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Remote Medicare Claims Processing Jobs in Riverside, CA

Qodoro Global LLC

Accounting Manager

Irvine, CA · Remote

Primarily Remote - Onsite one week per quarter Employment Type: Full-Time / Direct Hire Industry ... Oversee month-end and year-end close processes * Manage accounts payable/receivable, cash receipts ...

Liberty Mutual

Associate Staff Attorney

Orange, CA · On-site +1

  • Retirement

Description This role is primarily remote in the state of California. At Liberty Mutual, we're ... claims professionals, and senior attorneys. * Organized, process-oriented with strong time ...

Liberty Mutual

Associate Staff Attorney

Ontario, CA · On-site +1

  • Retirement

Description This role is primarily remote in the state of California. At Liberty Mutual, we're ... claims professionals, and senior attorneys. * Organized, process-oriented with strong time ...

Liberty Mutual

Associate Staff Attorney

Ontario, CA · On-site +1

  • Retirement

Description This role is primarily remote in the state of California. At Liberty Mutual, we're ... claims professionals, and senior attorneys. * Organized, process-oriented with strong time ...

Liberty Mutual

Associate Staff Attorney

Orange, CA · On-site +1

  • Retirement

Description This role is primarily remote in the state of California. At Liberty Mutual, we're ... claims professionals, and senior attorneys. * Organized, process-oriented with strong time ...

Liberty Mutual

Associate Staff Attorney

Ontario, CA · On-site +1

  • Retirement

Description This role is primarily remote in the state of California except for required ... claims professionals, and senior attorneys. * Organized, process-oriented with strong time ...

Liberty Mutual

Associate Staff Attorney

Ontario, CA · On-site +1

  • Retirement

Description This role is primarily remote in the state of California except for required ... claims professionals, and senior attorneys. * Organized, process-oriented with strong time ...

Liberty Mutual

Associate Staff Attorney

Orange, CA · On-site +1

  • Retirement

Description This role is primarily remote in the state of California except for required ... claims professionals, and senior attorneys. * Organized, process-oriented with strong time ...

Liberty Mutual

Associate Staff Attorney

Orange, CA · On-site +1

  • Retirement

Description This role is primarily remote in the state of California except for required ... claims professionals, and senior attorneys. * Organized, process-oriented with strong time ...

Qcells

Director of EPC Warranties

Irvine, CA · On-site +1

  • Medical

  • Dental

Hybrid/Remote DIRECTOR OF EPC WARRANTIES Hanwha Qcells USA Corp (Qcells USA), headquartered in ... Lead the design, development, and continuous improvement of processes to track warranty claims and ...

Liberty Dental Plan Careers

Senior Staff Dentist

Tustin, CA · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... Medicare Advantage, and Medicaid populations--particularly within California Medicaid (Medi-Cal ... Review dental claims, referrals, and prior authorization requests to ensure medical necessity and ...

LIBERTY DENTAL

Senior Staff Dentist

Tustin, CA · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... Medicare Advantage, and Medicaid populations-particularly within California Medicaid (Medi-Cal ... Review dental claims, referrals, and prior authorization requests to ensure medical necessity and ...

Liberty Mutual

Staff Attorney

Ontario, CA · On-site +1

  • Retirement

Description This role is primarily remote in the state of California except for required ... Independently manage all phases of litigation involving claims of moderate to heavy value (up to ...

Liberty Mutual

Staff Attorney

Ontario, CA · On-site +1

  • Retirement

Description This role is primarily remote in the state of California except for required ... Independently manage all phases of litigation involving claims of moderate to heavy value (up to ...

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Showing results 41-60

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 13, 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 1% As Needed, 78% Full Time, 14% Part Time, 1% Temporary, 5% Contract, and 1% Nights. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $48,472 per year, or $23.3 per hour.

Remote Case Management RN - California License

Vivo HealthStaff

San Bernardino, CA • On-site, Remote

$43 - $48/hr

Contractor

Re-posted 29 days ago

Job description

Vivo HealthStaff is actively recruiting for a fully remote Case Manager position. This temporary 3-month contract role, with an option to extend, and focuses on health care management and coordination for members with complex and chronic care needs. Utilizing the nursing process, the Case Manager will interact effectively with members, caregivers, and interdisciplinary team participants, all while working remotely.
Job Description:
- Care Coordination: Serve as a remote resource for the member, their family, and their physician, ensuring access to appropriate care and facilitating referrals/authorizations.
- Comprehensive Assessments: Conduct thorough remote assessments, evaluating the member's health status, resource utilization, and treatment plans.
- Care Plan Implementation: Collaborate remotely with the member, PCP, and care team to implement a care plan, interfacing with various healthcare professionals.
- Education and Support: Provide remote education and self-management support tailored to the member's unique learning style.
- Problem Solving: Assist in resolving issues with providers, claims, or services from a remote setting.
- Care Coordination Efficiency: Work closely with delegated or contracted providers to ensure effective care coordination, remotely.
- Compliance: Maintain confidentiality of all PHI in compliance with state and federal law and company policy, while working remotely.
Supervisory Responsibilities:
- None.
Minimum Requirements:
Experience:
- 1-3 years of clinical experience, with 2 or more years in case management.
- Health Plan experience preferred.
Education/Licensure:
- Active, valid, and unrestricted California RN license.
Other Skills:
- Understanding of community resources, treatment options, home health, funding options, and special programs.
- Extensive knowledge of chronic condition management.
- Bilingual in Spanish preferred.
- Excellent verbal and written communication skills.
- Team player with effective relationship-building skills.
- Ability to work independently in a remote setting.
- Experience using standardized clinical guidelines.
- Strong organizational skills.
- Proficiency in PC-based software programs, including Word, Excel, and PowerPoint.
Vivo HealthStaff is a healthcare staffing and recruitment firm based in the San Francisco Bay Area, providing permanent and temporary opportunities to organizations across the United States.
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About Vivo HealthStaff

Sourced by ZipRecruiter

Vivo HealthStaff provides permanent recruitment services for both clinical and administrative positions in the healthcare sector. Over the past 2 years, our clients have seen a 98% retention rate with Vivo HealthStaff placements.

Industry

Health care and social assistance

Company size

11 - 50 Employees

Headquarters location

Dublin, CA, US

Year founded

2016

Social media

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