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Claim examiner Jobs in Moreno Valley, CA

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Claim examiner • moreno valley ca

Last updated: 6 hours ago

Remote Healthcare Administrative Specialist - AI Trainer ($40-$50 per hour)

MercorMoreno Valley, California, US
$40.00 hourly
Remote
Full-time

About the Role** We're looking for professionals with deep, hands-on experience in the administrative and operational work that keeps healthcare organizations running — the "back office" of a medic... Show more

Attorney | Workers' Compensation Defense | Remote | 148694

Mission RecruitingRedlands, CA, United States
$150,000.00 yearly
Remote
Full-time

Workers' Compensation Defense Attorney.An established California defense and trial practice is seeking a Workers' Compensation Defense Attorney with a minimum of five years of workers' compensation... Show more

Remote Customer Sales Representative

Stratford DavisRiverside, CA, us
Remote
Full-time

We are an accelerating force in the insurance and financial planning sector, celebrated for our drive, supportive atmosphere, and dedication to quality.Honored twice by Entrepreneur Magazine for ou... Show more

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Remote A/R Follow-up Manager - AI Trainer ($75-$75 per hour)

MercorMoreno Valley, California, US
$75.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced A/R Follow-Up Managers to evaluate AI tools designed to automat... Show more

Remote Patient Access Leader - AI Trainer ($80-$80 per hour)

MercorRiverside, California, US
$80.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Patient Access leaders to support the evaluation and improvemen... Show more

Remote Denials Management & Appeals Manager - AI Trainer ($70-$93 per hour)

MercorMoreno Valley, California, US
$70.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Denials Management and Appeals Managers to evaluate AI tools de... Show more

Sr. Manager, Revenue Cycle

Heritage Health NetworkRiverside, CA, us
Full-time

Heritage Health Network is seeking an experienced.Revenue Cycle Management (RCM) operations.Reporting directly to the CEO, you'll oversee billing performance, denial management, accounts receivable... Show more

Multi-Line Representative - State Farm Agent Team Member

Deborah M. Sanders - State Farm AgentRiverside, CA, US
$40,000.00 yearly
Full-time

You May Be a Great Fit as a Multiline Representative at.You’re the person people call first when life goes sideways.You genuinely care about your community.You’re a natural relationship-builder.You... Show more

Remote Healthcare Administrative Specialist - AI Trainer ($40-$50 per hour)

MercorRedlands, California, US
$40.00 hourly
Remote
Full-time

About the Role** We're looking for professionals with deep, hands-on experience in the administrative and operational work that keeps healthcare organizations running — the "back office" of a medic... Show more

Remote Underpayment & Managed-care Contract Specialist - AI Trainer ($85-$85 per hour)

MercorRedlands, California, US
$85.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Underpayment and Managed Care Contract Specialists to evaluate ... Show more

Workers Compensation - Claims Examiner | HYBRID | Riverside, CA

SedgwickRiverside, CA, United States
$80,000.00 yearly
Full-time

Workers Compensation - Claims Examiner | HYBRID | Riverside, CA.By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the ... Show more

Remote Intellectual Property Expert - AI Trainer ($90-$100 per hour)

MercorMoreno Valley, California, US
$90.00 hourly
Remote
Full-time

Role Overview** - Mercor is seeking senior intellectual property professionals to build evaluation tasks for AI systems operating in patent prosecution, licensing, and IP enforcement contexts.The w... Show more

Remote Healthcare Administrative Specialist - AI Trainer ($40-$50 per hour)

MercorRiverside, California, US
$40.00 hourly
Remote
Full-time

About the Role** We're looking for professionals with deep, hands-on experience in the administrative and operational work that keeps healthcare organizations running — the "back office" of a medic... Show more

Commercial Auto Claims Adjuster - REMOTE

Work At Home Vintage ExpertsRiverside, CA, US
$30.00 hourly
Remote
Full-time +2
Quick Apply

Put your Insurance Experience to work – FROM HOME!.Our unique platform provides you with.WHAT YOU’LL LOVE ABOUT WAHVE.We created a welcoming place to work with friendly and professional... Show more

Remote Intellectual Property Expert - AI Trainer ($90-$100 per hour)

MercorRiverside, California, US
$90.00 hourly
Remote
Full-time

Role Overview** - Mercor is seeking senior intellectual property professionals to build evaluation tasks for AI systems operating in patent prosecution, licensing, and IP enforcement contexts.The w... Show more

Collections Specialist - Remote

TradeJobsWorkForce92507 Riverside, CA, US
Remote
Full-time

Collections Specialist Remote Job Duties: • Meet the defined productivity metric of a minimum of 30 daily claim touch... Show more

 • Promoted

Insurance Account Representative - State Farm Agent Team Member

Scott Fowler - State Farm AgentRiverside, CA, US
$41,600.00 yearly
Full-time

State Farm Insurance Agent located in Riverside, CA is seeking an outgoing, career-oriented professional to join their team.As a State Farm team member for Scott Fowler, you will build and develop ... Show more

Safety Director

Albertsons CompanyRiverside, CA, United States
Full-time

Corporate Safety Director: Manufacturing.Are you ready to take the next step in your career? Join us for an exciting opportunity at Albertsons Companies, where innovation and customer service go ha... Show more

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Remote Healthcare Administrative Specialist - AI Trainer ($40-$50 per hour)

Remote Healthcare Administrative Specialist - AI Trainer ($40-$50 per hour)

MercorMoreno Valley, California, US
19 days ago
Salary
$40.00 hourly
Job type
  • Full-time
  • Remote
Job description
  • About the Role We're looking for professionals with deep, hands-on experience in the administrative and operational work that keeps healthcare organizations running — the "back office" of a medical practice, hospital, or health plan. This spans the full administrative lifecycle : getting patients registered and covered, securing authorizations, moving claims through to payment, managing provider and payer relationships, and keeping records and compliance in order. You'll help us understand the precise steps these workflows take in the real tools you use every day. Core Workflows (you should actively own one or more) - Patient Access & Front-End : registration, scheduling, insurance / eligibility verification, benefits interpretation, intake, and referral management - Prior Authorizations & Utilization Support : initiating, submitting, and tracking authorizations through payer portals - Claims & Revenue Cycle : claim submission, status tracking, denials and appeals, A / R follow-up, and resolution of rejections - Remittance & Payment Posting : electronic remittance advice (ERA), payment posting, and reconciliation against clinical charges - Provider & Payer Operations : credentialing, provider enrollment, payer configuration, appeals & grievances, and member / provider services - Health Information & Practice Administration : medical records administration, release of information, and day-to-day practice / office operations Requirements - 3+ years of daily, hands-on experience in a healthcare administrative / back-office role - Direct experience with the systems this work runs on — payer portals (Availity, Optum / Change Healthcare, Waystar, Office Ally, or individual payer hubs like UHC Link, BCBS, Aetna), EHR / practice-management platforms, and / or clearinghouses - Currently working in a healthcare administrative role - Based in the United States Ideal Backgrounds - Practice Administrator / Medical Office Manager - Revenue Cycle Specialist / RCM Analyst - Medical Billing Coordinator / Full-Cycle Biller - Patient Access Lead / Intake / Referral Coordinator - Prior Authorization Specialist - Denials / Claims Resolution Specialist - Credentialing / Provider Enrollment Specialist - Health Plan / Payer Operations (claims, appeals & grievances, provider configuration) - Health Information Management (HIM) / Medical Records administrator Note : We are looking for administrative and operational workflow expertise across healthcare — not medical coding or clinical care roles.