Process medical claims submitted on CMS-1500 and CMS-1450/UB-04 claim forms from facilities, physicians, Home Health, Durable Medical Equipment providers, laboratories, etc. * Work claim projects ...
Process medical claims submitted on CMS-1500 and CMS-1450/UB-04 claim forms from facilities, physicians, Home Health, Durable Medical Equipment providers, laboratories, etc. * Work claim projects ...
Medical Claims Examiner
San Antonio, TX · On-site
$22.50/hr
Claims Examiner - San Antonio, TX ($22.50/hr, Mon-Fri 8am-5pm) Adecco is hiring a Claims Examiner responsible for processing health plan claims and supporting provider inquiries. Key Requirements ...
Quick apply
Medical Claims Examiner
San Antonio, TX · On-site
$22.50/hr
Claims Examiner - San Antonio, TX ($22.50/hr, Mon-Fri 8am-5pm) Adecco is hiring a Claims Examiner responsible for processing health plan claims and supporting provider inquiries. Key Requirements ...
Claims Manager
$76K - $95K/yr
Administer and coordinate claims processing and implement strategies to prevent, control, and/or ... Represent the City of El Paso at settlement conferences, hearings, arbitrations, mediations, and ...
Claims Manager
$76K - $95K/yr
Administer and coordinate claims processing and implement strategies to prevent, control, and/or ... Represent the City of El Paso at settlement conferences, hearings, arbitrations, mediations, and ...
Pharmacy Claims Representative (remote)
Arlington, TX · Remote
$22/hr
... at-home data, technology and service platform, and the industry's first scale durable medical ... In a remote call center environment, you will review, analyze, and process pharmacy claims with ...
Pharmacy Claims Representative (remote)
Arlington, TX · Remote
$22/hr
... at-home data, technology and service platform, and the industry's first scale durable medical ... In a remote call center environment, you will review, analyze, and process pharmacy claims with ...
Culture and Values Expectations At HealthTexas, we believe that our workplace culture is the ... Processing Health Plan Delegated Claims: * Reviewing claim submissions for accuracy and ...
Culture and Values Expectations At HealthTexas, we believe that our workplace culture is the ... Processing Health Plan Delegated Claims: * Reviewing claim submissions for accuracy and ...
Claims In-take Specialist
Addison, TX · On-site
$20 - $25/hr
... at our corporate office in Addison, TX, reporting to the VP of Revenue Cycle Management. The role requires on-site presence during regular business hours. Key Responsibilities * Claims Processing:
Claims In-take Specialist
Addison, TX · On-site
$20 - $25/hr
... at our corporate office in Addison, TX, reporting to the VP of Revenue Cycle Management. The role requires on-site presence during regular business hours. Key Responsibilities * Claims Processing:
Culture and Values Expectations At HealthTexas, we believe that our workplace culture is the ... Processing Health Plan Delegated Claims: * Reviewing claim submissions for accuracy and ...
Culture and Values Expectations At HealthTexas, we believe that our workplace culture is the ... Processing Health Plan Delegated Claims: * Reviewing claim submissions for accuracy and ...
Claims Manager
El Paso, TX · On-site
$76K - $95K/yr
Administer and coordinate claims processing and implement strategies to prevent, control, and/or ... Represent the City of El Paso at settlement conferences, hearings, arbitrations, mediations, and ...
Claims Manager
El Paso, TX · On-site
$76K - $95K/yr
Administer and coordinate claims processing and implement strategies to prevent, control, and/or ... Represent the City of El Paso at settlement conferences, hearings, arbitrations, mediations, and ...
Mechanical Claims Adjuster
Richardson, TX · On-site
... process. In this role, you will work closely with customers, vehicle inspectors, and repair ... Education High school diploma and at least two years college or an equivalent combination of ...
Mechanical Claims Adjuster
Richardson, TX · On-site
... process. In this role, you will work closely with customers, vehicle inspectors, and repair ... Education High school diploma and at least two years college or an equivalent combination of ...
Claims processing or auto title experience * Knowledge of total loss and skip claim terminology ... at home and at work. * We offer competitive benefit programs that help meet our diverse and ...
Claims processing or auto title experience * Knowledge of total loss and skip claim terminology ... at home and at work. * We offer competitive benefit programs that help meet our diverse and ...
Claims processing or auto title experience * Knowledge of total loss and skip claim terminology ... at home and at work. * We offer competitive benefit programs that help meet our diverse and ...
Claims processing or auto title experience * Knowledge of total loss and skip claim terminology ... at home and at work. * We offer competitive benefit programs that help meet our diverse and ...
Work Experience Six months of experience with claims processing, medical billing, administrative, customer service, call center, or physician's office or other medical office services experience ...
Work Experience Six months of experience with claims processing, medical billing, administrative, customer service, call center, or physician's office or other medical office services experience ...
Medical Claims Processor
El Paso, TX · On-site
$16.50/hr
As a Medical Claims Processor at DATAMARK, you'll play a vital role in the success of our operations by ensuring accurate and efficient back-office support. We are seeking a detail-oriented and ...
Medical Claims Processor
El Paso, TX · On-site
$16.50/hr
As a Medical Claims Processor at DATAMARK, you'll play a vital role in the success of our operations by ensuring accurate and efficient back-office support. We are seeking a detail-oriented and ...
Claims processing or auto title experience * Knowledge of total loss and skip claim terminology ... at home and at work. * We offer competitive benefit programs that help meet our diverse and ...
Claims processing or auto title experience * Knowledge of total loss and skip claim terminology ... at home and at work. * We offer competitive benefit programs that help meet our diverse and ...
Claims processing or auto title experience * Knowledge of total loss and skip claim terminology ... at home and at work. * We offer competitive benefit programs that help meet our diverse and ...
Claims processing or auto title experience * Knowledge of total loss and skip claim terminology ... at home and at work. * We offer competitive benefit programs that help meet our diverse and ...
Medical Claims Processor
El Paso, TX · On-site
$16.50/hr
As a Medical Claims Processor at DATAMARK, you'll play a vital role in the success of our operations by ensuring accurate and efficient back-office support. We are seeking a detail-oriented and ...
Medical Claims Processor
El Paso, TX · On-site
$16.50/hr
As a Medical Claims Processor at DATAMARK, you'll play a vital role in the success of our operations by ensuring accurate and efficient back-office support. We are seeking a detail-oriented and ...
Medical Claims Processor
El Paso, TX · On-site
$16.50/hr
As a Medical Claims Processor at DATAMARK, you'll play a vital role in the success of our operations by ensuring accurate and efficient back-office support. We are seeking a detail-oriented and ...
Quick apply
Medical Claims Processor
El Paso, TX · On-site
$16.50/hr
As a Medical Claims Processor at DATAMARK, you'll play a vital role in the success of our operations by ensuring accurate and efficient back-office support. We are seeking a detail-oriented and ...
Reliant at Home is looking for a Full-Time Home Health Billing Specialist! This position will ... Prepare and submit claims for home health services to Medicare, Medicaid, private insurance, and ...
Quick apply
Reliant at Home is looking for a Full-Time Home Health Billing Specialist! This position will ... Prepare and submit claims for home health services to Medicare, Medicaid, private insurance, and ...
The Bodily Injury Claims Adjuster must also comply with the Texas Department of Insurance Guidelines and remain in compliance, providing documentation through each step of the claims process.
The Bodily Injury Claims Adjuster must also comply with the Texas Department of Insurance Guidelines and remain in compliance, providing documentation through each step of the claims process.
... the claims process from start to finish. You'll have the support of a collaborative team and ... that's at home or in the office, for a period of 12 months. After that period, the days you'll be ...
... the claims process from start to finish. You'll have the support of a collaborative team and ... that's at home or in the office, for a period of 12 months. After that period, the days you'll be ...
At Home Claims Processing information
See Texas salary details
$11.20 - $12.42
2% of jobs
$12.42 - $13.64
6% of jobs
$13.64 - $14.86
9% of jobs
$15.50 is the 25th percentile. Wages below this are outliers.
$14.86 - $16.08
14% of jobs
$16.08 - $17.31
18% of jobs
The median wage is $17.34 / hr.
$17.31 - $18.53
17% of jobs
$19.20 is the 75th percentile. Wages above this are outliers.
$18.53 - $19.75
16% of jobs
$19.75 - $20.97
7% of jobs
$20.97 - $22.19
4% of jobs
$22.19 - $23.41
4% of jobs
$23.41 - $24.64
2% of jobs
$11
$17
$24
How much do at home claims processing jobs pay per hour?
As of Aug 7, 2026, the average hourly pay for at home claims processing in Texas is $17.86, according to ZipRecruiter salary data. Most workers in this role earn between $15.24 and $19.28 per hour, depending on experience, location, and employer.
What is at home claims processing?
At home claims processing jobs involve evaluating and handling insurance claims from a remote location, usually your own home. These positions require you to review claims submitted by customers, verify information, process payments, and ensure all documentation is accurate and complete. Most employers provide secure software and training to help you manage claims efficiently. Strong attention to detail, confidentiality, and good communication skills are important for this role. These jobs are popular for those seeking flexible, remote work in the insurance or healthcare industries.
What is the difference between At Home Claims Processing vs Customer Service Representative?
| Aspect | At Home Claims Processing | Customer Service Representative |
|---|---|---|
| Credentials | Insurance knowledge, claims processing certifications | Communication skills, customer service training |
| Work Environment | Remote, home-based | Remote or in-office, customer-facing |
| Industry Usage | Insurance companies, claims departments | Various industries including retail, telecom |
| Job Focus | Reviewing and processing insurance claims | Assisting customers, resolving inquiries |
At Home Claims Processing involves handling insurance claims remotely, requiring specific industry knowledge and certifications. Customer Service Representatives focus on assisting customers across various sectors, often with a broader skill set. While both roles can be remote, their core responsibilities and credentials differ significantly.
What are some common challenges faced by remote claims processors, and how can they be effectively managed?
Remote claims processors often face challenges such as maintaining clear communication with team members, staying organized without in-person supervision, and managing a high volume of claims efficiently. To overcome these, it's helpful to establish a consistent daily routine, utilize digital collaboration tools, and regularly check in with supervisors and colleagues. Staying updated on company policies and industry regulations is also crucial for accurate and timely claims processing.
What are the key skills and qualifications needed to thrive as an at home claims processor?
To thrive as an At Home Claims Processor, you need strong attention to detail, analytical skills, and a solid understanding of insurance policies, typically supported by a high school diploma or relevant experience. Proficiency with claims management software, document management systems, and secure communication platforms is commonly required. Excellent organizational skills, time management, and clear written communication help you excel in a remote environment. These capabilities are essential for ensuring accurate and timely claims processing, maintaining compliance, and delivering high-quality customer service from a home-based setting.
What are the most commonly searched types of Claims Processing jobs in Texas? The most popular types of Claims Processing jobs in Texas are:
What cities in Texas are hiring for At Home Claims Processing jobs? Cities in Texas with the most At Home Claims Processing job openings:
Full-time
Re-posted 28 days ago
CHRISTUS Health rating
6.7
Based on 530 frontline employees who took The Breakroom Quiz
532nd of 887 rated healthcare providers
Job description
Summary:
The Claims Examiner Senior is responsible for reviewing, analyzing, researching, and resolving complex medical claims in accordance with claims processing guidelines and desktops, as well as, ensuring compliance with federal regulations. This role works in conjunction with Business Configuration, Network Management, Provider Data, Complaints, Appeals and Grievances as well as other operational departments to ensure validation and quality assurance of claims processing.
Responsibilities:
Job Requirements:
Education/Skills
Experience
Licenses, Registrations, or Certifications
Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time
The Claims Examiner Senior is responsible for reviewing, analyzing, researching, and resolving complex medical claims in accordance with claims processing guidelines and desktops, as well as, ensuring compliance with federal regulations. This role works in conjunction with Business Configuration, Network Management, Provider Data, Complaints, Appeals and Grievances as well as other operational departments to ensure validation and quality assurance of claims processing.
Responsibilities:
- Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- Analyze medical claim information and take appropriate action for payment resolution in accordance with policies and procedures, desktops, processing guidelines, and federal regulations.
- Process medical claims submitted on CMS-1500 and CMS-1450/UB-04 claim forms from facilities, physicians, Home Health, Durable Medical Equipment providers, laboratories, etc.
- Work claim projects resulting from overpayments or underpayments related to manual processing errors, benefit updates, and/or contract, fee schedule changes.
- Process provider refunds, reconsiderations, and direct member reimbursements.
- Process medical claim adjustments, recovery of claim overpayments, and execution of claim batch adjudication.
- Solve moderately complex claims and escalate issues to the Claims Team Lead, Supervisor or Manager.
- Assist with database improvements and testing for system upgrades, conversions, or implementation of new processes.
- Serves as a resource to assist with training new associates, retraining current associates on new/updated desktops/policies and reports staff progress, deficiencies, and training needs to management.
- Sets high standards of performance and promotes teamwork to achieve established team goals, while maintaining a positive, professional attitude.
- Contacting/responding to internal and external customers for resolution on claim issues.
- Assist claims leadership to identify claim trends, gaps in workflow and create/update desktops and policies and procedures.
- Collaborate with and maintain open communication with all departments within CHRISTUS Health to ensure effective and efficient workflow and facilitate completion of tasks/goals.
- Must be able to organize and prioritize work to meet deadlines.
- Have good judgment, initiative, and problem-solving abilities.
- Attention to detail is critical to ensure timely and accurate processing of claims.
- Consistently meet established productivity and quality standards.
- Follow CHRISTUS Guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent, or detect unauthorized disclosure of Protected Health Information (PHI).
- Performs other duties as assigned by management to support claims functions, which are focused on achieving both departmental and organizational objectives.
- Must be knowledgeable about medical terminology, CPT, HCPCS, ICD-10, Revenue Codes, CMS-1500 and CMS-1450/UB-04 claim forms and reimbursement methodologies.
- Must have excellent written, verbal, organizational and interpersonal communication skills.
- Must be proficient in Microsoft Office, Power Point, Excel, Word, Outlook, spreadsheet, and database skills.
Job Requirements:
Education/Skills
- Associate's degree or equivalent job-related experience required.
Experience
- Minimum of 3 years' experience processing medical claims in the healthcare industry.
- Prior experience working with managed care, Medicare, Medicare Advantage, Health Exchange, and TRICARE are highly desirable.
Licenses, Registrations, or Certifications
- None required.
Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time
What CHRISTUS Health employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About CHRISTUS Health
Sourced by ZipRecruiter
CHRISTUS Health is a prominent name in the healthcare industry, with its headquarters situated in Irving, TX, USA. Established in 1999, the company has since been devoted to providing comprehensive care and extending the healing ministry of Jesus Christ. This not-for-profit health system primarily operates more than 600 healthcare services and programs, including long-term care facilities, health insurance products, community clinics, and outreach services, serving both urban and rural populations.
Industry
Outpatient health care
Company size
1,001 - 5,000 Employees
Headquarters location
Irving, TX, US
Year founded
1999