Remote Healthcare Claims Processor Jobs in California

Join the Future of Healthcare Claims from Your Living Room

Picture this: you’re sipping your favorite coffee, nestled in your home office, seamlessly reviewing healthcare claims while being a vital part of a forward-thinking organization transforming the claims process. That’s the everyday experience awaiting you as our next Remote Healthcare Claims Processor in sunny California—minus the commute, but plus the purpose.

We’re not just processing paperwork—we're streamlining the heartbeat of healthcare. Our team thrives on accuracy, innovation, and a sprinkle of wit to keep the gears turning smoothly. Here, your eye for detail and knack for problem-solving won't just be appreciated; they’ll be celebrated.

Why This Role Stands Out

We’re redefining remote claims processing with a vision rooted in creativity and a culture of innovation. This isn’t your standard behind-the-scenes job—this is your front-row seat to reshaping how healthcare flows across digital pipelines. Each claim you handle is a thread in the larger story of accessible, efficient, and patient-centric care.

Oh, and did we mention we like to have a little fun while we're at it?

What You'll Be Doing (a.k.a. Making Magic Happen)

📌 Daily Responsibilities

• Review, validate, and process healthcare insurance claims with Sherlock Holmes-level attention to detail
• Investigate and resolve claim discrepancies and provide timely resolutions
• Ensure compliance with regulatory standards and claim guidelines
• Collaborate with the billing and coding teams for cross-checking data accuracy
• Utilize claim adjudication systems and electronic medical records (EMRs)
• Communicate clearly and kindly with providers and internal teams to ensure a smooth workflow

🎯 Project-Based Contributions

• Participate in initiatives to optimize claim handling efficiency
• Assist in testing and implementing updated claims systems or software
• Provide feedback to help refine automated claim filters and tools

Work Environment and Culture

🌍 Remote Life, Real Impact

This is a fully remote position, so say goodbye to traffic jams and hello to instant access to your snack drawer. You’ll work alongside a lively, dedicated team of claim specialists, tech innovators, and healthcare strategists—all from the comfort of your own space.

Our remote workplace is collaborative, idea-driven, and powered by an inclusive team culture that thrives on open communication and shared wins.

Tech Tools & Innovations You'll Use

💻 Key Platforms

• Claims adjudication software (we love automation!)
• Electronic Health Records (EHR) platforms
• Internal CRM and task management systems
• Secure remote access environments
• Cloud-based file sharing tools

Our team stays ahead with intuitive tools and evolving technology—because boring isn’t our brand.

Qualifications We’d Love to See

✅ Essential Skills

• 2+ years of experience in healthcare claims processing, insurance claims, or medical billing
• Strong understanding of CPT, ICD-10, and HCPCS coding terminology
• Comfortable navigating various claim processing systems and EHR platforms
• A flair for precision and an allergy to errors
• Excellent time management and independent working abilities

💡 Bonus Superpowers

• Experience working remotely or in telehealth settings
• Understanding of California state healthcare regulations
• Humor, wit, and a team-player attitude that’s contagious

Perks and Benefits That Matter

🎁 Our Gift to You

• Annual salary of $40,493
• Flexible work hours with zero commute
• Access to virtual wellness and mental health programs
• Paid time off and holidays to rest and recharge
• Professional development opportunities and online certifications
• Technology stipend to upgrade your home office setup

How You’ll Grow

We’re not interested in stagnation. From automation initiatives to compliance innovation, there’s always a project waiting for your creativity. You’ll have chances to:

• Influence process improvements
• Contribute to future-facing claims systems
• Be recognized for your contributions, not just your metrics

A Team That Gets You

Expect regular check-ins that are more human than robotic, virtual coffee chats that build community, and brainstorming sessions where no idea is too quirky. You’ll be part of a dynamic environment where fresh perspectives are encouraged—and rewarded.

Ready to Claim This Opportunity?

We’re searching for someone who’s not just looking for a job but seeking a mission. Someone who sees numbers and codes as puzzles to solve, not just data to pass. If you’re organized, creatively curious, and ready to make a real difference in remote healthcare, we want to meet you.

💥 Apply today and start making claims that matter—from wherever you are!