Remote Claims Processing Jobs in California (NOW HIRING)

Job Summary We are seeking a Remote Med Insurance Claims Rep for California Residents this is a ... If you need a reasonable accommodation for any part of the employment process, please contact your ...

Remote Role Responsibilities * Oversee end-to-end medical billing and claims submission operations ... Application Process (Takes 20-30 mins to complete) * Upload resume * AI interview based on your ...

Paid time off, flexible schedule, and remote work choices provided Plus, we work to maintain the ... Solid knowledge of Medicare and Medi-Cal managed care claims processing and compliance guidelines.

Description & Requirements Medical Claims Examiner Local Remote or In-Office Join a team where your ... Solid knowledge of Medicare and Medi-Cal managed care claims processing and compliance guidelines.

The Claims Auditor is responsible for ensuring the accuracy of claims processing based on department policies and procedures, CMS and DMHC regulations. Primary Duties and Responsibilities * Conducts ...

Remote (Candidate should be based in SoCal) Pay : $23/hr Overview of Responsibilities: We are ... The selected candidate should be familiar with HMOs, claims processing, and authorization/referral ...

Claims Examiner I is responsible for reviewing and processing medical, dental, vision, and electronic claims per state, federal, and health plan regulatory requirements and department guidelines, as ...

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 ...

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 ...

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 ...

Required Qualifications • At least 1 year of claims processing experience in a managed care setting, or equivalent combination of relevant education and experience. • Data entry and research ...

Our remote claims team collaborates cross-functionally to support injured workers, carriers, and medical partners while maintaining compliance with CA regulations and best-in-class customer service.

Our remote claims team collaborates cross-functionally to support injured workers, carriers, and medical partners while maintaining compliance with CA regulations and best-in-class customer service.

... 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 ...

... 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 ...

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 ...

... on claims databases, validation of data stored on databases, and adherence to health plan business ... Develops policies and procedures for end-to-end audit process to ensure consistency/compliance.

Collaborates with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues. Responds to incoming calls ...

Collaborates with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues. Responds to incoming calls ...

... processing teams to appropriately address provider claim issues. • Responds to incoming calls from providers regarding claims inquiries - provides excellent customer service, support and issue ...