Remote CA Provider Specialist Medi-Cal Claims & Enrollment
Gainwell Technologies
Gainwell Technologies in California is hiring an Out-of-State Provider Specialist to support Medi-Cal by reviewing out-of-state claims and coordinating enrollment for providers. This 100% remote, full-time role requires strong analytical skills and familiarity with Medicaid operations.
You will work with DHCS and internal teams to ensure accurate processing, documentation, and timely responses to inquiries.
#J-18808-Ljbffr- Gainwell Technologies is hiring for an Out-of-State Provider Specialist - Onsite - West Sacramento, CA. The role supports California's Medi-Cal program by reviewing out-of-state claims, coordinating provider enrollment, and ensuring accurate processing in line with...Claims
- ...Gainwell Technologies LLC is seeking an Out-of-State Provider Specialist – Remote California to support California's Medi-Cal program. You will review out-of-state healthcare claims, coordinate provider enrollment activities, and ensure accurate processing per program...Remote workClaimsWork at office
- Gainwell Technologies is hiring for an Out-of-State Provider Specialist - Remote California. You will review OOS claims for Medi-Cal, coordinate enrollment activities for providers, and ensure accurate processing per program requirements. The role is 100% remote, requires...Remote jobClaims
- Gainwell Technologies LLC seeks an Out-of-State Provider Specialist - Remote California to support California's Medi-Cal program by reviewing out-of-state claims, coordinating provider enrollment, and ensuring accurate processing. This full-time, 100% remote role requires...Remote jobClaimsFull time
$35.9k - $51.3k
...Location: West Sacramento, CA, US, 95605-1630 Great... ...seeking an experienced Medi-Cal Conlan Team Lead to... ...In this role, you will provide day-to-day guidance and... ...Conlan member reimbursement claims. You will serve as a... ...position that is primarily remote with occasional in-...Remote workClaimsFull timeWork at officeFlexible hours- Gainwell Technologies is seeking a Provider Field Representative Lead to provide functional... ...complex inquiries, billing support, and claims research. The role emphasizes guidance, education... ...across internal and client teams in a remote California setting. The position requires...Remote jobClaims
- ...Seeking a remote full-time Provider Enrollment Specialist, the successful candidate will be responsible for the timely completion of complex government and... ...and effectively communicating credentialing-related claims issues. Key responsibilities Complete complex government...Remote workClaimsFull time
- ...of Innovators, Collaborators and Doers. We’re seeking a remote Provider Enrollment Specialist to join us. This is a remote position. What you'll do: Responsible... ...Proficiently communicate credentialing related claims issues to client service managers, clients and providers...Remote workClaims
$21 - $25 per hour
...Provider Enrollment Specialist Fully Remote • Work from Home - Richardson, TX 75082 Overview Salary Range $21.00 - $25.00 Hourly Position Type Full... ...departments to resolve enrollment issues, prevent claim delays, and support uninterrupted reimbursement. Strong...Remote workClaimsHourly payFull timeContract workWork at officeWork from homeShift work$22.12 - $27.93 per hour
...lasting impact. As the Medi-Cal Specialist, you’ll help bring... ...closely with Finance, Enrollment, and Outreach. The ideal... ...Connect families to help: Provides community resources to... ...Ready to drive: Valid CA driver’s license,... ...work: Hybrid across home/remote, clinic, and community...Remote workTemporary workWork at officeLocal areaMonday to Friday$70k - $75k
...development. Summary As an Out-of-State Provider Specialist - Remote California at Gainwell, you will support California's Medi-Cal program by reviewing out-of-state healthcare claims, coordinating provider enrollment activities, and ensuring accurate processing in...Remote workClaimsFull timeWork at officeFlexible hours$24 - $26 per hour
...smarter for everyone. TAG provides a comprehensive suite of... ...team as a Provider Enrollment Specialist , which will be based remotely. The Provider Enrollment... ...resolve out of network claims issues by investigating... ...privacy policy here: View CA Privacy Policy R2026-011...Remote workClaimsHourly payContract workTemporary workWork at office$33.28k - $37.44k
...and career development. Summary Provider Enrollment Specialists work as the enrollment liaison... ...expect in this role This is a 100% remote position with 8-hour shifts scheduled... ...and operational standards. Utilize claims systems, reporting tools, and operational...Remote workClaimsFull timeWork at officeMonday to FridayFlexible hoursShift work$58.53k - $87.8k
...Working at Alignment Health provides an opportunity to do work... ...Provider Engagement Specialist to join the Provider Engagement... ...the Tulare / Kern / Kings, CA market. In this field-remote role, you will build... ...UM, prior authorization, claims, encounter data, eligibility...Remote jobClaimsMonday to FridayAfternoon shiftEarly shift$81k - $115.7k
...Medi-Cal Contact Center Manager - Hybrid - West Sacramento, CA Great companies need great teams to propel their operations.... ...Knowledgeable about health care claims processing, explanation of benefits... ...Sacramento area. Primarily remote with the ability to report onsite...Remote workClaimsFull timeFlexible hours$100k
Remote, Nationwide - Seeking Provider Enrollment Specialist Everybody Has A Role To Play In Transforming Healthcare At Vituity you are part of a larger team that... ...billing processes, including timely filing and claims denial reasons Proficient in Microsoft Office Suite...Remote jobClaimsDaily paidFull timeContract workPart timeWork experience placementWork at officeLocal areaFlexible hours- ...Technologies is seeking an experienced Provider Field Representative to... ...California as part of Medi‑Cal. You will be the primary contact... ...delivering education, researching claims, and helping providers... ...willing to travel; the role is remote and field-based, with regular...Remote workClaims
- ...Blue Shield of CA is seeking an Experienced Provider Relations Representative to support provider participation and engagement for the CalAIM program... ...and hospitals to deliver coordinated, high-quality Medi-Cal care while advancing health equity goals. #J-18808-Ljbffr...
$18 per hour
...Fortuna is hiring a full-time Medi-Cal Call Center Agent to support members in a high-volume inbound... ...phone-based role, with training delivered remotely for four weeks and a requirement to reside within 30 miles of Sacramento, CA. A 30 WPM typing test with 95% accuracy is...Remote workHourly payFull time- ...Spring Health is seeking an Enrollment Specialist to manage clinician enrollment with health... ...plan rosters. The role is fully remote and reports to Enrollment Manager... ...Credentialing, Onboarding, and Claims teams to ensure accurate provider enrollment and timely payments....Remote workClaims
- ...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...Remote workClaimsWork from home
$70k - $75k
...seeking an experienced Provider Field... ...part of California’s Medi-Cal program. In this role... ...education, research claims and billing issues... ...payment, provider enrollment, or other provider... ...this role This is a remote, field-based... ...Must have a valid CA driver license, with...Remote workClaimsFull timeWork from homeFlexible hoursNight shift$23 per hour
Job Description Job Description Provider Enrollment Specialist Position Overview BetterHelp is seeking detail... ...position based out of Mountain View, CA. Pay and Benefits The pay range for... ...) Workplace Type This is a fully remote position. Application Deadline This position...Remote jobContract workTemporary work- ...established HIPAA regulations the Enrollment Specialist performs enrollment core... ..., Finance/Underwriting, Claims, Customer Care, as well as interact... ...inventory areas. Attends provided/necessary training to... ...There may be opportunity for remote work within all jobs posted...Remote workClaimsWork experience placementWork at officeWork from homeHome office
- .... San Francisco, CA. Description San... ...Correctional Health to provide coding for CalAIM... ...individuals to enroll in Medi-Cal and receive... ...in San Mateo with remote options. The ideal... ...tracking and submitting claims related to... ...Certified Coding Specialist (CCS) issued by the...Remote workClaimsWork at office
$120k - $125k
...team. While this is a remote position not located at... ...Medtronic as an Affera Mapping Specialist and be at the forefront... ...duties may be assigned.Provide clinical and technical... ...for mapping and other CA Solutions products.... ...a suspicious message claiming to be from Medtronic, do...Remote workClaimsFull timeWork experience placementH1bWork at officeLocal areaImmediate startWorldwideFlexible hoursNight shift- ...Consultant I to review Treatment Authorization Requests (TARs) and medical records for Medi-Cal beneficiaries. Under the supervision of the Medical Consultant II, you will provide medical adjudication support to field offices and headquarters nursing staff. This role...Remote work
- ...member outreach, engagement and enrollment. How You'll Contribute... ...Renalogic clinical programs, which provide no-cost health education,... .... As needed, complete claims and pre-certification reviews... ...or product to a consumer. Remote work experience is required....Remote workClaimsTemporary workWork experience placementFlexible hoursNight shiftWeekend workAfternoon shift
- ...Gainwell Technologies is seeking an experienced Claims Suspense Team Lead to support California's Medi-Cal program. This remote role leads a team of Claims Examiners, prioritizes suspended claims, and ensures timely review, pricing, and resolution in accordance with Medi...Remote workClaims
$58.53k - $87.8k
...Working at Alignment Health provides an opportunity to do work... ...Provider Engagement Specialist to support our growing provider... ...Merced/Stanislaus County, CA. In this field-based remote role, you will build strong... ...UM, prior authorizations, claims, eligibility, encounter...Remote workClaimsWork at officeMonday to FridayFlexible hoursAfternoon shiftEarly shift
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