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Medical Claims Jobs in Riverside, CA (NOW HIRING)

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Claims Examiner

Pomona, CA · On-site

$27 - $28/hr

Strong knowledge of medical claims processing, adjudication, and payer guidelines * Ability to review, analyze, and resolve claims accurately and efficiently * Excellent communication, organizational ...

LSMA Management Inc

Claims Examiner

San Bernardino, CA

$28.85 - $33.65/hr

Description JOB SUMMARY The Claims Examiner is responsible for reviewing, analyzing, and adjudicating medical claims for a management services organization (MSO) supporting medical clinics and ...

LSMA Management Inc

Claims Examiner

San Bernardino, CA · On-site

$28.85 - $33.65/hr

This role applies plan and contract rules, reimbursement methodologies, and medical billing/coding guidelines to ensure claims are processed accurately, timely, and in compliance with federal and ...

LSMA Management Inc

Claims Examiner

San Bernardino, CA · On-site

$28.85 - $33.65/hr

JOB SUMMARY The Claims Examiner is responsible for reviewing, analyzing, and adjudicating medical claims for a management services organization (MSO) supporting medical clinics and Independent ...

Currance Inc

Biller III

Irvine, CA · On-site

$23 - $24/hr

Job Duties and Responsibilities · Submit hospital medical claims in accordance with federal, state and payer mandated guidelines. · Research, analyze, and review hospital claim errors and ...

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All JobsMedical Claims JobsMedical Claims Jobs in Riverside, CA

Medical Claims information

See Riverside, CA salary details

$5

$17

$19

How much do medical claims jobs pay per hour?

As of Jul 27, 2026, the average hourly pay for medical claims in Riverside, CA is $17.55, according to ZipRecruiter salary data. Most workers in this role earn between $16.06 and $19.04 per hour, depending on experience, location, and employer.

What are medical claims?

Medical claims are formal requests submitted by healthcare providers or patients to insurance companies, asking for payment for medical services rendered. These claims contain detailed information about the patient, the services provided, dates of service, and relevant medical codes. Insurance companies review the claims to determine coverage and reimburse providers or patients accordingly. Accurate and timely submission of medical claims is crucial to ensure proper payment and avoid delays or denials.

How to get into medical claims?

To enter a medical claims role, candidates typically need a high school diploma or equivalent, with some positions preferring postsecondary education or certifications in health insurance or medical billing. Relevant skills include attention to detail, knowledge of insurance policies, and proficiency with claims processing software. Gaining experience through internships or entry-level positions can also improve job prospects.

What are the key skills and qualifications needed to thrive as a Medical Claims Specialist, and why are they important?

To thrive as a Medical Claims Specialist, you need knowledge of medical terminology, insurance policies, and claims processing, typically supported by a high school diploma or relevant certification. Familiarity with claims management software, electronic health records (EHRs), and billing systems such as ICD-10 and CPT coding is essential. Attention to detail, strong organizational skills, and effective communication help ensure accuracy and resolve claim discrepancies. These skills are crucial for ensuring timely and accurate claims processing, minimizing errors, and maintaining compliance with healthcare regulations.

What are some common challenges faced in a medical claims role, and how can they be effectively managed?

Medical claims professionals often encounter challenges such as handling denied or complex claims, navigating frequent regulatory changes, and communicating with both patients and insurance providers. Staying updated with the latest healthcare regulations and payer requirements is essential to minimize claim rejections. Effective time management, attention to detail, and strong communication skills help resolve issues quickly and ensure accurate processing. Collaborating closely with billing teams and healthcare providers also aids in addressing discrepancies and expediting claim approvals.

Is claims a stressful job?

Medical claims jobs can be stressful due to the need for accuracy, attention to detail, and meeting strict deadlines. Employees often handle complex cases and sensitive information, which can contribute to work pressure, especially during high-volume periods or audits.

What is the difference between Medical Claims vs Medical Billing Specialist?

AspectMedical ClaimsMedical Billing Specialist
CredentialsTypically requires knowledge of insurance policies and coding; certifications like CPC or CCS are commonRequires similar certifications; focuses on billing processes and insurance claims
Work EnvironmentHealthcare facilities, insurance companies, billing companiesMedical offices, hospitals, billing companies
Job FocusSubmitting and managing insurance claims for reimbursementPreparing and sending bills to patients and insurers, managing accounts

Medical Claims specialists primarily handle the submission and management of insurance claims to ensure healthcare providers receive payment. Medical Billing Specialists focus on creating and sending bills to patients and insurance companies, managing payments, and maintaining billing records. While both roles require knowledge of insurance processes and coding, Medical Claims roles are more centered on claims submission and follow-up, whereas Medical Billing Specialists handle the overall billing process and patient invoicing.

What is the highest paying medical billing job?

The highest paying medical billing roles are often senior positions such as Medical Billing Managers or Coding Directors, which require extensive experience, certifications like CPC or CCS, and strong knowledge of billing software. These roles can earn six-figure salaries, especially in large healthcare organizations or specialized medical fields.

What is the highest paying adjuster job?

The highest paying adjuster jobs are typically senior or specialized roles such as catastrophe or large-loss adjusters, which require extensive experience and certifications like the Chartered Property Casualty Underwriter (CPCU). These positions often offer higher salaries due to the complexity and scale of claims handled. Adjusters working for large insurance companies or in managerial positions tend to earn the most in the field.
What are popular job titles related to Medical Claims jobs in Riverside, CA? For Medical Claims jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Medical Claims jobs in Riverside, CA look for? The top searched job categories for Medical Claims jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Medical Claims jobs? Cities near Riverside, CA with the most Medical Claims job openings:
Medical Claims jobs near you
Infographic showing various Medical Claims job openings in Riverside, CA as of July 2026, with employment types broken down into 92% Full Time, 6% Part Time, and 2% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $36,514 per year, or $17.6 per hour.
Claims Examiner

Claims Examiner

Quick 2 Hire

Pomona, CA • On-site

$27 - $28/hr

Full-time

Posted 3 days ago

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Job description

Job Description

Quick2Hire is seeking an experienced Claims Examiner to join our team!

Assignment Details

  • Location: Pomona, CA
  • Duration: 13 Weeks
  • Schedule: Full-Time, Day Shift
  • Shift: Monday – Friday | 8:00 AM – 4:30 PM
  • Pay: $27-$28/hour

Requirements

  • High School Diploma or GED required
  • Minimum 3 years of Claims Examiner experience
  • Must have hands-on experience with the EZ Cap System
  • Strong knowledge of medical claims processing, adjudication, and payer guidelines
  • Ability to review, analyze, and resolve claims accurately and efficiently
  • Excellent communication, organizational, and problem-solving skills
  • Proficient with Microsoft Office applications

Responsibilities

  • Review and process medical claims for accuracy and compliance with payer guidelines
  • Examine claims for completeness and determine appropriate payment or denial
  • Investigate and resolve claim discrepancies, denials, and payment issues
  • Utilize the EZ Cap System to manage and process claims efficiently
  • Communicate with providers, health plans, and internal departments regarding claim status and resolutions
  • Maintain accurate documentation of all claim activities and follow-up actions
  • Meet productivity and quality standards while ensuring timely claim processing
  • Ensure compliance with HIPAA regulations and company policies

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Company Description

We have been in the industry for over 30 years, understand the challenges and felt the need to offer a higher service than the rest!
Our team consists of medical and staffing professionals, that understand the value of personal relationships and high speed results.
Q2H Staffing is an Equal Opportunity Employer. All applicants will be considered for employment without attention to race, color, religion, national origin, age, sex, disability, marital status or veteran status.