Claims Processor

Claims Examiner I (Remote After Training)

Training Location: Fresno, CA (Onsite for approximately 2 weeks)

Work Arrangement: Fully Remote After Training & Production Readiness

⏰ Schedule: Monday–Friday, 6:30 AM – 3:30 PM

Looking to Launch Your Career in Healthcare Administration?

Have you recently earned your certification and are looking for an opportunity to get your foot in the door?

We're seeking an enthusiastic, detail-oriented Claims Examiner I to join our growing team. This is an excellent opportunity for someone eager to apply their billing and coding knowledge in a professional healthcare environment. While prior claims processing experience is welcome, it is not required. We are willing to train motivated individuals who have a strong foundation in medical billing and coding and a desire to learn.

After completing training and meeting production standards, you'll transition to a fully remote position.

What You'll Do

As a Claims Examiner I, you'll learn how to:

• Review and process medical, dental, and vision claims
• Analyze claim information for accuracy and completeness
• Verify member eligibility, benefits, and prior authorizations
• Research claim discrepancies and determine appropriate next steps
• Calculate benefits and adjudicate claims according to plan guidelines
• Communicate with healthcare providers to obtain necessary documentation
• Process claim adjustments and corrections
• Maintain HIPAA compliance and protect confidential information
• Meet quality and productivity standards while developing your healthcare claims expertise

What We're Looking For

Required Qualifications

• High school diploma or equivalent
• Medical Billing & Coding Certification (required)
• Basic understanding of medical terminology
• Familiarity with ICD-10, CPT, and HCPCS codes
• Strong attention to detail and analytical skills
• Excellent written and verbal communication skills
• Proficiency with Microsoft Office programs, including Outlook, Word, and Excel
• Typing speed of approximately 40 WPM and strong data entry skills
• Ability to learn quickly, adapt to new processes, and work independently in a remote environment

Preferred Qualifications

• Graduate of a Medical Billing & Coding program
• Internship, externship, classroom training, or hands-on experience related to medical billing, coding, healthcare administration, or revenue cycle operations
• Familiarity with UB-04 and CMS-1500 (HCFA) claim forms
• Healthcare customer service, administrative, or clerical experience

No prior claims adjudication experience required. We welcome candidates looking to start their career in healthcare and provide training to help you succeed.

This is a Contract position based out of Fresno, CA.

The pay range for this position is $20.00 - $22.00/hr.

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)

This is a fully remote position.

This position is anticipated to close on Aug 10, 2026.

About TEKsystems

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.

About TEKsystems and TEKsystems Global Services

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, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

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

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.