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Remote Eligibility Jobs in California (NOW HIRING)

Pinion

Manager - National Tax Office

Sacramento, CA · Remote

$118K - $155K/yr

Remote Eligibility: This position is US - Remote Eligible. The role may include occasional work at a Pinion office or attendance at offsites, as requested/required by the firm and/or your supervisor.

Pinion

Manager - National Tax Office

Chico, CA · Remote

$112K - $148K/yr

Remote Eligibility: This position is US - Remote Eligible. The role may include occasional work at a Pinion office or attendance at offsites, as requested/required by the firm and/or your supervisor.

Pinion

Manager - National Tax Office

Fresno, CA · Remote

$110K - $144K/yr

Remote Eligibility: This position is US - Remote Eligible. The role may include occasional work at a Pinion office or attendance at offsites, as requested/required by the firm and/or your supervisor.

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All JobsEligibility JobsRemote Eligibility JobsRemote Eligibility Jobs in California

Remote Eligibility information

See California salary details

$32.6K

$51.5K

$70.1K

How much do remote eligibility jobs pay per year?

As of Aug 21, 2026, the average yearly pay for remote eligibility in California is $51,473.00, according to ZipRecruiter salary data. Most workers in this role earn between $45,400.00 and $59,200.00 per year, depending on experience, location, and employer.

What is a remote eligibility job?

Remote Eligibility jobs are positions focused on determining whether individuals qualify for certain benefits or services, such as healthcare, insurance, or government assistance, and are performed entirely from a remote location. These roles typically involve reviewing applications, verifying documentation, and making decisions based on established criteria. Remote Eligibility specialists may work for government agencies, healthcare providers, or private companies, and they use online systems to process information. Strong attention to detail, confidentiality, and communication skills are important in this field.

What skills and qualifications are needed to thrive as a remote eligibility specialist?

To thrive as a Remote Eligibility Specialist, you need a solid understanding of eligibility requirements, attention to detail, and familiarity with healthcare or social services regulations, often backed by a relevant associate’s or bachelor’s degree. Proficiency in eligibility management software, CRM systems, and secure document handling tools is typically required. Strong organizational skills, clear communication, and the ability to work independently are vital soft skills for this remote role. These skills ensure accurate eligibility determinations, compliance with policies, and efficient service delivery to clients.

What are common challenges faced by remote eligibility specialists, and how can they be addressed?

Remote eligibility specialists often face challenges such as navigating varying regulations across states, ensuring accurate and timely documentation, and maintaining effective communication with clients and team members from a distance. To address these, it's important to stay updated on policy changes, utilize secure digital tools for managing sensitive information, and establish regular check-ins with supervisors and colleagues. Strong organizational skills and proactive communication are key to overcoming these hurdles and delivering excellent service in a remote environment.

What is the difference between Remote Eligibility vs Data Analyst?

AspectRemote EligibilityData Analyst
Required CredentialsVaries; often includes relevant certifications or degreesBachelor's degree in data-related fields; certifications like Microsoft or SAS are common
Work EnvironmentCan be remote, hybrid, or on-site depending on employerTypically office-based but increasingly remote options available
Employer & Industry UsageUsed across many industries; eligibility depends on company policyCommon in finance, healthcare, marketing, and tech industries

Remote Eligibility refers to whether a job can be performed remotely, while Data Analyst describes a specific role that may or may not be eligible for remote work. Understanding the distinction helps job seekers identify roles that fit their remote work preferences and required qualifications.

What are the most commonly searched types of Eligibility jobs in California?

The most popular types of Eligibility jobs in California are:

What are popular job titles related to Remote Eligibility jobs in California?

For Remote Eligibility jobs in California, the most frequently searched job titles are:

What job categories do people searching Remote Eligibility jobs in California look for?

The top searched job categories for Remote Eligibility jobs in California are:

What cities in California are hiring for Remote Eligibility jobs?

Cities in California with the most Remote Eligibility job openings:

Remote Eligibility jobs near you
Infographic showing various Remote Eligibility job openings in California as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 14% Part Time, and 2% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $51,473 per year, or $24.7 per hour.

Eligibility & Benefits Manager - Remote | Upto $105/hr

Mercor

San Francisco, CA • Remote

$105/hr

Full-time

Posted 2 days ago

New

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.
  • Ensure compliance with payer-specific requirements, CMS guidelines, and HIPAA regulations.
  • Identify process gaps and recommend workflow improvements to reduce eligibility-related claim denials.
  • Provide structured feedback and annotations to support AI training datasets.

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.