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Anthem Claims Processing Jobs (NOW HIRING)

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Third-Party Medical Claims Processor

Fresno, CA · On-site

$18 - $20/hr

Minimum of 3 years of experience in a computerized medical billing or claims processing environment ... Use tools like the Anthem Blue Cross website for claims verification * Batch and scan ...

Amalgamated Life

Director, Claims

White Plains, NY · Hybrid

Direct the day-to-day activities, tasks, and processes to ensure the efficient operation of the ... Consults with specialty areas to ensure timely handling of all Anthem /Salesforce Inquiries.

Amalgamated Life

Director, Claims

White Plains, NY · On-site

Direct the day-to-day activities, tasks, and processes to ensure the efficient operation of the ... Consults with specialty areas to ensure timely handling of all Anthem /Salesforce Inquiries.

Amalgamated Life

Director, Claims

White Plains, NY · Hybrid

Direct the day-to-day activities, tasks, and processes to ensure the efficient operation of the ... Consults with specialty areas to ensure timely handling of all Anthem /Salesforce Inquiries.

Progyny

Carrier Revenue Analyst

New York, NY

... claims processing experience Working knowledge of: * Claims lifecycle (837, 835, 277/276, EOB interpretation) * Experience working with commercial carriers (e.g., Aetna, Anthem, UHC, etc.) * CPT ...

Progyny

Carrier Revenue Analyst

New York, NY · On-site

... claims processing experience Working knowledge of: * Claims lifecycle (837, 835, 277/276, EOB interpretation) * Experience working with commercial carriers (e.g., Aetna, Anthem, UHC, etc.) * CPT ...

Pure Infusion

Billing Supervisor

Sandy, UT · On-site

Oversight of all BCBS and Anthem lines of business, including state and national BCBS plans and ... process from claim generation through submission and clearinghouse edits, ensuring claims are ...

Pure Infusion

Billing Supervisor

Sandy, UT · On-site

Oversight of all BCBS and Anthem lines of business, including state and national BCBS plans and ... process from claim generation through submission and clearinghouse edits, ensuring claims are ...

Aleracare

Billing Supervisor

Sandy, UT · On-site

Oversight of all BCBS and Anthem lines of business, including state and national BCBS plans and ... process from claim generation through submission and clearinghouse edits, ensuring claims are ...

Allied Benefit Systems

Senior RRT Analyst

Chicago, IL · Remote

Manage the BCBS and Anthem process, including adjustments and closing claims in the BCBS systems. * Tracking and handling of projects timely * Update member accumulators and complete adjustments as ...

Wayne Farms LLC

Sr Analyst, Benefits Planning

Oakwood, GA · On-site

$75K - $94K/yr

This role drives strategic benefits cost planning, manages complex financial processes, and ... Lead financial modeling, including claims trend analysis, PEPM modeling, rate setting, and scenario ...

Wayne Farms LLC

Sr Analyst, Benefits Planning

Oakwood, GA · On-site

$75K - $94K/yr

This role drives strategic benefits cost planning, manages complex financial processes, and ... Lead financial modeling, including claims trend analysis, PEPM modeling, rate setting, and scenario ...

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Anthem Claims Processing information

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$12

$22

$34

How much do anthem claims processing jobs pay per hour?

As of Sep 13, 2026, the average hourly pay for anthem claims processing in the United States is $22.34, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $25.48 per hour, depending on experience, location, and employer.

What is Anthem Claims Processing?

Anthem Claims Processing refers to the procedures and systems used by Anthem, a major health insurance provider, to receive, review, and determine payment for medical claims submitted by healthcare providers or policyholders. This process involves verifying the details of the claim, ensuring eligibility and coverage, checking for necessary documentation, and making payment decisions according to the terms of the insurance policy. Efficient claims processing helps ensure that members and providers are reimbursed accurately and promptly. Anthem uses advanced technology and trained professionals to streamline this process and minimize errors or delays.

What are the key skills and qualifications needed to thrive as an Anthem Claims Processor?

To thrive as an Anthem Claims Processor, you need strong attention to detail, analytical thinking, and a background in healthcare administration or insurance, often supported by a high school diploma or associate degree. Familiarity with claims management systems, medical billing software, and ICD/CPT coding is typically required. Excellent organizational skills, effective communication, and the ability to work independently are important soft skills for this role. These competencies ensure timely and accurate claims processing, contributing to customer satisfaction and regulatory compliance.

What are some common challenges faced by Anthem Claims Processing specialists, and how can they overcome them?

Anthem Claims Processing specialists often encounter challenges such as handling high volumes of claims, ensuring accuracy under tight deadlines, and navigating complex insurance policies. To overcome these, specialists typically rely on strong organizational skills, attention to detail, and effective use of claims management software. Collaboration with other departments, such as customer service and medical review teams, is also crucial to resolve discrepancies and ensure smooth processing. Continuous training on policy updates and process improvements helps specialists stay efficient and accurate in their roles.

What is the difference between Anthem Claims Processing vs Anthem Claims Examiner?

AspectAnthem Claims ProcessingAnthem Claims Examiner
CredentialsHigh school diploma or equivalent; knowledge of claims processing systemsHigh school diploma or equivalent; certification in claims or insurance preferred
Work EnvironmentOffice setting, processing claims in bulk or individuallyOffice setting, reviewing and evaluating claims for accuracy
Employer & IndustryHealth insurance companies, healthcare industryHealth insurance companies, healthcare industry
Primary ResponsibilitiesProcessing claims, data entry, verifying coverageExamining claims for errors, compliance, and accuracy

While both roles involve working within health insurance claims, Anthem Claims Processing focuses on the actual handling and data entry of claims, whereas Anthem Claims Examiners review claims for accuracy and compliance. Understanding these differences helps job seekers identify the right position based on their skills and career goals.

What are popular job titles related to Anthem Claims Processing jobs?

For Anthem Claims Processing jobs, the most frequently searched job titles are:

Infographic showing various Anthem Claims Processing job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 14% Part Time, 1% Temporary, 3% Contract, and 1% Nights. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $46,461 per year, or $22.3 per hour.

Third-Party Medical Claims Processor

Fresno, CA • On-site

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See more jobs at Hire Upexternal

$18 - $20/hr

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Re-posted 26 days ago

Job description

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!

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