Healthcare Claim Processor
Qualfon · Other
Source: Himalayas
Timezone restrictions (from source platform's structured data; not free text): -10; -9 — no hybrid days in this listing.
This role’s source listing does not include Hungary as an eligible location.
Qualfon is seeking a Healthcare Claim Processor to handle Medi-Cal claims adjudication. This is a fully remote role based in the United States requiring specific medical coding knowledge.
The Healthcare Claim Processor will review and adjudicate suspended claims, ensuring compliance with Medi-Cal policies and HIPAA regulations. Candidates will perform data-heavy analysis to resolve billing discrepancies, working within a fast-paced production environment to meet quality and turnaround standards.
Why You’ll Love This Role
What You’ll Bring
What You’ll Get
About the Company
Qualfon is a global provider of omnichannel customer experience and business support solutions. They specialize in call center support, lead generation, and ecommerce fulfillment services.