Job Summary
We are seeking a Remote Med Insurance Claims Rep for California Residents this is a busy managed care healthcare environment. This role is ideal for a detail-oriented medical claims professional with payer-side insurance experience who understands claims review, denials, coding guidelines, provider follow-up, and accurate documentation.
This opportunity offers the ability to work remotely while staying connected to a supportive team focused on accuracy, service, and timely claims resolution. Candidates who enjoy independent work, steady workflow, clear expectations, and a collaborative healthcare setting will find this role rewarding. The temp-to-hire path also provides the potential for long-term career growth with an organization that values teamwork, accountability, and quality service.
Key Responsibilities
- Review, research, and resolve medical insurance claims in accordance with internal procedures and payer guidelines.
- Follow up with providers regarding claim discrepancies, denials, missing information, and resolution status.
- Research coding issues related to ICD-10, CPT, billing accuracy, and medical claim requirements.
- Partner with billing, coding, and claims teams to identify, correct, and prevent claim issues.
- Document claim activity, follow-up actions, and resolution details accurately in internal systems.
- Maintain productivity, accuracy, and confidentiality in a remote claims processing environment.
Compensation and Benefits
- Pay range: $20.00 to $23.00 per hour.
- Work arrangement: Remote.
- Location: Bakersfield, CA.
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Candidates must live in California.- Must have Windows 11 available to start.Equal Opportunity Employer / Disabled / Protected Veterans
The Know Your Rights poster is available here:
https://www.eeoc.gov/sites/default/files/2023-06/22-
088_EEOC_KnowYourRights6.12.pdfThe pay transparency policy is available here:
https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-
transp_%20English_formattedESQA508c.pdfFor temporary assignments lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.
We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.
AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.
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verify.uscis.gov/web/media/resourcesContents/E-
Verify_Participation_Poster_ES.pdfWe also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
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This company offers growth and a great group of people to work with.