Remote Medi-Cal Claims Specialist | Detail-Driven Adjudication
Riverside, Riverside County, California, 92501, USA
Listed on 2026-10-31
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Healthcare
Medical Billing and Coding, Healthcare Administration, Healthcare Compliance
Qualfon is seeking detail-oriented Medi-Cal Claims Processing Specialists to review and resolve suspended claims accurately and efficiently in a home-based setup. Ideal candidates have knowledge of healthcare billing, strong analytical skills, and the ability to apply policies and regulations while ensuring HIPAA compliance.
Responsibilities include verifying eligibility, reviewing records, correcting errors, and applying Medi-Cal guidelines to adjudicate claims within deadlines.
This role is for the Remote Medi-Cal Claims Specialist | Detail-Driven Adjudication role at Qualfon.
If your experience matches this role, we encourage you to apply.
All applications are reviewed carefully by our team.
The position is based in CA, United States.
This opportunity is part of our work in Management & Operations, Sales.
The advertised compensation is 28.000 - 39.000.
This role offers the option to work remotely.
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