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Remote Healthcare Claims Resolution Specialist

Remote / Online - Candidates ideally in
Orange, Orange County, California, 92613, USA
Listing for: CalOptima
Remote/Work from Home position
Listed on 2026-10-06
Job specializations:
  • Healthcare
    Healthcare Administration, Medical Billing and Coding, Healthcare Compliance, Medical Records
Salary/Wage Range or Industry Benchmark: 54000 - 81000 USD Yearly USD 54000.00 81000.00 YEAR
Job Description & How to Apply Below

Cal Optima is seeking a Claims Resolution Specialist - Covered California to serve as the first line of contact for providers on claims payment questions and issues. The role emphasizes accuracy in documentation and collaboration within the Claims Production team.

The position supports telework with California residency requirements and may require in-office presence in Orange, CA as needed. A strong customer service mindset and healthcare experience are essential.

This posting is for the Remote Healthcare Claims Resolution Specialist role at Cal Optima, based in Orange, CA, United States.

We invite applications for the Remote Healthcare Claims Resolution Specialist position located in Orange, CA, United States.

The following role is for a Remote Healthcare Claims Resolution Specialist with Cal Optima.

Our team is growing, and we are hiring a Remote Healthcare Claims Resolution Specialist in Orange, CA, United States.

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