-day decisions at Alliance Medical Center. The manager is responsible for understanding billing policies & procedures within regulatory mandates, assisting with follow-up on insurance, Medi-Cal, and Medicare claims. Assists in submissions of appeals as needed. Stays updated on all claims and their related AR statuses and issues for discussion with the director. Effectively manages claim corrections and rejections.
The Revenue Cycle Manager position is hybrid and requires onsite presence. Candidates must reside within commutable distance of Sonoma County.
Some Essential Duties and Responsibilities Include:
• Provides ongoing billing leadership and support to Biller/Coder.
• Oversees Billing staff activities, which include work allocation and being available for staff needs.
• Plans, manages, and coordinates with the management team as it relates to billing and collections work loading and productivity tracking.
• Assists in the follow-up of claims and obtaining statuses using payor outreach (website & phone), clearinghouse, and EPIC.
• Understands and remains updated with current coding and billing regulations and compliance requirements.
Requirements
Qualifications:
The requirements listed below are representative of the knowledge, skills, and/or abilities required to successfully perform the duties of the position.
Education and/or Experience:
• Associate degree or equivalent experience, required.
• 2+ years of supervisory experience or equivalent, required.
• Medical Billing Certificate, required.
• Experience with EPIC, required.
• FQHC experience or 5 years of experience in healthcare, required.
• Knowledge of reimbursement processes, billing, and accounts receivable, and successfully handling claims, required.
• Strong computer skills with emphasis on MS Office products and intermediate-advanced Excel abilities, required.
• Must be comfortable working in a close-knit, team environment where attitude and work ethic are a priority, required.
• Excellent written and verbal communication skills, required.
Certificates, Licenses, Registrations:
• Current and valid state licensure as CPC, CPMA, CRC, CCS, or CDEO.
Skills and Abilities:
• Capable of adapting to multiple applications of software.
• Advanced proficiency with coding systems such as CPT, ICD-10, and HCPCS
• Medical terminology: a strong understanding of medical terminology is crucial for accurately interpreting clinical documentation
• Anatomy and physiology: knowledge of the human body and how diseases and conditions work.
• Attention to detail: The ability to focus and accurately process large amounts of detailed information.
• Active OCHIN Epic resolute billing or ambulatory coding proficiency.
• Computer skills: Familiarity with medical classification software, preferably EPIC, and other office
• Certification as Medical Coder (CPCP or Certified Coding Specialist (CCS) designation.