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Trainee Medical Claims Processor Jobs in Riverside, CA

LSMA Management Inc

Claims Examiner

San Bernardino, CA · On-site

$28.85 - $33.65/hr

This role applies plan and contract rules, reimbursement methodologies, and medical billing/coding guidelines to ensure claims are processed accurately, timely, and in compliance with federal and ...

LSMA Management Inc

Claims Examiner

San Bernardino, CA · On-site

$28.85 - $33.65/hr

This role applies plan and contract rules, reimbursement methodologies, and medical billing/coding guidelines to ensure claims are processed accurately, timely, and in compliance with federal and ...

LSMA Management Inc

Claims Examiner

San Bernardino, CA · On-site

$28.85 - $33.65/hr

This role applies plan and contract rules, reimbursement methodologies, and medical billing/coding guidelines to ensure claims are processed accurately, timely, and in compliance with federal and ...

Allstate

Claims Adjuster Trainee

Ontario, CA

$22.84 - $29.57/hr

By proceeding with the application process, applicants acknowledge and accept these licensing ... This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling ...

Progressive

Claims Adjuster Trainee

Irvine, CA

$28.61 - $30.53/hr

... the claims process from start to finish. You'll have the support of a collaborative team and ... Medical, dental & vision, including free preventative care * Wellness & mental health programs

Tmhcc

Associate Bond Claims Attorney

Santa Ana, CA · On-site

$85K - $117K/yr

Following the training period, the Trainee will transition into a full Associate Bond Claims ... Learn about our company, surety bond fundamentals, and claims processes. Understand how bonds are ...

All Care To You

Medical Billing Team Lead

Orange, CA · Remote

$19.50 - $25/hr

Job purpose The Medical Billing Lead serves as a mentor and resource for Billing Coordinators ... processes. The Lead ensures accurate and timely resolution of pending, and unpaid claims by ...

All Care To You

Medical Billing Team Lead

Orange, CA · On-site

$22 - $26/hr

Job purpose The Medical Billing Lead serves as a mentor and resource for Billing Coordinators ... processes. The Lead ensures accurate and timely resolution of pending, and unpaid claims by ...

Corvel

CA Claims Specialist

Rancho Cucamonga, CA · On-site

$25.48 - $41.09/hr

This is a remote position handling future medical claims. Candidates must hold a California self ... process taking into consideration experience, qualifications, and overall fit for the role. The ...

TruArc Health

Medical Biller/AR Specialist

Irvine, CA · On-site

$22 - $25/hr

As a Medical Biller/Specialist, you will play a crucial role in ensuring the accurate and timely processing of medical claims, facilitating efficient reimbursement, and maintaining compliance with ...

Corvel

CA Claims Specialist

Rancho Cucamonga, CA · Remote

$25.48 - $41.09/hr

This is a remote position handling future medical claims. Candidates must hold a California self ... process taking into consideration experience, qualifications, and overall fit for the role. The ...

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All JobsTrainee Medical Claims Processor JobsTrainee Medical Claims Processor Jobs in Riverside, CA

Trainee Medical Claims Processor information

See Riverside, CA salary details

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How much do trainee medical claims processor jobs pay per hour?

As of Jun 12, 2026, the average hourly pay for trainee medical claims processor in Riverside, CA is $20.31, according to ZipRecruiter salary data. Most workers in this role earn between $18.08 and $22.55 per hour, depending on experience, location, and employer.

What are some common challenges faced by Trainee Medical Claims Processors during their initial months on the job?

Trainee Medical Claims Processors often find it challenging to quickly learn the various medical terminologies, insurance codes, and company-specific software required for accurate claims assessment. Adapting to a fast-paced environment, where attention to detail is critical to avoid errors or delays in claim processing, can also be demanding. However, most organizations provide structured training, mentorship from experienced team members, and regular feedback to help new hires build competence and confidence. Collaborating closely with other processors and supervisors is key to overcoming these challenges and ensuring a smooth transition.

What is a Trainee Medical Claims Processor?

A Trainee Medical Claims Processor is an entry-level professional responsible for learning and assisting with the review, evaluation, and processing of medical insurance claims. They verify patient and treatment information, ensure claims are accurate and complete, and follow established guidelines to determine payment eligibility. Trainees typically work under the supervision of experienced processors and receive on-the-job training to understand insurance policies, medical terminology, and relevant regulations. Their role is crucial in helping healthcare providers and patients receive timely payments and resolve any discrepancies in claims.

What are the key skills and qualifications needed to thrive as a Trainee Medical Claims Processor, and why are they important?

To thrive as a Trainee Medical Claims Processor, you need a basic understanding of medical terminology, attention to detail, and at least a high school diploma or equivalent. Familiarity with claims management software, health insurance platforms, and basic office applications is typically required. Strong organizational skills, effective communication, and the ability to handle confidential information with integrity help you excel in this role. These skills ensure accurate claims processing, minimize errors, and contribute to efficient and reliable healthcare reimbursement.

What is the difference between Trainee Medical Claims Processor vs Medical Claims Processor?

AspectTrainee Medical Claims ProcessorMedical Claims Processor
CredentialsOn-the-job training, no formal certification required initiallyTypically requires certification or experience in claims processing
Work EnvironmentTraining environment, supervised tasksIndependent processing, more responsibility
Job ResponsibilitiesAssisting with claims, learning proceduresReviewing, processing, and approving claims

The main difference is that a Trainee Medical Claims Processor is in training and gaining skills, while a Medical Claims Processor has more experience and handles claims independently. Trainees focus on learning procedures, whereas experienced processors manage full claim processing tasks.

What are popular job titles related to Trainee Medical Claims Processor jobs in Riverside, CA? For Trainee Medical Claims Processor jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Trainee Medical Claims Processor jobs in Riverside, CA look for? The top searched job categories for Trainee Medical Claims Processor jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Trainee Medical Claims Processor jobs? Cities near Riverside, CA with the most Trainee Medical Claims Processor job openings:
Trainee Medical Claims Processor jobs near you

Claims Examiner

LSMA Management Inc

San Bernardino, CA • On-site

$28.85 - $33.65/hr

Full-time

Posted 28 days ago

Job description

Job Type
Full-time
Description
JOB SUMMARY
The Claims Examiner is responsible for reviewing, analyzing, and adjudicating medical claims for a management services organization (MSO) supporting medical clinics and Independent Practice Association (IPA) groups. This role applies plan and contract rules, reimbursement methodologies, and medical billing/coding guidelines to ensure claims are processed accurately, timely, and in compliance with federal and California requirements. The Claims Examiner collaborates with Provider Relations/Network, Contracting, Utilization Management, Finance, Member/Patient Services, and Compliance to resolve pended claims, denials, adjustments, and provider disputes while meeting production and quality standards.
Requirements
MINIMUM & PREFERRED QUALIFICATIONS
Education
Minimum: High school diploma or equivalent, or equivalent combination of education and experience.
Experience
Minimum: Two years of healthcare claims processing or claims adjudication experience, including experience interpreting benefits and reimbursement rules. Experience working with claim denials, adjustments, and provider inquiries. Working knowledge of medical billing/coding basics (CPT, HCPCS, ICD-10, revenue codes) and how coding impacts adjudication. Experience using claims systems and/or EDI workflows preferred.
Skills, Knowledge & Abilities
• Knowledge of end-to-end claims lifecycle including intake, edits, adjudication, pricing, payment, denials, adjustments, and recoveries.
• Ability to interpret provider contracts, fee schedules, and reimbursement methodologies (FFS, DRG/APC, capitation, bundled payments).
• Strong analytical and problem-solving skills; able to research discrepancies and determine appropriate resolution.
• Attention to detail and accuracy with ability to meet production, turnaround time, and quality standards.
• Effective written and verbal communication; professional customer service with providers and internal stakeholders.
• Working knowledge of HIPAA transactions (837/835) and claims-related regulatory requirements including prompt pay and dispute resolution.
Proficient with claims systems, Microsoft Office/Google Workspace, and basic reporting tools.
PHYSICAL, MENTAL & ENVIRONMENTAL REQUIREMENTS:
The physical demands described here are represented by those that must be met by an employee to successfully perform the essential functions of this job. Work is primarily performed in an office or hybrid office environment and involves prolonged periods of sitting, computer use, and data review. The role requires sustained concentration, analytical thinking, and attention to detail to ensure claims accuracy and regulatory compliance. Occasional lifting of materials up to approximately 10-20 pounds may be required. The position may require extended work hours or weekend work to meet operational and regulatory deadlines.
PAY RANGE
$28.85 - $33.65 / hourly
Salary Description
$28.85 - $33.65 / hourly

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