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Entry Level Medical Claims Processor Jobs in California

Insperity

Medical Claims Examiner

Los Angeles, CA · On-site +1

$24 - $30/hr

Solid knowledge of Medicare and Medi-Cal managed care claims processing and compliance guidelines ... medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or ...

Insperity

Medical Claims Examiner

CA · On-site +1

$24 - $30/hr

Solid knowledge of Medicare and Medi-Cal managed care claims processing and compliance guidelines ... medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or ...

TEKsystems

Claims Processor

Escondido, CA

$21/hr

In this role, you will be responsible for processing medical record requests accurately, efficiently, and in compliance with HIPAA regulations and company policies. The ideal candidate is dependable ...

TEKsystems

Claims Processor

Escondido, CA

$21/hr

In this role, you will be responsible for processing medical record requests accurately, efficiently, and in compliance with HIPAA regulations and company policies. The ideal candidate is dependable ...

KHS

Claims Examiner I/II - Temporary

Bakersfield, CA · On-site

$22 - $23.10/hr

About the role Under management direction, responsible for reviewing and processing all types of medical and facility claims from contracting and non-contracting providers and from subscribers and ...

Managed Staffing

Claims Examiner

Whittier, CA · On-site

$30 - $32/hr

The ideal candidate will have experience adjudicating medical claims, including UB-92 and HCFA-1500 forms, and must demonstrate thorough knowledge of HMO claims processing for PHP-affiliated medical ...

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Entry Level Medical Claims Processor information

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How much do entry level medical claims processor jobs pay per hour?

As of Aug 31, 2026, the average hourly pay for entry level medical claims processor in California is $19.21, according to ZipRecruiter salary data. Most workers in this role earn between $17.07 and $21.35 per hour, depending on experience, location, and employer.

What is an entry level medical claims processor?

An Entry Level Medical Claims Processor is responsible for reviewing and processing medical insurance claims submitted by healthcare providers and patients. They verify accuracy, ensure claims meet policy requirements, and enter data into processing systems. Their role helps facilitate timely payments and resolves issues related to denied or incorrect claims. Strong attention to detail, knowledge of medical billing codes, and basic computer skills are essential for success in this role.

What does an entry level medical claims processor do?

A typical day for an Entry Level Medical Claims Processor involves reviewing medical claims for accuracy and completeness, inputting data into claims management systems, and communicating with healthcare providers or insurance companies to resolve discrepancies. You may also be responsible for verifying patient information, checking eligibility, and ensuring claims comply with current regulations and company policies. Collaboration with other claims processors, supervisors, or billing teams is common to resolve issues and meet processing deadlines. This role usually follows regular business hours in an office or remote work environment and provides structured training to help you learn the systems and processes. Over time, you may have the opportunity to advance to senior processor or specialist roles as you gain experience.

What are the key skills and qualifications needed to thrive as an entry level medical claims processor?

To thrive as an Entry Level Medical Claims Processor, you need attention to detail, basic knowledge of medical terminology or insurance procedures, and a high school diploma or equivalent. Familiarity with claims processing software, electronic health records (EHR) systems, and Microsoft Office tools is often required, while some employers may value a medical billing and coding certification. Strong organizational skills, problem-solving abilities, and clear communication are important soft skills in this position. These competencies ensure that claims are processed accurately and efficiently, which helps prevent errors, speeds up reimbursements, and supports overall workflow in healthcare administration.

What are the most commonly searched types of Medical Claims Processor jobs in California?

The most popular types of Medical Claims Processor jobs in California are:

What are popular job titles related to Entry Level Medical Claims Processor jobs in California?

For Entry Level Medical Claims Processor jobs in California, the most frequently searched job titles are:

What job categories do people searching Entry Level Medical Claims Processor jobs in California look for?

The top searched job categories for Entry Level Medical Claims Processor jobs in California are:

What cities in California are hiring for Entry Level Medical Claims Processor jobs?

Cities in California with the most Entry Level Medical Claims Processor job openings:

Entry Level Medical Claims Processor jobs near you
Infographic showing various Entry Level Medical Claims Processor job openings in California as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 12% Part Time, and 6% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $39,963 per year, or $19.2 per hour.

Medical Claims Examiner

Cornerstone Staffing Solutions Inc

Fremont, CA • Remote

$41.85/hr

Full-time, Contractor

Re-posted 7 days ago

Job description

Work Location: Fremont, California
Employment Type: Full-Time
Hourly Pay Rate: $41.85 per hour
Schedule: Monday through Friday | 8 hour shifts - 8:30 am to 5:00 pm.
Contract to hire

Position Overview
Cornerstone Staffing Solutions is seeking an experienced Medical Claims Examiner for a full-time opportunity with an established healthcare benefits administration organization in Fremont, California.
The Medical Claims Examiner will review, analyze, and adjudicate healthcare claims in accordance with applicable benefit plans, policies, contracts, regulatory requirements, and internal processing guidelines. This position requires a strong understanding of medical claims, benefit interpretation, healthcare coding, coordination of benefits, and claims payment methodologies.
The successful candidate will be highly accurate, organized, and comfortable working in a structured, production-oriented environment. This individual must be capable of balancing claim-processing productivity with quality, compliance, and professional service to members, providers, and internal departments.

Primary Responsibilities
  • Review and adjudicate professional and institutional medical claims accurately and within established turnaround times.
  • Verify member eligibility, effective dates, benefit coverage, and applicable plan provisions.
  • Review claims for completeness, accuracy, coding consistency, and required supporting documentation.
  • Interpret medical benefits, exclusions, limitations, deductibles, copayments, coinsurance, out-of-pocket maximums, and other cost-sharing requirements.
  • Examine CPT, HCPCS, ICD-10-CM, revenue, place-of-service, and modifier information as applicable to the claim.
  • Determine appropriate payment, denial, pend, or request-for-information actions.
  • Apply coordination-of-benefits guidelines and determine primary and secondary payer responsibilities.
  • Identify duplicate claims, billing discrepancies, possible overpayments, and other processing concerns.
  • Review claims involving prior authorization, medical necessity, timely filing, eligibility, and benefit limitations.
  • Research complex claims using benefit documents, internal procedures, provider contracts, and available claim history.
  • Request medical records, corrected claims, itemized bills, or other supporting documentation when necessary.
  • Document all research, claim decisions, adjustments, and communications clearly within the claims-processing system.
  • Process corrected claims, reconsiderations, adjustments, and reprocessed claims according to established procedures.
  • Communicate professionally with healthcare providers, members, and internal teams to resolve claim-related questions.
  • Assist with appeals, escalated claims, and complex benefit inquiries as assigned.
  • Meet established productivity, accuracy, quality, and attendance expectations.
  • Protect confidential member and health information in accordance with HIPAA and organizational policies.
  • Participate in training, quality reviews, departmental meetings, and process-improvement initiatives.
  • Perform additional claims-related duties as assigned.

Common Claims and Services Reviewed
The Medical Claims Examiner may review claims involving:
  • Physician and specialist services
  • Primary and preventive care
  • Urgent care and emergency services
  • Inpatient and outpatient hospital care
  • Surgical and procedural services
  • Diagnostic imaging