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Insperity

Medical Claims Examiner

Los Angeles, CA · On-site +1

$20 - $25/hr

... 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 ...

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Medical Claims Examiner

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$20 - $25/hr

Description & Requirements Medical Claims Examiner Local Remote or In-Office Join a team where your attention to detail and commitment to quality care make a difference. Thrifty Management Services ...

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What is the difference between Remote Thrifty vs Remote Budget Analyst?

AspectRemote ThriftyRemote Budget Analyst
Required CredentialsBasic financial knowledge, possibly some certificationsDegree in finance, accounting, or related field; often certifications like CBA
Work EnvironmentRemote, flexible hours, cost-conscious tasksRemote or office-based, analytical and reporting focus
Employer & Industry UsageRetail, small business, personal financeCorporations, government agencies, large organizations
Search & Comparison IntentCost-saving, budgeting, personal financeFinancial planning, budget management, analysis

Remote Thrifty typically involves basic budgeting and cost-saving tasks, often in retail or small business contexts, requiring minimal certifications. Remote Budget Analysts handle detailed financial analysis and planning for larger organizations, often requiring a degree and certifications. Both roles are remote-friendly but differ in complexity and industry focus.

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Medical Claims Examiner

Medical Claims Examiner

Insperity

Los Angeles, CA • On-site, Remote

$20 - $25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago

New

Insperity rating

7.8

Company rating: 7.8 out of 10

Based on 32 frontline employees who took The Breakroom Quiz

129th of 449 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
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 $20-$25 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.

What Insperity employees say

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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.

Company size

1,001 - 5,000 Employees

Headquarters location

Houston, TX, US

Year founded

1986

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