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Remote Medicare Claims Processing Jobs in Riverside, CA

Corvel

Claims Supervisor

Rancho Cucamonga, CA · Remote

$73K - $113K/yr

This is a remote work arrangement. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Supervises WC claims ... process taking into consideration experience, qualifications, and overall fit for the role. The ...

CorVel Corporation

Claims Supervisor

Rancho Cucamonga, CA · Remote

$73K - $113K/yr

This is a remote work arrangement. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Supervises WC claims ... process taking into consideration experience, qualifications, and overall fit for the role. The ...

Gallagher

Claims Assistant

Corona, CA · Remote

$19.25 - $24.50/hr

Overview This is a remote position based in California, and candidates must reside within the state ... Process indemnity payments, wage statements, and mileage calculations. * Identify and mitigate ...

Corvel

CA Senior Claims Specialist

Rancho Cucamonga, CA · Remote

$29.35 - $47.28/hr

This is a remote position but candidate must reside in California and hold California self ... process taking into consideration experience, qualifications, and overall fit for the role. The ...

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All JobsMedicare Claims Processing JobsRemote Medicare Claims Processing JobsRemote Medicare Claims Processing Jobs in Riverside, CA

Remote Medicare Claims Processing information

See Riverside, CA salary details

$12

$23

$35

How much do remote medicare claims processing jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for remote medicare claims processing in Riverside, CA is $23.30, according to ZipRecruiter salary data. Most workers in this role earn between $19.04 and $26.59 per hour, depending on experience, location, and employer.

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 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 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 popular job titles related to Remote Medicare Claims Processing jobs in Riverside, CA? For Remote Medicare Claims Processing jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Remote Medicare Claims Processing jobs in Riverside, CA look for? The top searched job categories for Remote Medicare Claims Processing jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Remote Medicare Claims Processing jobs? Cities near Riverside, CA 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 Riverside, CA as of August 2026, with employment types broken down into 97% Full Time, and 3% Contract. Highlights an 100% Remote job distribution, with an average salary of $48,472 per year, or $23.3 per hour.

Claims Examiner - Workers Compensation

Apidel Technologies

Ontario, CA • Remote

$33.25 - $45.25/hr

Full-time

Posted 21 days ago

Job description

Duties:
Manager\'s note:
Remote in CA.
Experience - min 3 years of experience is needed. Public entity and County of Los Angeles Experience is a plus.
SIP is mandatory.
Shift timings: 8:00 4:30
Primary Purpose:
To analyze complex or technically difficult workers\' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
Essential Functions And Responsibilities
Analyzes and processes complex or technically difficult workers\' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
Negotiates settlement of claims within designated authority.
Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level.
Prepares necessary state fillings within statutory limits.
Manages the litigation process; ensures timely and cost effective claims resolution.
Coordinates vendor referrals for additional investigation and/or litigation management.
Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.
Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner.
Communicates claim activity and processing with the claimant and the client; maintains professional client relationships.
Ensures claim files are properly documented and claims coding is correct.
Refers cases as appropriate to supervisor and management.
Additional Functions And Responsibilities
Performs other duties as assigned.
Supports the organization\'s quality program(s).
Travels as required.
Skills:
Qualification
Education & Licensing
Bachelor\'s degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.
Experience
Five (5) years of claims management experience or equivalent combination of education and experience required.
Skills & Knowledge
Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.
Excellent oral and written communication, including presentation skills
PC literate, including Microsoft Office products
Analytical and interpretive skills
Strong organizational skills
Good interpersonal skills
Excellent negotiation skills
Ability to work in a team environment
Ability to meet or exceed Service Expectations
Work Environment
When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental:
Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
Physical:
Computer keyboarding, travel as required
Auditory/Visual:
Hearing, vision and talking

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About Apidel Technologies

Sourced by ZipRecruiter

We understand that attracting, qualifying, placing, and retaining the best candidates for our clients requires exceptional talent. That’s why our highly skilled and dedicated recruitment team works tirelessly to develop lifelong associations with all candidates and clients. We prioritize helping our employees achieve their career goals while providing effective staffing solutions to our clients and candidates. At Apidel, we believe in simple yet established core values that are ingrained within each member of our team. These values are time and again illustrated in our approach to employees, candidates, and clients. Our unwavering belief that our core values of integrity, client satisfaction, innovation, and intellect distinguish us from our competitors is what drives us forward. We remain focused on improving and sustaining a measurable client satisfaction program that has created an organizational culture where our associates provide world-class service every day.

Industry

Recruiting and staffing services

Company size

501 - 1,000 Employees

Headquarters location

Plainfield, IL, US

Year founded

2012

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