Remote Claims Examiner — Healthcare Billing & Adjudication
Job Description & How to Apply Below
Cal Optima Health is seeking a diligent Claims Examiner to analyze and validate claim data within our Claims Administration team. You will process non-institutional claims, correct system errors, and adjudicate per contracts and regulations to ensure accurate charges and timely payments.
You will also validate Medi-Cal pricing and eligibility, escalate complex issues, and support ongoing department goals while contributing to a mission-driven culture of service and accountability.
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