Third-Party Claims Processor

Don’t miss this amazing opportunity with one of our best employers in Fresno!

Exciting Opportunity for a Medical Biller / Claims Processor in Fresno, CA!

We are seeking a skilled Medical Biller or Claims Processor to join one of our top employers in Fresno, CA .

This full-time, on-site position runs Monday to Friday from 7 : 00 AM to 4 : 00 PM , offering competitive pay ranging from $18 to $20 per hour, depending on experience.

Ideal Candidate :

The perfect fit for this role has at least 3 years of experience in medical billing or claims processing —especially if that experience includes working with a third-party administrator (TPA) within an insurance company . Prior TPA exposure is highly preferred due to the nature of this employer’s group benefit processing.

Job Requirements :

High School Diploma or GED required

Minimum of 3 years of experience in a computerized medical billing or claims processing environment

Key Responsibilities :

Manage claims across multiple groups with accuracy and speed

Process CMS- and UB-04 claims

Accurately handle high-dollar claims

Work with JAA / BlueCard claims

Interpret group SPD’s and apply benefits appropriately

Perform zero-dollar adjustments and review flagged claims

Maintain accurate reporting and resolve issues via FOGBUGZ

Use tools like the Anthem Blue Cross website for claims verification

Batch and scan correspondence

Track spreadsheets for special projects

Maintain excellent email communication and confidentiality

If you're detail-oriented, passionate about claims or billing, and thrive in a fast-paced environment, apply today and take the next step in your healthcare career!

#INDHP