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Full Time Remote Medical Insurance Verification Jobs in California

Inspire Healthcare

Medical Director Physician

Pomona, CA · Remote

$250K - $350K/yr

... remote work technology. Compensation & Benefits * Salary: $250,000"$350,000 annually DOE. * Comprehensive benefits package including medical, dental, vision, 401(k), paid time off, life insurance ...

Inspire Healthcare

Medical Director Physician

San Diego, CA · Remote

$250K - $350K/yr

... remote work technology. Compensation & Benefits * Salary: $250,000"$350,000 annually DOE. * Comprehensive benefits package including medical, dental, vision, 401(k), paid time off, life insurance ...

COMPASSUS

Insurance Specialist

Anaheim, CA · Remote

$20 - $35/hr

Compassus This is a remote position for candidates located in the Pacific Time Zone. Initial ... Completes insurance verification on all new and existing patients and follow-up appropriately for ...

Experity

$66K - $90K/yr

Benefits - Comprehensive coverage starts first day of employment and includes Medical, Dental ... Remote: Experity offers Team Members the opportunity to work remotely or in an office.

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Full Time Remote Medical Insurance Verification information

What is the difference between Full Time Remote Medical Insurance Verification vs Full Time Remote Medical Claims Processing?

AspectFull Time Remote Medical Insurance VerificationFull Time Remote Medical Claims Processing
CredentialsCertification in insurance verification or medical billingCertification in claims processing or medical billing
Work EnvironmentRemote, primarily administrativeRemote, administrative with focus on claims review
Industry UsageHealthcare, insurance companies, medical officesHealthcare, insurance companies, third-party administrators
Search & Comparison IntentUnderstanding verification roles, remote insurance jobsUnderstanding claims processing roles, remote insurance jobs

Both roles are essential in healthcare insurance, often performed remotely, and require similar certifications. Insurance Verification focuses on confirming patient coverage, while Claims Processing involves reviewing and submitting claims for reimbursement. The main difference lies in their specific responsibilities within the insurance workflow.

What are the most commonly searched types of Remote Medical Insurance Verification jobs in California? The most popular types of Remote Medical Insurance Verification jobs in California are:
What are popular job titles related to Full Time Remote Medical Insurance Verification jobs in California? For Full Time Remote Medical Insurance Verification jobs in California, the most frequently searched job titles are:
What job categories do people searching Full Time Remote Medical Insurance Verification jobs in California look for? The top searched job categories for Full Time Remote Medical Insurance Verification jobs in California are:
What cities in California are hiring for Full Time Remote Medical Insurance Verification jobs? Cities in California with the most Full Time Remote Medical Insurance Verification job openings:
Full Time Remote Medical Insurance Verification jobs near you
Infographic showing various Full Time Remote Medical Insurance Verification job openings in California as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution.

Insurance Verification Manager - Expert

Mercor

San Francisco, CA • Remote

$105/hr

Full-time

Re-posted 6 days ago

Job description

About the job

Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.

Position: Insurance Verification & Benefit Manager
Type: Contract
Compensation: $105/hour
Location: Remote

Role Responsibilities

  • Oversee insurance verification, eligibility determination, and benefits investigation workflows across commercial, Medicare, Medicaid, and managed care payers.
  • Verify patient insurance coverage using payer portals, clearinghouses, and EDI 270/271 real-time eligibility transactions.
  • Identify and resolve coordination of benefits issues, coverage gaps, and eligibility discrepancies prior to service delivery.
  • Evaluate and annotate AI-generated eligibility verification outputs for accuracy, completeness, and payer compliance.
  • Develop and document SOPs for eligibility and benefits verification workflows.
  • Monitor KPIs including verification accuracy rates, front-end denial rates related to eligibility, and turnaround times.

Qualifications

Must-Have

  • 5+ years of experience in insurance verification, eligibility and benefits management, or front-end revenue cycle operations, with at least 2 years in a management role.
  • Expert knowledge of EDI 270/271 transactions, payer portal navigation, and real-time eligibility tools.
  • Strong familiarity with Medicare, Medicaid, and commercial payer eligibility requirements and benefit structures.
  • Proficiency with Epic, Cerner, Meditech, or equivalent EHR platforms.
  • Experience with clearinghouse platforms such as Availity, Change Healthcare, or similar.
  • Exceptional written and verbal English communication skills.
  • High attention to detail with the ability to identify subtle discrepancies in coverage data.

Preferred

  • CHAM, CHAA, or equivalent front-end revenue cycle certification.
  • Experience with automated eligibility verification tools and RPA solutions.
  • Background in denial root cause analysis related to eligibility and coverage errors.
  • Familiarity with AI tools and comfort evaluating AI-generated healthcare content.
  • Experience presenting eligibility performance data to senior leadership.

Application Process (Takes 20–30 mins to complete)

  • Upload resume
  • AI interview based on your resume
  • Submit form

Resources & Support

  • For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome
  • For any help or support, reach out to: support@mercor.com

PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.