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Remote Fsa Claims Processor Jobs in California (NOW HIRING)

What to Expect This is a fully remote position supporting claims operations. Team members spend the majority of their day reviewing and processing claims, working extensively with computer systems ...

Medical Claims Examiner

Los Angeles, CA ยท On-site +1

$24 - $30/hr

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.

Staff Accountant

Covina, CA ยท Remote

$30 - $35/hr

Claims Coordination: Partner closely with our external claims processor to ensure the timely ... Work Arrangement: 100% remote capacity requiring a consistent commitment of 40 hours per week. Must ...

Medical Claims Examiner

CA ยท On-site +1

$24 - $30/hr

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

Director of Claims- Healthcare

Chatsworth, CA ยท On-site +1

$130K - $160K/yr

The Claims Director ensures timely, accurate, and compliant claims processing while meeting all ... Paid time off, flexible schedule, and remote work one day per week Plus, we work to maintain the ...

Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties ... Enjoys working in a fast-paced environment and easily acclimates to changes in process/systems for ...

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Remote Fsa Claims Processor information

What is a remote FSA claims processor?

Remote FSA Claims Processors are professionals who review, verify, and process Flexible Spending Account (FSA) claims submitted by employees. Working from a remote location, they ensure that claims meet eligibility requirements, comply with IRS guidelines, and are supported by appropriate documentation. They communicate with clients or participants to resolve discrepancies and may use specialized software to manage claims efficiently. Their role is essential in facilitating timely reimbursements for healthcare and dependent care expenses.

What skills and qualifications are needed to be a remote FSA claims processor?

To thrive as a Remote FSA Claims Processor, you need a thorough understanding of healthcare reimbursement, insurance terminology, and claims adjudication, usually supported by a high school diploma or equivalent experience. Familiarity with claims processing software, HIPAA compliance standards, and document management systems is typically required. Strong attention to detail, excellent organizational skills, and effective written communication help you excel in this remote role. These skills and qualifications are crucial to accurately processing claims, ensuring regulatory compliance, and delivering timely customer service.

How does a remote FSA claims processor collaborate with other departments while working virtually?

As a Remote FSA Claims Processor, you'll regularly interact with colleagues in customer service, compliance, and IT departments through digital channels such as email, instant messaging, and video conferencing. Collaboration is essential for resolving complex claims, clarifying policy details, and ensuring data accuracy. Remote processors often participate in virtual team meetings and may use shared platforms to track claim statuses and updates. Strong communication skills and responsiveness are key to maintaining seamless workflow and meeting processing deadlines.

What is the difference between Remote Fsa Claims Processor vs Remote Health Insurance Claims Processor?

AspectRemote Fsa Claims ProcessorRemote Health Insurance Claims Processor
CertificationsTypically requires knowledge of FSA regulations, basic insurance processing certificationsRequires understanding of health insurance policies, claims processing certifications
Work EnvironmentRemote, administrative setting handling FSA claimsRemote, administrative setting handling health insurance claims
Industry UsageCommon in benefits administration, HR departmentsCommon in insurance companies, healthcare providers

While both roles involve processing insurance-related claims remotely, the Remote Fsa Claims Processor specializes in flexible spending account claims, focusing on FSA-specific regulations. The Remote Health Insurance Claims Processor handles broader health insurance claims, often requiring more extensive knowledge of health policies. Both roles are remote, administrative, and industry-related, but they differ in scope and certification requirements.

What job categories do people searching Remote Fsa Claims Processor jobs in California look for?

The top searched job categories for Remote Fsa Claims Processor jobs in California are:

What cities in California are hiring for Remote Fsa Claims Processor jobs?

Cities in California with the most Remote Fsa Claims Processor job openings:

Infographic showing various Remote Fsa Claims Processor job openings in California as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.

Claims Processing Expert - Fully Remote | Upto $80/hr

San Francisco, CA โ€ข Remote

$80/hr

Full-time

Re-posted 29 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: Medical Billing Manager
Type: Contract
Compensation: $80/hour
Location: Remote

Role Responsibilities

  • Oversee end-to-end medical billing and claims submission operations across professional fee and/or facility billing environments.
  • Evaluate AI-generated billing outputs, claim edits, and coding validations for accuracy and payer compliance.
  • Manage claims submission workflows including electronic claim generation, clearinghouse edits, and payer-specific billing requirements.
  • Monitor clean claim rates, rejection rates, and first-pass acceptance rates. Develop improvement strategies.
  • Coordinate with coding, CDI, and collections teams to resolve billing edits and claim rejections.
  • Ensure compliance with CMS billing guidelines, HIPAA 837 transaction standards, and payer-specific billing rules.
  • Annotate AI outputs and provide structured feedback to support AI training datasets.

Qualifications

Must-Have

  • 5+ years of experience in medical billing and claims management, with at least 2 years in a management role.
  • Deep knowledge of professional fee (CMS-1500/837P) and/or facility (UB-04/837I) billing requirements.
  • Expertise in HIPAA 837 transaction standards, clearinghouse operations, and payer-specific billing rules.
  • Strong understanding of Medicare, Medicaid, and commercial payer billing requirements.
  • Proficiency with billing platforms (Epic, Athenahealth, AdvancedMD, or equivalent) and clearinghouse tools.
  • Exceptional written and verbal English communication skills.
  • High attention to detail with the ability to identify billing errors and compliance issues in AI-generated outputs.

Preferred

  • CPC, CCS, CHFP, or CRCR certification.
  • Experience with automated billing platforms and RCM technology implementations.
  • Background in multi-specialty physician group, hospital, or health system billing operations.
  • Familiarity with AI tools and comfort evaluating AI-generated billing content.
  • Experience with payer contract interpretation and billing compliance program management.

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.