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Apprentice Medicare Claims Processing Jobs (NOW HIRING)

Radiant Info Systems Ltd

Claims Manager

Milwaukee, WI · On-site

... processing, provider relations, claims editing software and all other functionality that supports the client's Medicare and Medicaid product portfolio and administration. The manager must empower ...

UHS

Claims Auditor/Trainer

Reno, NV · On-site

... Medicare claims processing and compliance required. · QNXT system experience highly preferred. EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where ...

Barrow Wise Consulting

Medicare Analyst

MD · On-site

$70K - $90K/yr

The Medicare Analyst will support Barrow Wise's Illinois DHS project and perform the following ... Document all processes and procedures and develop policies * Perform data analytics on claims and ...

Elevate Patient Financial Solutions

Medicare Specialist

$22.75 - $28.50/hr

Job Summary As a Medicare Specialist, you will be instrumental in helping resolve aged medical ... Develops a solid understanding of assigned client processes in order to review and analyze claims ...

UHS

Claims Auditor/Trainer

Reno, NV · On-site

$26.65 - $38/hr

... Medicare claims processing and compliance required. • QNXT system experience highly preferred. EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where ...

Peraton

Enterprise Architect, Senior Advisor

$176K - $282K/yr

Architect scalable and highly available solutions for Medicare claims processing, ensuring compliance with CMS performance requirements, HIPAA security standards, and FedRAMP controls * Configure and ...

GlobalHealth, Inc

Claims Processor (52219)

Oklahoma City, OK · On-site +1

$15.75 - $20/hr

Working knowledge of medical claims processing guidelines and practices. * Knowledge of Medicare and Health Care Finance Administration regulations. * Knowledge of EOBs, CPT & ICD-10 codes, HCFAs ...

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Showing results 21-40

All JobsFinance and Insurance JobsInsurance JobsClaim Processing Specialist JobsApprentice Medicare Claims Processing Jobs

Apprentice Medicare Claims Processing information

See salary details

$12

$22

$34

How much do apprentice medicare claims processing jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for apprentice medicare 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 the difference between Apprentice Medicare Claims Processing vs Medicare Claims Processor?

AspectApprentice Medicare Claims ProcessingMedicare Claims Processor
CredentialsOn-the-job training, possibly some certificationsTypically requires relevant certifications or experience
Work EnvironmentTraining environment, supervised tasksFull-time, operational setting within healthcare or insurance companies
Job ResponsibilitiesAssisting with claims, learning processing proceduresProcessing claims independently, verifying data, resolving issues

In summary, an Apprentice Medicare Claims Processing role is a training position focused on learning the claims process under supervision, while a Medicare Claims Processor is a fully responsible role requiring more experience and certification to handle claims independently.

Is claims processing a stressful job?

Claims processing for Medicare involves reviewing and verifying medical claims, which can be detail-oriented and deadline-driven. While it can be challenging during high-volume periods or complex cases, many find it manageable with proper training and organization, and stress levels vary based on workload and individual skills.

What skills do you need to be an Apprentice Medicare Claims Processing?

An Apprentice Medicare Claims Processing role requires strong attention to detail, good organizational skills, and familiarity with healthcare billing and coding systems. Basic knowledge of medical terminology, data entry proficiency, and the ability to follow complex procedures are also important for success in this position.

What cities are hiring for Apprentice Medicare Claims Processing jobs?

Cities with the most Apprentice Medicare Claims Processing job openings:

What are the most commonly searched types of Medicare Claims Processing jobs?

The most popular types of Medicare Claims Processing jobs are:

What states have the most Apprentice Medicare Claims Processing jobs?

States with the most job openings for Apprentice Medicare Claims Processing jobs include:

Apprentice Medicare Claims Processing jobs near you

Claims Processing Professional

Humana

Miramar, FL • On-site

$53K - $72K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 4 days ago

Humana rating

8.0

Company rating: 8.0 out of 10

Based on 266 frontline employees who took The Breakroom Quiz

166th of 310 rated insurance

Job description

Become a part of our caring community
As a Claims Processing Professional, you'll review healthcare claims to help ensure their accuracy. You'll review claim information, verify eligibility, authorizations, and provider contracts, and determine appropriate claim outcomes while following established policies and regulatory guidelines.
In this in-office position reporting to the Enterprise Transformation Director, you'll collaborate with other teams, navigate multiple systems, and help deliver claim resolutions that support a positive experience for providers and members. If you enjoy making an impact behind the scenes, we'd love to have you on our team.This is in office position requires you to be on site at our Miramar, FL branch location.

As a Claims Processing Professional, you will:

  • Review and process healthcare claims within established turnaround times.
  • Verify member eligibility, provider information, authorizations, and contractual requirements before processing claims.
  • Determine whether you should approve, deny, adjust, or return claims for additional information.
  • Resolve claim discrepancies by gathering and evaluating supporting documentation.
  • Process both electronic and paper claims while maintaining productivity, quality, and accuracy standards.
  • Use multiple internal systems to review claims, document findings, and complete claim processing.
  • Maintain compliance with HIPAA regulations, organizational policies, and all applicable state and federal guidelines.
  • Collaborate with internal departments to resolve claim issues and support claim adjudication.
  • Adapt to evolving business processes, system enhancements and regulatory changes.
  • Meet productivity, quality, and performance expectations.

Use your skills to make an impact

Required Qualifications

  • Minimum of 1 year of healthcare claims processing experience.
  • Knowledge of healthcare claims processing practices and medical insurance terminology.
  • Work across multiple computer systems.
  • Prioritize multiple tasks and work independently.
  • Commitment to HIPAA compliance.

Preferred Qualifications

  • Experience processing medical, home health, or managed care claims.
  • Knowledge of CPT, ICD-10, and HCPCS coding.
  • Experience working with provider contracts, authorizations, or eligibility verification.
  • Bilingual (English/Spanish).
  • Associate's degree or higher in Business, Healthcare Administration, or a related field.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.


$53,700 - $72,600 per year


Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About Us
About OneHome: OneHome coordinates a full range of post-acute care ranging from home health, infusion therapy and durable medical equipment services at patients' homes. OneHome's patient focused model creates one integrated point of accountability that coordinates with physicians, hospitals and health plans serving more than one million health plan members nationwide. OneHome was acquired by Humana in 2021 to advance value-based care. Our culture is inclusive, diverse, and above all, caring. It is important to us that our employees are engaged, supported and fairly treated. We offer a comprehensive benefits package to ensure the health and financial well-being of you and your family.About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.


Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

What Humana employees say

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About Humana

Sourced by ZipRecruiter

Humana Inc., headquartered in Louisville, KY., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Louisville, KY, US

Year founded

1961

Social media

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