Behind every approved claim is a person who's been waiting — for a reimbursement, a treatment sign-off, or just some certainty about what they owe. We're hiring a
Remote Healthcare Claims Processor based in California to review, verify, and process medical claims with the kind of accuracy that keeps patients and providers confident in the system.
Who We Need
This role sits at the intersection of detail work and human impact. You'll spend your day checking claims against policy rules, catching coding errors before they cause delays, and occasionally reaching out to a provider to confirm a detail that doesn't quite line up. It's steady work, but rarely repetitive — every claim is its own small puzzle.
A Typical Day
Mornings usually start with a batch of straightforward claims — quick to review, easy to approve. Then something slows you down: a mismatched code, a missing form, a number that doesn't add up. You dig in, confirm the details, and move it forward correctly instead of just quickly. By the afternoon, you've likely caught at least one error that would have delayed someone's payment. That's the job, in miniature.
Core Responsibilities
- Review and process healthcare claims for accuracy, completeness, and policy compliance
- Identify and correct coding or billing discrepancies before claims move forward
- Communicate with providers to verify or clarify claim details when needed
- Track claim status and follow established timelines to avoid unnecessary delays
- Document decisions clearly enough that another processor could pick up where you left off
- Escalate complex or unusual cases to senior staff when appropriate
- Maintain patient and provider confidentiality in line with healthcare data standards
Qualifications
The minimum education requirement for this role is a
High school diploma or equivalent. Alongside that, we're looking for at least
1 year of experience in claims processing, medical billing, or a related healthcare administrative role. If your background is in a different field but you've worked closely with insurance, billing, or compliance processes, we'd still encourage you to apply.
Skills That Serve You Well Here
- Sharp attention to detail — a single transposed digit can throw off an entire claim
- Working familiarity with healthcare terminology, insurance concepts, and billing codes
- Comfort learning and navigating claims software and provider databases
- Clear written communication for documenting decisions and corresponding with providers
- Patience with claims that don't fit neatly into standard rules
- Sound judgment for knowing when to solve something yourself and when to escalate it
Nice to Have
- An Associate degree in healthcare administration, medical billing, or a related field
- Prior exposure to medical coding systems such as ICD-10 or CPT
- Experience working in a fully remote healthcare or insurance role
Compensation and What You Can Expect
This role pays an annual salary of
$49,500. Beyond pay, here's what comes with it:
- Fully remote work, with the flexibility to structure your day around when you focus best
- Health coverage as part of a standard benefits package
- Paid time off, so the job doesn't quietly eat into your rest
- Structured onboarding and ongoing training, including shadowing experienced processors before you're on your own
How the Team Works
Nobody gets handed a stack of claims and left to figure it out alone. New hires shadow seasoned processors, work through practice cases, and always have someone to check in with when a claim doesn't make sense. Team connection happens through regular video huddles rather than a shared office, and questions get answered fast rather than sitting in an inbox for days. Many people searching Naukri Mitra for claims-processing roles are looking for exactly this — real support, not just a login and a training manual.
Where This Role Can Lead
Claims processing tends to be a starting point rather than a ceiling. Processors who stick with it often move into quality auditing, compliance review, or team lead positions within a couple of years. Others use it as a stepping stone into broader healthcare administration or data-focused roles. How far you take it is mostly up to you.
What Makes This Job Different Day to Day
Remote work here means real flexibility — stepping away for a walk, running an errand mid-afternoon, structuring your hours around your own rhythm rather than someone else's. The trade-off is that you have to set your own boundaries; without a commute to separate "work" from "home," it helps to set clear start and stop times for your day. Most people find that once they find their rhythm, it becomes one of the better parts of the job rather than a source of stress.
Who Tends to Do Well in This Role
- People who'd rather solve a problem carefully than rush past it
- Detail-oriented workers who don't mind double-checking their own work
- Anyone comfortable working independently for long stretches
- Career-changers moving into healthcare from adjacent administrative or customer-facing roles
Ready to Apply?
If accuracy matters to you and you like knowing your work has a direct effect on real people's lives, this role is worth a look. Submit your application along with any relevant billing, coding, or claims experience you'd like us to know about. This position is open to candidates based in California and to applicants abroad — including the United States, Canada, the United Kingdom, the European Union, Australia, and India — who meet the role's remote-work requirements.
