Medicare Claims Examiner

HIRING URGENTLY - Medicare Claims Examiner - 100% REMOTE

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Are you a Medicare Claims Examiner with strong D‑SNP claims experience looking for your next opportunity? We are actively hiring and looking for experienced professionals who know the ins and outs of Dual Eligible Special Needs Plan (D‑SNP) claims processing and can hit the ground running.

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• Review, research, price, and process Medicare claims
• Investigate and resolve pended D‑SNP claims
• Review audit reports and ensure timely resolution
• Apply Medicare and Medi‑Cal guidelines accurately
• Maintain compliance with regulatory requirements
• Work with both paper and electronic claims
• Support continuous process improvement initiatives

• 3+ years of Claims Examiner experience
• Hands‑on D‑SNP claims experience
• Strong understanding of dual eligible claims processing (Medicare & Medi‑Cal)
• Experience working in a high‑volume claims environment
• Excellent attention to detail
• Strong written and verbal communication skills
• High school diploma or equivalent

• QNXT experience
• Medical terminology knowledge
• Coding experience (CPT, HCFA, medical claims)

• 100% Remote
• Join a growing healthcare organization
• Work with a specialized Medicare population
• Be part of a team that values quality, accuracy, and expertise
• Opportunity to make an immediate impact using your D‑SNP knowledge

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Job Type & Location

This is a Contract position based out of Los Angeles, CA.

Pay and Benefits

The pay range for this position is $28.50 - $30.50/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job‑related factors.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan Pre‑tax and Roth post‑tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long‑term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully remote position.

Final date to receive applications

This position is anticipated to close on Oct 7, 2026.

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full‑Stack Technology Services, Talent Services, and real‑world application, we work with progressive leaders to drive change.

That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America,…