Long Beach, California, United States · On-site
$15/hr–$31/hr
Job Description: Responds to incoming calls from providers regarding claims inquiries - provides excellent customer service, support and issue resolution; documents all calls and interactions. Provides support for provid…
Skills: Claims Adjudication, Customer Service, Data Analysis, Provider Relations, Research
Long Beach, California, United States · On-site
$20/hr–$27/hr
About us: The Translational Pulmonary & Immunology Research Center (TPIRC) is a cutting-edge medical research institute dedicated to revolutionizing the treatment of rare and orphan diseases. By seamlessly integrating ad…
Skills: Medical Assistant Certification, BLS Certification, Electronic Health Records, Patient Care, Communication Skills
Long Beach, California, United States · On-site
Position: Community Alliance Intern (Part-time) Location: Long Beach, CA (Onsite) Position Overview: The Community Alliance Intern supports the team by building trusted relationships across local communities and advocati…
Skills: Community Outreach, Event Coordination, Public Advocacy, Public Speaking, Interpersonal Communication
Long Beach, California, United States · Hybrid
$80k–$125k/yr
Why join Giga The Pace: We're building at a speed most companies talk about but never actually operate at. If you've been bored somewhere else, you won't be here. The Impact: Every person at Giga touches the work that ma…
Skills: Procurement, Sourcing, Vendor Management, Purchase Order Management, RFQ Generation
Long Beach, California, United States · On-site
$20/hr–$23/hr
Overview Avanath is proud to be named one of the top property management companies to provide affordable housing for the workforce. Cultivating the American Dream is the purpose that binds the Avanath team. At Avanath, e…
Skills: Leasing, Customer Service, Sales, Yardi Voyager, Resident Relations
Long Beach, California, United States · On-site
$145k–$245k/yr
Space is a warfighting domain. True Anomaly seeks those with the talent and ambition to build the technology that secures it. OUR MISSION True Anomaly delivers decisive capabilities for space superiority. We build autono…
Skills: DoD Contract Administration, FAR/DFARS Compliance, Contract Negotiation, Proposal Support, Post-Award Administration
Long Beach, California, United States · Remote Solely
Molina Healthcare is hiring for a Pharmacy Technician who is State Licensed/Certified and/or PTCB certified. This role is 100% remote, and the hours will be Mon-Fri 10am to 630pm Pacific Standard Time. This role will be …
Skills: Prior Authorization, Pharmacy Claims, Managed Care, Medical Necessity Review, HIPAA Compliance
Long Beach, California, United States · On-site
$24/hr–$26/hr
About Us One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn’t your average doctor’s office. We’re on a mission to tra…
Skills: Venipuncture, Patient Intake, Specimen Collection, EKG/ECG, Insurance Verification
Long Beach, California, United States · On-site
$5k–$7k/mo
Join the vibrant community at California State University, Long Beach (CSULB)! Located just three miles from the Pacific Ocean, CSULB offers an inspiring workplace and an exceptional Southern California lifestyle. Our 32…
Skills: Statistical Analysis, Data Collection, Data Management, Qualtrics, SAS
Long Beach, California, United States · On-site
$7k–$11k/mo
Join the vibrant community at California State University, Long Beach (CSULB)! Located just three miles from the Pacific Ocean, CSULB offers an inspiring workplace and an exceptional Southern California lifestyle. Our 32…
Skills: Power BI, FetchXML, Python, SQL, Data Quality Management
Long Beach, California, United States · On-site
We Put the World on Vacation Travel + Leisure Co. is the world’s leading vacation ownership and travel membership company, with a dynamic and growing portfolio of resort, travel club, and lifestyle travel brands. Our ded…
Skills: Customer Service, Data Entry, Microsoft Word, Microsoft Outlook, Microsoft Excel
Long Beach, California, United States · On-site
$17/hr–$18/hr
Welcome to Destination Pet. We are One Pack- a united team working together to elevate the love and lives of pet families. Our pet-obsessed professionals create a connected care network of trustworthy partners who bring …
Skills: Customer Service, Communication, Multi-tasking, Cash Handling, Problem Solving
Long Beach, California, United States · On-site
$12/hr–$26/hr
JOB DESCRIPTION Job Summary Provides support for claims adjustment activities including administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage amount and benefit i…
Skills: Claims Adjustment, Data Entry, Research, Organizational Skills, Attention To Detail
Long Beach, California, United States · Remote OK
$23/hr–$51/hr
JOB DESCRIPTION This RN will act as a Care Review Clinician and provide clinical review support for Medicare inpatient utilization management activities. Conducts medical necessity reviews of inpatient admissions and ong…
Skills: Case Management, Managed Care, Utilization Management, Clinical Review, Patient Assessment
Long Beach, California, United States · Remote OK
$23/hr–$51/hr
JOB DESCRIPTION This RN will act as a Care Review Clinician supporting our Medicaid members who have recently been admitted to this hospital. The Medicaid will support them to ensure a successful transition from inpatien…
Skills: Case Management, Managed Care, Utilization Management, Clinical Review, Prior Authorization
Long Beach, California, United States · On-site
JOB DESCRIPTION Job Summary Provides administrative support for Wisconsin IRIS program operations, including referrals, enrollment, eligibility, service authorization and other administrative related requirements of the …
Skills: Administrative Support, Customer Service, Data Entry, Analytical Skills, Problem Solving
Long Beach, California, United States · On-site
$14/hr–$26/hr
JOB DESCRIPTION Job Summary Must reside in Florida. Provides support for claims examination activities including evaluation of adjudication of claims to identify incorrect coding, abuse and fraudulent billing practices, …
Skills: Claims Examination, Claims Adjudication, Medical Coding, Fraud Detection, Data Entry
Long Beach, California, United States · Remote OK
$26/hr–$56/hr
Job Description Job Summary Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines…
Skills: Medical Review, Utilization Review, Medical Necessity, ICD-10, CPT Coding
Long Beach, California, United States · Remote OK
$49k–$107k/yr
JOB DESCRIPTION Job Summary Provides senior level support for implementation of health plan provider engagement strategies and activities to drive necessary quality and risk adjustment outcomes Uses a consultative approa…
Skills: Provider Engagement, Risk Adjustment, HEDIS Quality Scores, Value-Based Care, Data Analysis
Long Beach, California, United States · Remote OK
$49k–$107k/yr
JOB DESCRIPTION Job Summary Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims and provider databa…
Skills: Provider Configuration, Data Validation, Auditing, Compliance Reporting, Microsoft Excel
Long Beach, California, United States • On-site
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Responds to provider inquiries via inbound calls to resolve claims issues and ensure appropriate reimbursement. Collaborates with internal teams to investigate claims errors and improve overall functional efficiency.
Requires 2 years of experience in a clerical claims or customer service role within a managed care organization. Proficiency in Microsoft Office and specific claims systems like QNXT or Salesforce is expected.
Job Description:
Responds to incoming calls from providers regarding claims inquiries - provides excellent customer service, support and issue resolution; documents all calls and interactions.
Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims.
Essential Job Duties:
• Provides support for resolution of provider claims issues, including claims paid incorrectly; analyzes systems and collaborates with respective operational areas/provider billing to facilitate resolution.
• Collaborates with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues.
• Responds to incoming calls from providers regarding claims inquiries - provides excellent customer service, support and issue resolution; documents all calls and interactions.
• Assists in reviews of state and federal complaints related to claims.
• Collaborates with other internal departments to determine appropriate resolution of claims issues.
• Research claims tracers, adjustments, and resubmissions of claims.
• Adjudicates or readjudicates high volumes of claims in a timely manner.
• Manages defect reduction by identifying and communicating claims error issues and potential solutions to leadership.
• Meets claims department quality and production standards.
• Supports claims department initiatives to improve overall claim's function efficiency.
• Completes basic claims projects as assigned.
Required Qualifications:
• 2 years of experience in a clerical role in a claim, and/or customer service setting, including experience in provider claims investigation/research/resolution/reimbursement methodology analysis within a managed care organization, or equivalent combination of relevant education and experience.
• Research and data analysis skills.
• Organizational skills and attention to detail.
•Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines.
• Customer service experience.
• Effective verbal and written communication skills.
• Microsoft Office suite and applicable software programs proficiency.
Knowledgeable In Systems Utilized
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Molina Healthcare is a FORTUNE 500 company that is focused exclusively on government-sponsored health care programs for families and individuals who qualify for government sponsored health care. Molina Healthcare contracts with state governments and serves as a health plan providing a wide range of quality health care services to families and individuals. Molina Healthcare offers health plans in Arizona, California, Florida, Idaho, Illinois, Kentucky, Massachusetts, Michigan, Mississippi, Nevada, New Mexico, New York, Ohio, South Carolina, Texas, Utah, Virginia, Washington and Wisconsin. Molina also offers a Medicare product and has been selected in several states to participate in duals demonstration projects to manage the care for those eligible for both Medicaid and Medicare.
Offices: 200 Oceangate, Long Beach, California 90802, US
There are currently 323 open administrative positions in Long Beach, CA listed on Clera. New openings are added daily as companies post roles.
Companies currently hiring include Molina Healthcare, CSULB Economics, St. Claire HealthCare, Vast, Arc After School & Experiential Education, among others. Browse the listings above to see every active employer.
Yes — 77 of the 323 open administrative positions offer remote or hybrid work (52 remote, 25 hybrid).
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.
