Long Beach, CA · Remote
$14 - $26.42/hr
Required Qualifications Must have at least 2 years of experience processing Medicaid claims At least 1 year of experience in a clerical role in a claims, and/or customer service setting - preferably ...
Long Beach, CA · Remote
$14 - $26.42/hr
Required Qualifications Must have at least 2 years of experience processing Medicaid claims At least 1 year of experience in a clerical role in a claims, and/or customer service setting - preferably ...
Long Beach, CA · Remote
$18.50 - $23.50/hr
Required Qualifications Must have at least 2 years of experience processing Medicaid claims At least 2 years of experience in claims, and/or customer service experience in a clerical role ...
Long Beach, CA · Remote
$18.50 - $23.50/hr
Required Qualifications Must have at least 2 years of experience processing Medicaid claims At least 2 years of experience in claims, and/or customer service experience in a clerical role ...
Manage claims submission workflows including electronic claim generation, clearinghouse edits, and ... Strong understanding of Medicare , Medicaid , and commercial payer billing requirements.
Quick apply
Manage claims submission workflows including electronic claim generation, clearinghouse edits, and ... Strong understanding of Medicare , Medicaid , and commercial payer billing requirements.
San Bernardino, CA · On-site
$87K - $97K/yr
... Medicare & Medicaid Services (CMS), and Department of Health Care Services (DHCS) requirements where applicable. This position plays a critical role in ensuring claims processing accuracy ...
San Bernardino, CA · On-site
$87K - $97K/yr
... Medicare & Medicaid Services (CMS), and Department of Health Care Services (DHCS) requirements where applicable. This position plays a critical role in ensuring claims processing accuracy ...
San Bernardino, CA · On-site
$87K - $97K/yr
... Medicare & Medicaid Services (CMS), and Department of Health Care Services (DHCS) requirements where applicable. This position plays a critical role in ensuring claims processing accuracy ...
San Bernardino, CA · On-site
$87K - $97K/yr
... Medicare & Medicaid Services (CMS), and Department of Health Care Services (DHCS) requirements where applicable. This position plays a critical role in ensuring claims processing accuracy ...
San Bernardino, CA · On-site
$87K - $97K/yr
... Medicare & Medicaid Services (CMS), and Department of Health Care Services (DHCS) requirements where applicable. This position plays a critical role in ensuring claims processing accuracy ...
San Bernardino, CA · On-site
$87K - $97K/yr
... Medicare & Medicaid Services (CMS), and Department of Health Care Services (DHCS) requirements where applicable. This position plays a critical role in ensuring claims processing accuracy ...
Monterey Park, CA · On-site +1
$70K - $80K/yr
Apply claim processing experience to audit and analyze all levels of claims processing procedures ... Detail knowledge of Medi-Cal, Medicare, Medicaid, and Commercial program guidelines * Possess ...
Monterey Park, CA · On-site +1
$70K - $80K/yr
Apply claim processing experience to audit and analyze all levels of claims processing procedures ... Detail knowledge of Medi-Cal, Medicare, Medicaid, and Commercial program guidelines * Possess ...
Monterey Park, CA · Remote
$70K - $80K/yr
Apply claim processing experience to audit and analyze all levels of claims processing procedures ... Detail knowledge of Medi-Cal, Medicare, Medicaid, and Commercial program guidelines * Possess ...
Monterey Park, CA · Remote
$70K - $80K/yr
Apply claim processing experience to audit and analyze all levels of claims processing procedures ... Detail knowledge of Medi-Cal, Medicare, Medicaid, and Commercial program guidelines * Possess ...
Monterey Park, CA · Remote
$70K - $80K/yr
Apply claim processing experience to audit and analyze all levels of claims processing procedures ... Detail knowledge of Medi-Cal, Medicare, Medicaid, and Commercial program guidelines * Possess ...
Quick apply
Monterey Park, CA · Remote
$70K - $80K/yr
Apply claim processing experience to audit and analyze all levels of claims processing procedures ... Detail knowledge of Medi-Cal, Medicare, Medicaid, and Commercial program guidelines * Possess ...
Long Beach, CA · On-site
$19.84 - $38.69/hr
Knowledge of claims processing related to inpatient/outpatient facilities contracted with Medicare, Medicaid, and Marketplace government-sponsored programs. Data research and analysis skills.
Long Beach, CA · On-site
$19.84 - $38.69/hr
Knowledge of claims processing related to inpatient/outpatient facilities contracted with Medicare, Medicaid, and Marketplace government-sponsored programs. Data research and analysis skills.
$21.75 - $28/hr
... state Medicaid claims, follow up on Outpatient Medi-Cal, Managed Care, HMO/PPO and out of state ... Billing, Plan Claim adjudicator, Claims Processor, Collections, Patient Accounting, Patient ...
$21.75 - $28/hr
... state Medicaid claims, follow up on Outpatient Medi-Cal, Managed Care, HMO/PPO and out of state ... Billing, Plan Claim adjudicator, Claims Processor, Collections, Patient Accounting, Patient ...
Chatsworth, CA · On-site
$21.75 - $28/hr
... state Medicaid claims, follow up on Outpatient Medi-Cal, Managed Care, HMO/PPO and out of state ... Billing, Plan Claim adjudicator, Claims Processor, Collections, Patient Accounting, Patient ...
Chatsworth, CA · On-site
$21.75 - $28/hr
... state Medicaid claims, follow up on Outpatient Medi-Cal, Managed Care, HMO/PPO and out of state ... Billing, Plan Claim adjudicator, Claims Processor, Collections, Patient Accounting, Patient ...
Chatsworth, CA · On-site
$21.75 - $28/hr
... state Medicaid claims, follow up on Outpatient Medi-Cal, Managed Care, HMO/PPO and out of state ... Billing, Plan Claim adjudicator, Claims Processor, Collections, Patient Accounting, Patient ...
Chatsworth, CA · On-site
$21.75 - $28/hr
... state Medicaid claims, follow up on Outpatient Medi-Cal, Managed Care, HMO/PPO and out of state ... Billing, Plan Claim adjudicator, Claims Processor, Collections, Patient Accounting, Patient ...
Los Angeles, CA · On-site
$47.94 - $69.18/hr
Contribute to process automation, monitoring, and quality assurance improvements across the claims pipeline. * Participate in cross-departmental initiatives related to Medicaid data, reporting, or ...
Los Angeles, CA · On-site
$47.94 - $69.18/hr
Contribute to process automation, monitoring, and quality assurance improvements across the claims pipeline. * Participate in cross-departmental initiatives related to Medicaid data, reporting, or ...
Los Angeles, CA · On-site +1
$47.94 - $69.18/hr
Contribute to process automation, monitoring, and quality assurance improvements across the claims pipeline. * Participate in cross-departmental initiatives related to Medicaid data, reporting, or ...
Los Angeles, CA · On-site +1
$47.94 - $69.18/hr
Contribute to process automation, monitoring, and quality assurance improvements across the claims pipeline. * Participate in cross-departmental initiatives related to Medicaid data, reporting, or ...
This position ensures regulatory compliance in the processing of all inbound claims that are within the Centers for Medicare & Medicaid Services (CMS) regulations as well as Clever Care Health Plan ...
This position ensures regulatory compliance in the processing of all inbound claims that are within the Centers for Medicare & Medicaid Services (CMS) regulations as well as Clever Care Health Plan ...
Huntington Beach, CA · On-site
$80K - $90K/yr
This position ensures regulatory compliance in the processing of all inbound claims that are within the Centers for Medicare & Medicaid Services (CMS) regulations as well as Clever Care Health Plan ...
Huntington Beach, CA · On-site
$80K - $90K/yr
This position ensures regulatory compliance in the processing of all inbound claims that are within the Centers for Medicare & Medicaid Services (CMS) regulations as well as Clever Care Health Plan ...
Los Angeles, CA · On-site
$98K - $214K/yr
Implement and maintain efficient and streamlined claims adjudication processes that effectively ... Familiarity with AMA and Centers for Medicare and Medicaid Services coding guidelines * Computer ...
Los Angeles, CA · On-site
$98K - $214K/yr
Implement and maintain efficient and streamlined claims adjudication processes that effectively ... Familiarity with AMA and Centers for Medicare and Medicaid Services coding guidelines * Computer ...
Long Beach, CA · On-site
$16.40 - $31.97/hr
Experience supporting a Medicaid or large claims processing environment with multi-functional work units and tasks. Organizational and time-management skills; ability to manage simultaneous projects ...
Long Beach, CA · On-site
$16.40 - $31.97/hr
Experience supporting a Medicaid or large claims processing environment with multi-functional work units and tasks. Organizational and time-management skills; ability to manage simultaneous projects ...
This position oversees claims processing, denial management, reimbursement performance, regulatory ... Ensure compliance with healthcare regulations, such as HIPAA, Medicare, and Medicaid. * Monitor ...
Quick apply
This position oversees claims processing, denial management, reimbursement performance, regulatory ... Ensure compliance with healthcare regulations, such as HIPAA, Medicare, and Medicaid. * Monitor ...
$11.86 - $13.16
2% of jobs
$13.16 - $14.45
6% of jobs
$14.45 - $15.74
9% of jobs
$16.42 is the 25th percentile. Wages below this are outliers.
$15.74 - $17.04
14% of jobs
$17.04 - $18.33
18% of jobs
The median wage is $18.37 / hr.
$18.33 - $19.63
17% of jobs
$20.34 is the 75th percentile. Wages above this are outliers.
$19.63 - $20.92
16% of jobs
$20.92 - $22.21
7% of jobs
$22.21 - $23.51
4% of jobs
$23.51 - $24.80
4% of jobs
$24.80 - $26.10
2% of jobs
$11
$18
$26
A Medicaid Claims Processing job involves reviewing, verifying, and processing healthcare claims submitted by providers seeking reimbursement for services rendered to Medicaid beneficiaries. Workers in this role ensure claims comply with state and federal regulations, identify errors or discrepancies, and communicate with healthcare providers to resolve issues. They may also use specialized software to input and track claims, process denials or appeals, and ensure timely and accurate payments. Strong attention to detail, knowledge of Medicaid policies, and proficiency with healthcare billing codes are essential for success in this role.
Success in Medicaid Claims Processing requires excellent attention to detail, a thorough understanding of healthcare billing procedures, and familiarity with Medicaid regulations and insurance guidelines. Proficiency in medical billing software, claims management systems, and sometimes industry certifications such as Certified Professional Coder (CPC) is beneficial. Strong organizational skills, problem-solving abilities, and effective written and verbal communication help individuals excel in this role. These skills and qualifications are crucial for ensuring accurate, timely claims processing and compliance with ever-evolving Medicaid requirements.
One of the main challenges in Medicaid Claims Processing is staying up-to-date with frequently changing policies, billing codes, and compliance requirements, which can vary by state and program. Professionals in this role must pay close attention to detail to avoid errors and denials, often working with tight deadlines and large volumes of claims. To prepare, it's helpful to become familiar with Medicaid guidelines, maintain strong organizational habits, and proactively seek out updates in regulations or coding standards. Collaborating with other team members, such as care coordinators and billing specialists, is essential to ensure claims are accurate and properly documented. Ongoing learning and adaptability are key for long-term success in this dynamic environment.
The most popular types of Medicaid Claims Processing jobs in California are:
For Medicaid Claims Processing jobs in California, the most frequently searched job titles are:
The top searched job categories for Medicaid Claims Processing jobs in California are:
$14 - $26.42/hr
Full-time
Re-posted 28 days ago
8.0
Based on 199 frontline employees who took The Breakroom Quiz
166th of 311 rated insurance
JOB DESCRIPTION Job Summary
Must reside in Florida.
Provides support for claims examination activities including evaluation of adjudication of claims to identify incorrect coding, abuse and fraudulent billing practices, waste, overpayments, and processing errors.
Essential Job Duties
Evaluates the adjudication of claims using standard principles, and state-specific regulations to identify incorrect coding, abuse and fraudulent billing practices, waste, overpayments, and claims processing errors.
Manages a caseload of claims - procures all medical records and statements that support the claim.
Makes recommendations for further investigation and/or resolution of claims.
Reduces defects through proactive identification of error issues as it relates to pre-payment of claims through adjudication/trend identification, and recommends solutions to resolve issues.
Meets claims department quality and production standards.
Supports claims department initiatives to improve overall claims function efficiency.
Completes basic claims projects as assigned.
Required Qualifications
Must have at least 2 years of experience processing Medicaid claims
At least 1 year of experience in a clerical role in a claims, and/or customer service setting - preferably in managed care, or equivalent combination of relevant education and experience.
Data entry and research skills.
Organizational skills and attention to detail.
Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines.
Customer service experience.
Effective verbal and written communication skills.
Microsoft Office suite and applicable software programs proficiency.
Preferred Qualifications
Health care claims/billing experience.
#PJClaims2
#LI-AC1
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $14 - $26.42 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.
Health care and social assistance
10,000+ Employees
Long Beach, CA, US
1980
