RN, Psychiatric Care
communitymedical
Claims Examiner, Healthcare Insurance Services
communitymedical· Finance & Revenue Cycle
About this role
Overview
Opportunities for you!
- Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek
- Free Continuing Education and certification
- Tuition reimbursement, education programs and scholarships
- Vacation time starts building on Day 1, and builds with your seniority
- Free money toward retirement with a 403(b) and matching contributions
- Great food options with on-demand ordering
- Free parking and electric charging
Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community.
We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page.
Responsibilities
The Claims Examiner is responsible for accurately processing professional and hospital claims for Community Care Health (CCH) for in-network and out-of-network providers. This role will review and analyze claims: verifying coverage, assessing eligibility, and determining the validity of claims based on policy terms.Qualifications
Education- High School Diploma, High School Equivalency (HSE) or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required
- Associate's Degree preferred
- 1 year of medical claims processing/adjudication experience
- Experience working with claims system/applications and troubleshooting preferred
- Trizetto/QNXT software experience preferred
- Experience using Blue Shield or Anthem portals (e.g., verifying member eligibility, checking claim statuses, or tracking payments).
Medical Coding/Billing knowledge
Medical Terminology knowledge
Disclaimers
• Pay ranges listed are an estimate and subject to change.• If any bonuses are noted, they are only applicable to external hires meeting criteria.
Frequently Asked Questions
What is the salary for the Claims Examiner, Healthcare Insurance Services role at communitymedical?
The listed salary for this Claims Examiner, Healthcare Insurance Services position at communitymedical is USD 23–29/yr. This is an OTHER role.
Where is the Claims Examiner, Healthcare Insurance Services position at communitymedical located?
This Claims Examiner, Healthcare Insurance Services role at communitymedical is based in Fresno, CA, US. The position is listed as on-site or hybrid. Check the full job description or apply directly to confirm the work arrangement.
Is the Claims Examiner, Healthcare Insurance Services role at communitymedical full-time or part-time?
This is listed as a OTHER position. It is posted as a Claims Examiner, Healthcare Insurance Services role in the Finance & Revenue Cycle department at communitymedical.
Which team or department does the Claims Examiner, Healthcare Insurance Services at communitymedical belong to?
This Claims Examiner, Healthcare Insurance Services position is part of the Finance & Revenue Cycle department at communitymedical. See the full job description for more information about the team structure and responsibilities.
How do I apply for the Claims Examiner, Healthcare Insurance Services position at communitymedical?
Click the "Apply Now" button on this page. You will be redirected to communitymedical's official application portal hosted on icims where you can submit your application directly.
When was the Claims Examiner, Healthcare Insurance Services job at communitymedical posted?
This Claims Examiner, Healthcare Insurance Services position at communitymedical was posted on Aug 4, 2026. Apply as soon as possible — early applications are often reviewed first.
Claims Examiner, Healthcare Insurance Services
communitymedical · 💰 USD 23–29/yr
You'll be redirected to communitymedical's official application page on icims.