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Remote Medicare Claims Processing Jobs in California

Insperity

Medical Claims Examiner

Los Angeles, CA · 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.

Insperity

Director of Claims- Healthcare

Chatsworth, CA · On-site +1

$130K - $160K/yr

Paid time off, flexible schedule, and remote work one day per week Plus, we work to maintain the ... Strong knowledge of Medicare and Medi-Cal managed care claims processing, reimbursement ...

LIBERTY DENTAL

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 ...

Medix

$23/hr

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 ...

WellPsyche

Claims Follow-Up Lead-CA

Los Angeles, CA · Remote

$25 - $30/hr

Medicare (Part B & Advantage) * VA Community Care (TriWest / Optum) * Submit appeals and corrected ... in a remote setting * Comfortable in a startup environment with evolving processes WORKING ...

WellPsyche

Claims Follow-Up Lead-CA

Los Angeles, CA · On-site +1

$25 - $30/hr

Medicare (Part B & Advantage) * VA Community Care (TriWest / Optum) * Submit appeals and corrected ... in a remote setting * Comfortable in a startup environment with evolving processes WORKING ...

Allcat Claims Service

Claims Examiner

Los Angeles, CA · On-site +1

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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All JobsMedicare Claims Processing JobsRemote Medicare Claims Processing JobsRemote Medicare Claims Processing Jobs in California

Remote Medicare Claims Processing information

What is remote Medicare claims processing?

Remote Medicare claims processing involves reviewing, verifying, and submitting medical claims to Medicare from a location outside of a traditional office, often from home. Professionals in this role ensure that healthcare providers are reimbursed for services rendered to Medicare patients by checking claims for accuracy, compliance, and eligibility. They use specialized software to process electronic and paper claims, resolve discrepancies, and follow up on denied or delayed payments. This job requires knowledge of Medicare regulations, coding, and strong attention to detail. Remote work allows for flexible scheduling but also demands self-discipline and secure handling of sensitive patient data.

What are the key skills and qualifications needed to thrive as a remote Medicare claims processor?

To thrive as a Remote Medicare Claims Processor, you need strong attention to detail, knowledge of medical billing and coding, and a solid understanding of Medicare regulations, often supported by a relevant certification like CPC or CCA. Familiarity with claims processing software, electronic health record (EHR) systems, and Medicare-specific platforms such as the Fiscal Intermediary Standard System (FISS) is typically required. Strong organizational skills, effective written communication, and problem-solving abilities help you excel in remote work environments. These skills ensure timely and accurate claims processing, minimize errors, and support compliance with complex healthcare regulations.

What are some common challenges faced by remote Medicare claims processors and how can they be managed?

One common challenge for remote Medicare claims processors is staying up-to-date with frequent changes in Medicare regulations and billing codes. Additionally, working remotely can make it harder to quickly clarify complex cases with colleagues or supervisors. To manage these challenges, it's important to participate in regular training sessions, utilize internal communication platforms for collaboration, and maintain organized documentation. Employers often provide digital resources and support channels to help remote processors stay connected and informed.

What is the difference between Remote Medicare Claims Processing vs Remote Medical Billing Specialist?

AspectRemote Medicare Claims ProcessingRemote Medical Billing Specialist
CertificationsCPAR, CPC, or similarCPB, CPC, or similar
Work EnvironmentHealthcare insurance, government programsHealthcare providers, clinics, hospitals
Job FocusSubmitting and managing Medicare claimsBilling for various medical services and insurance

Remote Medicare Claims Processing involves handling claims specifically for Medicare, focusing on government regulations and Medicare-specific procedures. Remote Medical Billing Specialists manage billing for a variety of insurance types and healthcare providers. While both roles require similar certifications and work remotely in healthcare settings, Medicare Claims Processing is specialized in government insurance claims, whereas Medical Billing covers broader insurance billing tasks.

What are the most commonly searched types of Medicare Claims Processing jobs in California?

The most popular types of Medicare Claims Processing jobs in California are:

What are popular job titles related to Remote Medicare Claims Processing jobs in California?

For Remote Medicare Claims Processing jobs in California, the most frequently searched job titles are:

What job categories do people searching Remote Medicare Claims Processing jobs in California look for?

The top searched job categories for Remote Medicare Claims Processing jobs in California are:

What cities in California are hiring for Remote Medicare Claims Processing jobs?

Cities in California with the most Remote Medicare Claims Processing job openings:

Remote Medicare Claims Processing jobs near you
Infographic showing various Remote Medicare Claims Processing job openings in California as of August 2026, with employment types broken down into 88% Full Time, 8% Part Time, and 4% Contract. Highlights an 100% Remote job distribution.

Medical Claims Examiner

Insperity

Los Angeles, CA • On-site, Remote

$24 - $30/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 2 days ago

Key responsibilities

  • Adjudicate CMS 1500 and UB-04 claims accurately and in a timely manner, ensuring compliance with Medicare and Medi-Cal guidelines.

  • Review and analyze claims involving CPT-4, ICD-10-CM, RBRVS, ASA, and HCPCS codes, applying appropriate policies and procedures.

  • Determine benefits, co-payments, and financial responsibility divisions, and review claims based on adjudication processes and NCCI rules.

Insperity rating

7.4

Company rating: 7.4 out of 10

Based on 35 frontline employees who took The Breakroom Quiz

223rd of 500 rated business services

Job description

General information
Client / Corporate
Client
Work Mode
Hybrid
Name
Medical Claims Examiner
Job ID
21986
City
Chatsworth (Local Remote)
Published date
07-Jul-2026
State
California
Country
United States
Zip Code
91311
Description & Requirements
Medical Claims Examiner- Chatsworth
Local Remote or In-Office
Join a team where your attention to detail and commitment to quality care make a difference. Thrifty Management Services, the dedicated MSO for Preferred IPA of California, seeks a skilled and compassionate Medical Claims Examiner to help us deliver exceptional healthcare support. In this role, you will be responsible for the accurate and timely adjudication of CMS 1500 and UB-04 claims, ensuring compliance with Medicare and Medi-Cal guidelines. At Thrifty, we pride ourselves on our people-first culture that values teamwork, compassion, and work-life balance. If you're passionate about improving healthcare, we'd love to meet you.
Best-in-Class Benefits and Culture:
We value our employees' time and efforts. Our commitment to your success is enhanced by competitive compensation of $24-$30 per hour, depending on experience, and an extensive benefits package including:
  • Comprehensive health coverage: Medical, dental, and vision insurance provided
  • Robust retirement planning: 401(k) plan available with employer matching
  • Financial security: Life and disability insurance for added protection
  • Flexible financial options: Health savings and flexible spending accounts offered
  • Well-being and work-life balance: Paid time off, flexible schedule, and remote work choices provided

Plus, we work to maintain the best environment for our employees, where people can learn and grow with the company. We strive to provide a collaborative, creative environment where everyone feels encouraged to contribute to our processes, decisions, planning, and culture.
To thrive as the Medical Claims Examiner, you should have:
  • Minimum of 2 years of medical claims payment experience in an HMO environment (i.e., MSO, IPA, or health plan)
  • Solid knowledge of Medicare and Medi-Cal managed care claims processing and compliance guidelines.
  • Experience with CPT-4, ICD-10-CM, RBRVS, ASA, and HCPCS, as well as an in-depth understanding of Medicare and Medi-Cal guidelines that apply to COB and Medicare Secondary Payer.
  • Extensive familiarity and experience in planning benefit and co-payment determination, division of financial responsibility determination, claims policies and procedures, adjudication processes, and claim review and analysis involving NCCI rules.
  • Extensive working knowledge of reimbursement methodologies for professional claims, including injectable drugs.

Ready to make your mark in healthcare?
Step into a pivotal role where your precision powers patient care! Thrifty Management Services is searching for passionate Claims Examiners who thrive on accuracy, efficiency, and impact. This is your moment if you're driven to ensure timely and accurate claims processing while supporting a people-first mission. Apply now and help us transform lives-one claim at a time!
We are an equal opportunity employer that welcomes and encourages diversity in the workplace. We do not discriminate based on race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.
Qualified applicants with arrest or conviction records will be considered for employment with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

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About Insperity

Sourced by ZipRecruiter

Take care of your people Insperity has a long history of improving the success equation of small and midsize businesses across the country – because when businesses succeed, communities prosper. And in today’s changing business environment, it’s our privilege to take care of an organization’s most valuable asset: its people.

Industry

Software development

Company size

1,001 - 5,000 Employees

Headquarters location

Houston, TX, US

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