Health claims processing experience, including coordination of benefits (COB), subrogation and eligibility criteria. Experience with Medicaid and Medicare claims denials and appeals processing, and ...
Health claims processing experience, including coordination of benefits (COB), subrogation and eligibility criteria. Experience with Medicaid and Medicare claims denials and appeals processing, and ...
Specialist, Appeals & Grievances
Long Beach, CA · On-site
$16.40 - $31.97/hr
Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for appeals and denials. Customer service experience. Strong organizational and ...
Specialist, Appeals & Grievances
Long Beach, CA · On-site
$16.40 - $31.97/hr
Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for appeals and denials. Customer service experience. Strong organizational and ...
Process, review, and submit Medicare claims for emergency and non-emergency ambulance services per CMS and New York State regulations * Ensure accurate coding, modifiers, mileage, and level-of ...
Process, review, and submit Medicare claims for emergency and non-emergency ambulance services per CMS and New York State regulations * Ensure accurate coding, modifiers, mileage, and level-of ...
Sr Medicare Biller
Yonkers, NY · On-site
$63K/yr
Process, review, and submit Medicare claims for emergency and non-emergency ambulance services in accordance with CMS and New York State regulations * Ensure accurate coding, modifiers, mileage, and ...
Sr Medicare Biller
Yonkers, NY · On-site
$63K/yr
Process, review, and submit Medicare claims for emergency and non-emergency ambulance services in accordance with CMS and New York State regulations * Ensure accurate coding, modifiers, mileage, and ...
Minimum 5+ years in health plan/IPA claims processing, audit, or compliance roles * Minimum 5+ years management experience * Knowledge of Medicare rules, medical terminology, and managed care health ...
Quick apply
Minimum 5+ years in health plan/IPA claims processing, audit, or compliance roles * Minimum 5+ years management experience * Knowledge of Medicare rules, medical terminology, and managed care health ...
AP CLAIMS PROCESSOR
Salisbury, NC · On-site
$15.25 - $19.50/hr
This position will ensure accurate Medicare and contract payment billing rates with providers. This process will include frequent communication with providers to resolve any issues. Once the claims ...
AP CLAIMS PROCESSOR
Salisbury, NC · On-site
$15.25 - $19.50/hr
This position will ensure accurate Medicare and contract payment billing rates with providers. This process will include frequent communication with providers to resolve any issues. Once the claims ...
AP CLAIMS PROCESSOR
$15.25 - $19.50/hr
This position will ensure accurate Medicare and contract payment billing rates with providers. This process will include frequent communication with providers to resolve any issues. Once the claims ...
AP CLAIMS PROCESSOR
$15.25 - $19.50/hr
This position will ensure accurate Medicare and contract payment billing rates with providers. This process will include frequent communication with providers to resolve any issues. Once the claims ...
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Experienced Medical Claims Processor (TPA)
Charlotte, NC · On-site
$18 - $21/hr
MUST HAVE DIRECT MEDICAL CLAIMS PROCESSING EXPERIENCE***** 90 Degree Benefits is seeking a ... Understanding of Medicare and Medicaid * Understanding of COBRA * HIPAA compliancy * Ability to ...
Quick apply
Be Seen First
Experienced Medical Claims Processor (TPA)
Charlotte, NC · On-site
$18 - $21/hr
MUST HAVE DIRECT MEDICAL CLAIMS PROCESSING EXPERIENCE***** 90 Degree Benefits is seeking a ... Understanding of Medicare and Medicaid * Understanding of COBRA * HIPAA compliancy * Ability to ...
MSO CLAIMS MANAGER
Burlingame, CA · On-site
This role provides guidance on healthcare claims adjudication and payment processing for Medi-Cal, Medicare, PACE, and other lines of business based on member Evidence of Coverages (EOC) and CMS/DHCS ...
MSO CLAIMS MANAGER
Burlingame, CA · On-site
This role provides guidance on healthcare claims adjudication and payment processing for Medi-Cal, Medicare, PACE, and other lines of business based on member Evidence of Coverages (EOC) and CMS/DHCS ...
MSO CLAIMS MANAGER
Burlingame, CA · On-site
This role provides guidance on healthcare claims adjudication and payment processing for Medi-Cal, Medicare, PACE, and other lines of business based on member Evidence of Coverages (EOC) and CMS/DHCS ...
MSO CLAIMS MANAGER
Burlingame, CA · On-site
This role provides guidance on healthcare claims adjudication and payment processing for Medi-Cal, Medicare, PACE, and other lines of business based on member Evidence of Coverages (EOC) and CMS/DHCS ...
MSO CLAIMS MANAGER
Burlingame, CA · On-site
$112K - $128K/yr
This role provides guidance on healthcare claims adjudication and payment processing for Medi-Cal, Medicare, PACE, and other lines of business based on member Evidence of Coverages (EOC) and CMS/DHCS ...
MSO CLAIMS MANAGER
Burlingame, CA · On-site
$112K - $128K/yr
This role provides guidance on healthcare claims adjudication and payment processing for Medi-Cal, Medicare, PACE, and other lines of business based on member Evidence of Coverages (EOC) and CMS/DHCS ...
Claims Adjuster
Baltimore, MD · On-site
The selected candidate will process claims AND investigate/perform adjustments of complex Health ... Medicare / Medicaid knowledge
Claims Adjuster
Baltimore, MD · On-site
The selected candidate will process claims AND investigate/perform adjustments of complex Health ... Medicare / Medicaid knowledge
Claims Resolution and Reconciliation Supervisor
Los Angeles, CA · On-site
$78K - $163K/yr
... claims processing staff * Applies knowledge of revenue cycle operations, claims adjudication, and reimbursement methodologies * Interprets and applies DMHC and CMS Medicare Advantage regulatory ...
Claims Resolution and Reconciliation Supervisor
Los Angeles, CA · On-site
$78K - $163K/yr
... claims processing staff * Applies knowledge of revenue cycle operations, claims adjudication, and reimbursement methodologies * Interprets and applies DMHC and CMS Medicare Advantage regulatory ...
Medicare Account Resolution Specialist - Digitech - Remote
$14.75 - $20.50/hr
The Medicare Account Resolution Specialist is responsible for managing and resolving Medicare claims after submission to ensure accurate and timely processing. This role requires strong analytical ...
Medicare Account Resolution Specialist - Digitech - Remote
$14.75 - $20.50/hr
The Medicare Account Resolution Specialist is responsible for managing and resolving Medicare claims after submission to ensure accurate and timely processing. This role requires strong analytical ...
Claims Examiner (Remote/Hybrid work available)
Pasadena, CA · On-site
$22 - $30/hr
Process Medicare member claims based on DMHC and DHS regulatory legislature. Respond to and resolve provider and health plan claims inquiries and give resolution in a timely manner. Review services ...
Quick apply
Claims Examiner (Remote/Hybrid work available)
Pasadena, CA · On-site
$22 - $30/hr
Process Medicare member claims based on DMHC and DHS regulatory legislature. Respond to and resolve provider and health plan claims inquiries and give resolution in a timely manner. Review services ...
Claims Specialist
Tarentum, PA · On-site
Claims Department At Blackburn's Physicians Pharmacy, our mission is simple: People first, Be kind ... and insurance authorization processes preferred * Familiarity with Medicare, Medicaid, and ...
Claims Specialist
Tarentum, PA · On-site
Claims Department At Blackburn's Physicians Pharmacy, our mission is simple: People first, Be kind ... and insurance authorization processes preferred * Familiarity with Medicare, Medicaid, and ...
Claims Manager, Medicare Advantage Plan (Flexible-Hybrid)
Los Angeles, CA · On-site
$95K - $208K/yr
The Claims Manager of the Medicare Advantage Plan will ... Implement and maintain efficient and streamlined claims adjudication processes that effectively ...
Claims Manager, Medicare Advantage Plan (Flexible-Hybrid)
Los Angeles, CA · On-site
$95K - $208K/yr
The Claims Manager of the Medicare Advantage Plan will ... Implement and maintain efficient and streamlined claims adjudication processes that effectively ...
Claims Supervisor
San Antonio, TX · On-site
$20.80 - $34.75/hr
... claims processing unit and the assigned staff. Responds to issues escalated through the claim ... Medicaid, Medicare and Commercial claims experience is required. Three (3) or more years ...
Claims Supervisor
San Antonio, TX · On-site
$20.80 - $34.75/hr
... claims processing unit and the assigned staff. Responds to issues escalated through the claim ... Medicaid, Medicare and Commercial claims experience is required. Three (3) or more years ...
... claims processing unit and the assigned staff. Responds to issues escalated through the claim ... Medicaid, Medicare and Commercial claims experience is required. Three (3) or more years ...
... claims processing unit and the assigned staff. Responds to issues escalated through the claim ... Medicaid, Medicare and Commercial claims experience is required. Three (3) or more years ...
... claims processing unit and the assigned staff. Responds to issues escalated through the claim ... Medicaid, Medicare and Commercial claims experience is required. Three (3) or more years ...
... claims processing unit and the assigned staff. Responds to issues escalated through the claim ... Medicaid, Medicare and Commercial claims experience is required. Three (3) or more years ...
Apprentice Medicare Claims Processing information
See salary details
$12.02 - $14.03
2% of jobs
$14.03 - $16.04
13% of jobs
$17.95 is the 25th percentile. Wages below this are outliers.
$16.04 - $18.05
11% of jobs
$18.05 - $20.06
14% of jobs
The median wage is $20.81 / hr.
$20.06 - $22.07
29% of jobs
$22.07 - $24.08
6% of jobs
$24.21 is the 75th percentile. Wages above this are outliers.
$24.08 - $26.09
9% of jobs
$26.09 - $28.10
3% of jobs
$28.10 - $30.11
3% of jobs
$30.11 - $32.12
3% of jobs
$32.12 - $34.13
7% of jobs
$12
$22
$34
How much do apprentice medicare claims processing jobs pay per hour?
As of Jun 29, 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?
| Aspect | Apprentice Medicare Claims Processing | Medicare Claims Processor |
|---|---|---|
| Credentials | On-the-job training, possibly some certifications | Typically requires relevant certifications or experience |
| Work Environment | Training environment, supervised tasks | Full-time, operational setting within healthcare or insurance companies |
| Job Responsibilities | Assisting with claims, learning processing procedures | Processing 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.
How much do claims processors make in the US?
Claims processors, including those working in Medicare claims processing, typically earn a median annual salary of around $40,000 to $50,000 in the US. Salaries can vary based on experience, location, and employer, with some positions offering additional benefits or opportunities for advancement.
What do you need to be a claims processor?
To be an apprentice Medicare claims processor, you typically need a high school diploma or equivalent, strong attention to detail, and good organizational skills. Familiarity with healthcare terminology, claims processing software, and basic computer skills are also important. On-the-job training is common, and some roles may require certification or knowledge of Medicare policies.
Is processing medical claims hard?
Processing medical claims as an Apprentice Medicare Claims Processor involves attention to detail, understanding of billing codes, and familiarity with claims processing software. The role requires accuracy and knowledge of Medicare policies, but with training, it becomes manageable for many individuals.
What skills do you need to be a claims specialist?
A claims specialist, including those processing Medicare claims, needs strong attention to detail, excellent organizational skills, and knowledge of healthcare billing and coding. Proficiency with claims processing software and understanding of insurance policies are also essential for accurate and efficient work.
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:
Molina Healthcare rating
8.0
Based on 192 frontline employees who took The Breakroom Quiz
144th of 263 rated insurance
Job description
JOB DESCRIPTION Job Summary
Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS).
Essential Job Duties
Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or regulatory timelines are met.
Researches claims appeals and grievances using support systems to determine appropriate appeals and grievance outcomes.
Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina guidelines.
Meets claims production standards set by the department.
Applies contract language, benefits and review of covered services to claims review process.
Contacts members/providers as needed via written and verbal communications.
Prepares appeal summaries and correspondence, and documents findings accordingly (includes information on trends as requested).
Composes all correspondence, appeals/disputes and/or grievances information concisely, accurately and in accordance with regulatory requirements.
Researches claims processing guidelines, provider contracts, fee schedules and systems configurations, to determine root causes of payment errors.
Resolves and prepares written response to incoming provider reconsideration requests related to claims payment, requests for claim adjustments, and/or requests from outside agencies.
Required Qualifications
At least 2 years of managed care experience in a call center, appeals, and/or claims environment, or equivalent combination of relevant education and experience.
Health claims processing experience, including coordination of benefits (COB), subrogation and eligibility criteria.
Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for appeals and denials.
Customer service experience.
Strong organizational and time management skills; ability to manage simultaneous projects and tasks to meet internal deadlines.
Effective verbal and written communication skills.
Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
Customer/provider experience in a managed care organization (Medicaid, Medicare, Marketplace and/or other government-sponsored program), or medical office/hospital setting.
Completion of a health care related vocational program in health care (i.e., certified coder, billing, or medical assistant).
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
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About Molina Healthcare
Sourced by ZipRecruiter
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Long Beach, CA, US
Year founded
1980