Job ID: 1796889
Reference Code: YV-Remote-Med Insurance Claims Rep
Job Summary
We are seeking a Remote Med Insurance Claims Rep for California Residents this is a busy managed care healthcare environment. This role is ideal for a detail-oriented medical claims professional with payer-side insurance experience who understands claims review, denials, coding guidelines, provider follow-up, and accurate documentation.
This opportunity offers the ability to work remotely while staying connected to a supportive team focused on accuracy, service, and timely claims resolution. Candidates who enjoy independent work, steady workflow, clear expectations, and a collaborative healthcare setting will find this role rewarding. The temp-to-hire path also provides the potential for long-term career growth with an organization that values teamwork, accountability, and quality service.
Key Responsibilities
- Review, research, and resolve medical insurance claims in accordance with internal procedures and payer guidelines.
- Follow up with providers regarding claim discrepancies, denials, missing information, and resolution status.
- Research coding issues related to ICD-10, CPT, billing accuracy, and medical claim requirements.
- Partner with billing, coding, and claims teams to identify, correct, and prevent claim issues.
- Document claim activity, follow-up actions, and resolution details accurately in internal systems.
- Maintain productivity, accuracy, and confidentiality in a remote claims processing environment.
Compensation and Benefits
- Pay range: $20.00 to $23.00 per hour.
- Work arrangement: Remote.
- Location: Bakersfield, CA.- Candidates must live in California.
- Must have Windows 11 available to start.
Required Qualifications and Skills
- Review and resolve medical insurance claims in a managed care healthcare environment.
- Research claim denials, discrepancies, coding issues, and billing accuracy concerns.
- Communicate with providers and internal teams to support timely claims resolution.
- Accurately document claim activity and follow-up details in internal systems.
- 1 to 2 years of relevant medical insurance claims processing experience.
- Strong payer-side medical insurance claims experience required.
- Working knowledge of claims review, denials, ICD-10, CPT, coding guidelines, and billing requirements.
- Ability to research, analyze, and resolve claim issues with strong attention to detail.
- Strong written and verbal communication skills for provider follow-up and internal coordination.
- Ability to work independently in a remote environment while meeting productivity and accuracy expectations.
- High level of confidentiality, professionalism, and reliability.
- Must be located in California and have Windows 11 available to start.
Preferred Qualifications
- Experience in a managed care or healthcare services environment.
- Previous remote claims processing experience.
- Familiarity with internal claims systems, provider portals, or healthcare billing platforms.
- Strong problem-solving skills and the ability to manage a steady claims workload.