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Third-Party Claims Processor

Fresno, CA 93711

Posted: 10/17/2025 Category: Claims Examiner Job Number: 40829 Approx. Rate per Hour (negotiable) : 20.00 Branch: Fresno Office Industry: Medical

Job Description


Don’t miss this amazing opportunity with one of our best employers in Fresno!

Exciting Opportunity for a Medical Biller / Claims Processor in Fresno, CA!

We are seeking a skilled Medical Biller or Claims Processor to join one of our top employers in Fresno, CA.

This full-time, on-site position runs Monday to Friday from 7:00 AM to 4:00 PM, offering competitive pay ranging from $18 to $20 per hour, depending on experience.
Ideal Candidate:
The perfect fit for this role has at least 3 years of experience in medical billing or claims processing—especially if that experience includes working with a third-party administrator (TPA) within an insurance company. Prior TPA exposure is highly preferred due to the nature of this employer’s group benefit processing.
Job Requirements:

  • High School Diploma or GED required

  • Minimum of 3 years of experience in a computerized medical billing or claims processing environment
Key Responsibilities:

  • Manage claims across multiple groups with accuracy and speed

  • Process CMS-1500 and UB-04 claims

  • Accurately handle high-dollar claims

  • Work with JAA/BlueCard claims

  • Interpret group SPD’s and apply benefits appropriately

  • Perform zero-dollar adjustments and review flagged claims

  • Maintain accurate reporting and resolve issues via FOGBUGZ

  • Use tools like the Anthem Blue Cross website for claims verification

  • Batch and scan correspondence

  • Track spreadsheets for special projects

  • Maintain excellent email communication and confidentiality

If you're detail-oriented, passionate about claims or billing, and thrive in a fast-paced environment, apply today and take the next step in your healthcare career!

#INDHP

 

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About Fresno, CA

Ready to embark on an exciting career journey in Fresno, California? Explore our job opportunities in this vibrant city nestled in the heart of the fertile San Joaquin Valley. Fresno offers job seekers a rich tapestry of unique benefits and growth opportunities. Imagine starting your day with a stroll through the stunning Forestiere Underground Gardens, savoring the area's delicious blend of Central Valley cuisine, and catching a show at the iconic Tower Theatre. With its thriving arts scene, proximity to Yosemite National Park, and home to the Fresno State Bulldogs, there's something for everyone in this charming city. Start your career in Fresno today and discover why this region is a hidden gem for aspiring professionals.