Remote Claims Suspense Lead - Medi-Cal
RemoteFetch
- Remote job
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-Cal guidelines. The successful candidate will mentor staff, monitor productivity and quality metrics, and collaborate with the supervisor to optimize workflows in a fast-paced, compliance-driven environment. #J-18808-Ljbffr RemoteFetch
$35.9k - $51.3k
...Technologies is seeking an experienced Medi-Cal Conlan Team Lead to support California’s Medi-Cal... ...processing Conlan member reimbursement claims. You will serve as a subject matter expert... ...a hybrid position that is primarily remote with occasional in-office requirements...Remote workClaimsFull timeWork at officeFlexible hours- ...seeking a Provider Field Representative Lead to provide functional leadership to provider... ...complex inquiries, billing support, and claims research. The role emphasizes guidance,... ...collaboration across internal and client teams in a remote California setting. The position requires...Remote jobClaims
- ...Job Description Job Description Description: A Remote Insurance Follow-Up Representative (MediCal) will be... ...following duties: reviewing accounts, following up with Medi-Cal and various insurance companies on claim status, gathering and submitting any missing...Remote jobClaimsContract workWork at office
$70k - $80k
...Provider Field Representative Lead Provides functional leadership... ...Representatives serving California’s Medi‑Cal provider community. This role... ...inquiries, billing support, claims research, provider education,... ...should expect in this role Remote position; candidate must...Remote jobClaimsFlexible hoursNight shift$70k - $80k
...development. Summary The Medical Claims Research Analyst Lead serves as a functional lead for the... ..., research, or a related field; Medi-Cal or Medicaid experience preferred .... ...What you should expect in this role Remote position; must reside in California....Remote workClaimsFull timeFlexible hours- The University of California - Los Angeles Health is seeking a Medi-Cal Collections Representative to manage a portfolio of inpatient and outpatient claims, ensuring effective collection efforts and timely resolutions. You will review accounts, liaise with third‑party...Claims
$9,423 per month
...Fraud Control Unit (MFCU), the Division of Medi-Cal Fraud and Elder Abuse (DMFEA) works... ...Agents to be high producers; effectively lead a team where there are several chains of... ...and utilizing complex automated Medi-Cal claims data systems; and establishing close working...Remote workClaimsPermanent employmentFull timeWork at officeLocal area- UCLA Health is seeking a detail-oriented Medi-Cal Fee For Service Collections Representative to manage a portfolio of inpatient and outpatient claims within Patient Business Services. You will drive timely collections by reviewing accounts, communicating with third-party...Claims
$84.6k - $120.8k
...Gainwell Technologies is seeking an experienced Claims Suspense Manager to lead claims operations supporting California’s Medi-Cal program. In this role, you will provide... ...a hybrid position that will primarily work remotely, with occasional in-office requirements at...Remote workClaimsFull timeWork at officeFlexible hours$54.2k - $77.4k
...Technologies is seeking an experienced Claims Suspense Supervisor to support claims operations for California’s Medi-Cal program. In this role, you will lead a team responsible for researching... ...position that will primarily work remotely, with occasional in-office...Remote workClaimsFull timeWork at officeMonday to FridayFlexible hours$40 - $55 per hour
...required equipment inspections under MSHA and Cal/OSHA standards Work alongside the... ...diesel engines Prior work at a small, remote, or older underground mine Your own mechanic... ...covers roughly 1,735 acres of mining claims in the heart of the northern Sierra gold country...Remote workClaimsHourly payFull timeShift work- Job TitleMedi-Cal Fee For Service Collections RepresentativeWork LocationLos Angeles, CA... ...HourlyPrimary Duties and ResponsibilitiesAs a Medi-Cal Fee For Service Collections... ...designated portfolio of inpatient and outpatient claims, ensuring effective and efficient collection...ClaimsContract workWork at office
$27.65 - $39.27 per hour
Description As a Medi-Cal Collections Representative, you will manage a designated portfolio of inpatient and outpatient claims, ensuring effective and efficient collection efforts. Your primary responsibilities include: Conducting regular account reviews to identify outstanding...ClaimsHourly payContract workWork at office$21 per hour
...? We’re looking for an enthusiastic Remote Insurance Follow-Up Team Lead to join our growing team! In this role... .... Analyze and resolve unpaid claims. Contact insurance carriers for claim... ...professional environment ~ Medi-Cal knowledge a major benefit ~ High school...Remote jobClaimsFull timeTemporary workWork at office$78k - $82k
...Description Job Snapshot Location: Remote – California (Stockton, Eureka... ...and cultural sensitivity. Lead with trust by being consistent... ...-person care to vulnerable Medi-Cal members across San Diego... ...Important Notice: Any communication claiming to represent Pacific Health...Remote workClaimsFull timeLocal area$112.6k - $239.8k
...9-15 We are seeking a talented individual to join our Forensic Accounting & Claims Services team at Marsh . The role can be based in any of our US offices or Remote. As an Engagement Lead – Forensic Accounting & Claims Services Consultant, you will act as a recognized...Remote workClaimsMinimum wageFlexible hours- Mercury Insurance’s Complex Catastrophe Claims Manager leads responses to high-severity claims after events like wildfires and hurricanes. You... ..., Finance, Technology, and external partners. The role is remote with regular field travel and CAT deployments; during active...Remote jobClaims
$78k - $82k
...Description Job Snapshot Location: Remote – California (Stockton, Eureka... ...and cultural sensitivity. Lead with trust by being consistent... ...-person care to vulnerable Medi-Cal members across San Diego... ...Important Notice: Any communication claiming to represent Pacific Health...Remote workClaimsFull timeLocal area- WCF Insurance is seeking a Claims Compliance Strategy Specialist to ensure regulatory adherence across the claims organization. This exempt... ...analyze laws, and manage risk in a dynamic environment. Open to remote candidates within the US, with occasional travel to Sandy, UT HQ...Remote jobClaims
- ...Position Summary The Medical Section Lead is the operational leader of the Medical... ...Department within a veteran-focused disability claims organization, overseeing daily operations... ...area is strongly preferred. Telehealth/remote candidates may be considered if based...Remote workClaims
$77.5k - $87k
A leading insurance company is searching for a Lead Claims Examiner to manage the investigation and settlement of insurance claims. This role begins remotely with a transition to a hybrid schedule in Overland Park, Kansas. Responsibilities include investigating claims,...Remote jobClaims- ...REQUIREMENT SUMMARY - Role: Lead Palo Alto Networks Device Security Engineer – Specialist... ...: minimum 2 days onsite per week, rest remote) - Positions: 1 - Duration: 12 months... ...certifications are a strong plus; copies required if claimed. WHAT TO SUBMIT - Updated resume (...Remote workClaimsHourly payFull time2 days per week
- Argo Group seeks a Senior Construction Defect Technical Claims Specialist Team Lead to adjudicate highly complex construction defect claims from multiple major offices. A remote option is possible except in certain states. The role emphasizes leadership, profitability,...Remote workClaims
- Liberty Mutual Insurance is seeking a Senior Claims Specialist for construction liability. This remote role supports handling moderate to high-exposure third-party bodily injury and general liability property damage claims for major developers and contractors across the...Remote jobClaimsFor contractors
$190k - $230k
...You Can Count On.Hybrid schedule: 2 days remote / 3 in‑officeCompetitive pay + generous PTOMedical... ...seeking an Actuarial Pricing Leaderto lead the actuarial pricing function for a... ...closely with underwriting, product, and claims teams to drive profitable growth.**Please...Remote workClaimsTemporary workWork at office3 days per week- ...specialty insurer, seeks a Senior Construction Defect Technical Claims Specialist Team Lead to adjudicate highly complex construction defect claims.... ...the team from multiple locations, with potential fully remote work excluding several states. Expect leadership in claims...Remote workClaimsWork at office
- ...through to ensure providers are identified, onboarded, and supported. You will work across Provider Data, Credentialing, Contracting/Recruitment, Claims, and other teams, translating CCE needs into actionable Provider #J-18808-Ljbffr General Dynamics Information TechnologyRemote jobClaims
- Marsh is seeking an Engagement Lead for Forensic Accounting & Claims Services to join the US-based or remote team. You will lead major client engagements, guide analytics, and expand relationships while coaching colleagues through complex projects. The role requires a seasoned...Remote jobClaims
- A leading operations management firm is seeking a Remote Operations Supervisor to manage a team and ensure efficiency in workflow. Candidates should have a strong... ...operations, particularly in healthcare benefits or claims processing. Responsibilities include developing...Remote jobClaims
$111k - $135k
...challenge.What you’ll doAs a Risk & Compliance Lead at Brex, you will play a critical role in... ...have up to four weeks per year of fully remote work!ResponsibilitiesAssist in developing... ...with a brex.com domain. Any outreach claiming to be from Brex via other sources should...Remote workClaimsFixed term contractWork at officeWork from home
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