Onsite Provider Enrollment Specialist - Medi-Cal Claims
Gainwell Technologies
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 program requirements. You will collaborate with healthcare providers, internal teams, and the California DHCS to resolve issues, maintain documentation, and support efficient claims and enrollment operations. #J-18808-Ljbffr 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...ClaimsFull timeRemote work
- 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...ClaimsRemote jobFull time
- ...Technologies is seeking an experienced Claims Appeals Supervisor to support California’s Medi-Cal program at our West Sacramento... ...team reviewing and adjudicating provider appeals, ensuring timely... ...turnaround times in a fast-paced, onsite environment. #J-18808-Ljbffr Gainwell...ClaimsWork at office
$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...ClaimsFull timeWork at officeRemote workFlexible 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... ...to learn billing processes, including timely filing and claims denial reasons Proficient in Microsoft Office Suite (Word,...ClaimsRemote jobDaily paidFull timeContract workPart timeWork experience placementWork at officeLocal areaFlexible hours- Gainwell Technologies is seeking an experienced Medi-Cal Conlan Team Lead to support California’s... .... In this hands-on role you will provide day-to-day guidance and operational support... ...members processing Conlan member reimbursement claims, serve as SME, help guide workflows,...Claims
- Gainwell Technologies is seeking an experienced Claims Appeals Team Lead to support California’s Medi-Cal appeals operations from our West Sacramento office. You will coordinate daily provider appeals activities, guide Appeals Examiners, and drive quality and throughput...ClaimsWork at office
- ...Technologies is seeking an experienced Provider Field Representative to support healthcare... ...across Central California as part of Medi‑Cal. You will be the primary contact for providers... ..., delivering education, researching claims, and helping providers navigate Medi‑Cal...ClaimsRemote work
$33.5 - $39.5 per hour
...Description JOB SUMMARY The Provider Dispute Resolution Specialist is responsible for the accurate, timely,... ...provider disputes and appeals related to claims adjudication, reimbursement, coding... ...experience within Medicare, Medi-Cal/Medicaid, Commercial, PPO, and/or HMO...ClaimsHourly payContract workWork experience placementWork at office- ...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...ClaimsRemote work
$35.9k - $51.3k
...Gainwell Technologies is seeking an experienced Medi-Cal Conlan Team Lead to support California’s... ...operations. In this role, you will provide day-to-day guidance and operational support... ...processing Conlan member reimbursement claims. You will serve as a subject matter expert...ClaimsFull timeWork at officeRemote workFlexible hours- Qualfon is a global provider of omnichannel customer experience and business support solutions. As a Medi-Cal Claims Examiner, you will review, process and adjudicate suspended healthcare claims to ensure accurate and timely payment in line with Medi-Cal policies and reimbursement...Claims
$81k - $115.7k
...Medi-Cal Contact Center Manager - Hybrid - West Sacramento, CA Great companies need great... .... Knowledgeable about health care claims processing, explanation of benefits or remittance... ...remote with the ability to report onsite at 820 Stillwater Road, West Sacramento,...ClaimsFull timeRemote workFlexible hours- ...Medi-Cal Member Appeals And Grievances Rn SeniorThe Medi-Cal Member Appeals and Grievances... ...of either a preservice, post-service or claim denial. The Medi-Cal Appeals and... ...determinationCommunicates determinations to the providers in compliance with state, federal and...ClaimsFull timePart timeWork at officeLocal areaWork from homeHome office2 days per week
- ...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
$54.2k - $77.4k
...Mail Room Supervisor - Onsite - West Sacramento, CA Great companies need great... ...to support operations for California's Medi-Cal program at our West Sacramento office.... ...related to Medi-Cal member services, claims, and provider services. You will lead mail room employees...ClaimsFull timeWork at officeRemote workFlexible hours- Description Blue Zones Health is seeking a Provider Activation Specialist to engage healthcare providers and... ...members with basic inquiries about claims, authorizations, benefits, and other... ...between the practice and MSO Conducts onsite visits at physician offices daily to...ClaimsLocal area
$70k - $75k
...seeking an experienced Provider Field Representative... ...part of California's Medi-Cal program. In this role... ...conduct virtual and onsite provider visits, deliver... ...education, research claims and billing issues, and... ...billing, payment, provider enrollment, or other provider‑...ClaimsRemote workWork from homeFlexible hoursNight shift- ...hiring a Bilingual Community Outreach Specialist (English/Spanish) in Canyon Country, CA. You will connect individuals to Medi-Cal resources, guide enrollment, and help them make informed decisions about their coverage. This onsite role requires strong community knowledge...
$24 per hour
Overview Who We Are: Qualfon is a global provider of omnichannel customer experience and business support solutions. From... ...What you'll do: Qualfon is seeking detail-oriented Medi-Cal Claims Processing Specialists to review and resolve suspended claims accurately and efficiently...ClaimsWork at officeLocal areaRemote workWork from home$37.5k - $53.5k
...days) to receive an alert: Medical Claims Appeals Examiner - Onsite - West Sacramento, CA Date: Oct 4, 2... ...researches, and resolves healthcare provider appeals related to medical claims and... ...Opportunity to support California’s Medi-Cal program by helping ensure provider...ClaimsFull timeFlexible hours- ...Mailroom Scanning & Processing Clerk to support California’s Medi-Cal program. This onsite role requires careful document handling, organization, and... .... You will prepare, pre-screen, sort, and process paper claims and other documents for scanning, ensuring proper...Claims
- 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...ClaimsRemote jobWork from home
$54.2k - $77.4k
...Claims Data Entry Supervisor - Onsite - West Sacramento, CA Join the group that solves business challenges... ...entry operations for California's Medi-Cal program at our West Sacramento office... ...train, and develop employees while providing ongoing feedback regarding...ClaimsFull timeWork at officeRemote workMonday to FridayFlexible hours$23 per hour
Job Description Job Description Provider Enrollment Specialist Position Overview BetterHelp is seeking detail-oriented Provider Enrollment Specialists to support healthcare provider enrollment activities. This role focuses on managing enrollment requests, tracking application...Remote jobContract workTemporary work- Vituity is seeking a Provider Enrollment Specialist for a remote, nationwide role. You will manage enrollment applications for Medicare, Medicaid, and other payers, ensuring timely submission and accurate data entry. You will coordinate credentialing, interact with providers...Remote job
- ...annual base salary range provided for this position is a... ...Risk Control Property Specialist team consists of individuals... ...regularly consulting onsite with customers across... ...underwriting and claim execution and processes... ...student loan debt, you can enroll in the Paying it Forward...ClaimsFull timeLocal areaLong distanceNight shift
$28 - $36.75 per hour
...innovative technology that provides value-added services... ...for a Total Rewards Specialist to join our Total... ...will be required to be onsite 3 days a week. What You... ...benefits programs, including enrollment, eligibility,... ...through fake e-mails claiming to be from the company...ClaimsFull timeTemporary workWork experience placementWork at officeLocal areaRemote workWorldwideFlexible hoursShift work3 days per week- ...Gainwell Technologies is seeking an experienced Provider Field Representative to support healthcare providers across Northern California as part of Medi-Cal. You will travel, conduct visits, train providers, and help resolve billing issues. You will collaborate with...
$32.6k - $46.5k
Mailroom Scanning & Processing Clerk - Onsite - Rancho Cordova, CA Date: Oct 4, 2026 Location... ...role in supporting California’s Medi-Cal program by preparing, organizing, and processing... ..., pre‑screen, sort, and batch paper claims and other documents for scanning and processing...ClaimsFull timeFlexible hours
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