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Claim Operator Jobs in Reston, VA (NOW HIRING)

Deloitte

Hospital Billing Operator

Washington, DC · Remote

$20.75 - $26.50/hr

Epic Hospital Billing Operator Position Summary Join Deloitte's AI & Engineering practice to ... Validate claim data for demographics, insurance coverage, authorizations, provider information ...

Deloitte

Hospital Billing Operator

Mclean, VA · Remote

$18.50 - $23.75/hr

Epic Hospital Billing Operator Position Summary Join Deloitte's AI & Engineering practice to ... Validate claim data for demographics, insurance coverage, authorizations, provider information ...

Deloitte

Hospital Billing Operator

Rosslyn, VA · Remote

$20.75 - $26.75/hr

Epic Hospital Billing Operator Position Summary Join Deloitte's AI & Engineering practice to ... Validate claim data for demographics, insurance coverage, authorizations, provider information ...

Pae

Senior Paralegal

Washington, DC · On-site

... Operating Procedures. Duties and Responsibilities The Claim Review Assessor's responsibilities include: * Pre-screen: Responsible for "pre-screening" claims at the eligibility, compensation, and ...

Amentum

Senior Paralegal

Washington, DC · On-site

$31.69/hr

... Operating Procedures. Duties and Responsibilities The Claim Review Assessor's responsibilities include: * Pre-screen: Responsible for "pre-screening" claims at the eligibility, compensation, and ...

Pae

Senior Paralegal

Washington, DC

$31.69/hr

... Operating Procedures. Duties and Responsibilities The Claim Review Assessor's responsibilities include: * Pre-screen: Responsible for "pre-screening" claims at the eligibility, compensation, and ...

Pae

Senior Paralegal

Washington, DC · On-site

... Operating Procedures. Duties and Responsibilities The Claim Review Assessor's responsibilities include: * Pre-screen: Responsible for "pre-screening" claims at the eligibility, compensation, and ...

Pae

Paralegal

Washington, DC

... for the claim review teams while complying with established VCF Standard Operating Procedures. Duties and Responsibilities The Claim Review Assessor's responsibilities include: * Pre-screen:

Amentum

Paralegal

Washington, DC · On-site

... for the claim review teams while complying with established VCF Standard Operating Procedures. Duties and Responsibilities The Claim Review Assessor's responsibilities include: * Pre-screen:

Pae

Paralegal

Washington, DC

... for the claim review teams while complying with established VCF Standard Operating Procedures. Duties and Responsibilities The Claim Review Assessor's responsibilities include: * Pre-screen:

Amentum

Paralegal

Washington, DC · On-site

... for the claim review teams while complying with established VCF Standard Operating Procedures. Duties and Responsibilities The Claim Review Assessor's responsibilities include: * Pre-screen:

CVS Health

Data Entry Operator

Washington, DC · On-site

$17 - $34.15/hr

Position Summary The Data Entry Operator is responsible for accurate data entry, including entering ... Must be familiar with HCFA 1500 and UB Claim Forms, as well as RX, Wellness and Superbill filings ...

Amentum

Law Clerk I

Washington, DC · On-site

$38.77/hr

... operating procedures, demonstrating knowledge and understanding of policies and internal claim review guidance. * Proactively communicates with claimants and claimants' attorneys to clarify issues ...

Pae

Law Clerk I

Washington, DC

$38.77/hr

... operating procedures, demonstrating knowledge and understanding of policies and internal claim review guidance. * Proactively communicates with claimants and claimants' attorneys to clarify issues ...

Amentum

Law Clerk I

Washington, DC · On-site

$38.77/hr

... operating procedures, demonstrating knowledge and understanding of policies and internal claim review guidance. * Proactively communicates with claimants and claimants' attorneys to clarify issues ...

Pae

Law Clerk I

Washington, DC

$38.77/hr

... operating procedures, demonstrating knowledge and understanding of policies and internal claim review guidance. * Proactively communicates with claimants and claimants' attorneys to clarify issues ...

Pae

Law Clerk I

Washington, DC

$38.77/hr

... operating procedures, demonstrating knowledge and understanding of policies and internal claim review guidance. * Proactively communicates with claimants and claimants' attorneys to clarify issues ...

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Showing results 1-20

All JobsClaim Operator JobsClaim Operator Jobs in Reston, VA

Claim Operator information

See Reston, VA salary details

$42.7K

$79.1K

$103K

How much do claim operator jobs pay per year?

As of Jul 2, 2026, the average yearly pay for claim operator in Reston, VA is $79,108.00, according to ZipRecruiter salary data. Most workers in this role earn between $68,700.00 and $89,000.00 per year, depending on experience, location, and employer.

What are some common challenges a Claim Operator faces in managing insurance claims, and how can they be addressed?

Claim Operators often encounter challenges such as handling a high volume of claims, ensuring accuracy in documentation, and meeting strict deadlines. These challenges can be managed by developing strong organizational skills, utilizing claims management software efficiently, and maintaining clear communication with both clients and team members. Staying updated on regulatory changes and company policies also helps prevent errors and ensures compliance throughout the claims process.

What is the difference between Claim Operator vs Claims Adjuster?

AspectClaim OperatorClaims Adjuster
Required CredentialsHigh school diploma or equivalent; some roles may require insurance licensesHigh school diploma; licensing or certification often required
Work EnvironmentInsurance companies, claims processing centersFieldwork and office settings, inspecting damages
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Common Search & ComparisonClaim OperatorClaims Adjuster

Claim Operators primarily handle the administrative processing of claims within insurance companies, focusing on data entry and documentation. Claims Adjusters, on the other hand, evaluate damages, inspect claims, and determine settlement amounts. While both roles require insurance knowledge and sometimes licensing, Claim Operators focus on processing, whereas Claims Adjusters are more involved in assessment and decision-making.

What are the key skills and qualifications needed to thrive as a Claim Operator, and why are they important?

To thrive as a Claim Operator, you need strong analytical skills, attention to detail, and a foundational understanding of insurance processes, often supported by a high school diploma or equivalent. Familiarity with claims management software, Microsoft Office Suite, and sometimes industry certifications like AIC (Associate in Claims) are typically required. Excellent communication, organization, and problem-solving abilities help in interacting with clients and resolving claims efficiently. These skills are crucial for accurately processing claims, ensuring customer satisfaction, and maintaining compliance with regulatory standards.

What does a Claim Operator do?

A Claim Operator is responsible for processing and managing insurance claims. They review claim submissions, verify documentation for accuracy, and determine the validity of claims according to company policies. Claim Operators may also communicate with clients, adjusters, and other stakeholders to gather additional information or resolve issues. Their role helps ensure that claims are handled efficiently and fairly, contributing to customer satisfaction and the integrity of the insurance process.
What are popular job titles related to Claim Operator jobs in Reston, VA? For Claim Operator jobs in Reston, VA, the most frequently searched job titles are:
What job categories do people searching Claim Operator jobs in Reston, VA look for? The top searched job categories for Claim Operator jobs in Reston, VA are:
What cities near Reston, VA are hiring for Claim Operator jobs? Cities near Reston, VA with the most Claim Operator job openings:
Claim Operator jobs near you
Hospital Billing Operator

Hospital Billing Operator

Deloitte

Washington, DC • Remote

$20.75 - $26.50/hr

Other

Posted 13 days ago

Deloitte rating

8.0

Company rating: 8.0 out of 10

Based on 89 frontline employees who took The Breakroom Quiz

71st of 146 rated financial services

Job description

Epic Hospital Billing Operator

Position Summary

Join Deloitte's AI & Engineering practice to support hospital billing operations in a role focused on claim accuracy, timely reimbursement, and revenue cycle performance. As an Epic Hospital Billing Analyst, you will help review and submit hospital claims, resolve billing issues, and work across teams to reduce avoidable denials. This is a primarily remote role supporting an enterprise Epic implementation, with minimal travel and scheduled onsite time as needed.

Recruiting for this role ends on 08/01/2026.

Work you'll do

As an Epic Hospital Billing Operator on the AI & Engineering team, you will be responsible for supporting hospital billing activities that improve claim accuracy, reduce denials, and help clients optimize revenue cycle performance.

  • Review patient accounts, charge details, coding inputs, and supporting documentation for billing accuracy and completeness
  • Prepare and submit hospital claims to commercial, government, and other third-party payers in accordance with payer requirements
  • Validate claim data for demographics, insurance coverage, authorizations, provider information, modifiers, and coding-related elements; identify and correct claim edits, rejections, and billing errors before submission or rebilling
  • Work with coding, registration, authorization, clinical, and accounts receivable teams to resolve billing issues, prevent avoidable denials, and submit supporting documentation required by payer guidelines
  • Adhere to defined standard operating procedures and workflows while working in Epic Resolute Hospital Billing, claims clearinghouse systems, payer portals, and related tools; monitor work queues and reports, support complex claim resolution, and meet productivity and quality standards

A successful candidate would possess these skills:

  • Ability to work independently and collaborate as part of a team
  • Effective written and verbal communication skills
  • Meticulous attention to detail and quality of work product
  • Ability to build and sustain professional relationships
  • Ability to lead projects or workstreams
  • Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment
  • Strong interpersonal skills and professional demeanor
  • Ability to meet deadlines
  • Ability to provide clear guidance to others

The team

AI & Engineering leverages cutting-edge engineering capabilities to build, deploy, and operate integrated/verticalized sector solutions in software, data, AI, network, and hybrid cloud infrastructure. These solutions are powered by engineering for business advantage, transforming mission-critical operations. We enable clients to stay ahead with the latest advancements by transforming engineering teams and modernizing technology & data platforms. Our delivery models are tailored to meet each client's unique requirements.

Our Industry Solutions offering provides verticalized solutions that transform how clients sell products, deliver services, generate growth, and execute mission-critical operations. We deliver integrated business expertise with scalable, repeatable technology solutions specifically engineered for each sector.

Qualifications

Required:

  • Bachelor's degree in information technology, business, healthcare, or a related field; or equivalent experience
  • 2+ years of experience in hospital billing operations
  • Experience using Epic Resolute Hospital Billing
  • Experience working in claims clearinghouse systems
  • Experience using Epic Analytics and Reporting applications
  • Ability to travel 10%, on average, based on the work you do and the clients and industries/sectors you serve.
  • Limited immigration sponsorship may be available.

Preferred:

  • Experience using Microsoft Word, Excel, and PowerPoint
  • Experience supporting clinical or healthcare business operations
  • Experience managing multiple projects or workstreams
  • Experience preparing and delivering technical demonstrations
  • Experience analyzing billing workflows, claim issues, or operational data

For individuals assigned and/or hired to work in a remote role, Deloitte is required by law to include a reasonable estimate of the compensation range for this role. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $70,000 to $90,000.

You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.

Qualifications:

Epic Hospital Billing Operator

Position Summary

Join Deloitte's AI & Engineering practice to support hospital billing operations in a role focused on claim accuracy, timely reimbursement, and revenue cycle performance. As an Epic Hospital Billing Analyst, you will help review and submit hospital claims, resolve billing issues, and work across teams to reduce avoidable denials. This is a primarily remote role supporting an enterprise Epic implementation, with minimal travel and scheduled onsite time as needed.

Recruiting for this role ends on 08/01/2026.

Work you'll do

As an Epic Hospital Billing Operator on the AI & Engineering team, you will be responsible for supporting hospital billing activities that improve claim accuracy, reduce denials, and help clients optimize revenue cycle performance.

  • Review patient accounts, charge details, coding inputs, and supporting documentation for billing accuracy and completeness
  • Prepare and submit hospital claims to commercial, government, and other third-party payers in accordance with payer requirements
  • Validate claim data for demographics, insurance coverage, authorizations, provider information, modifiers, and coding-related elements; identify and correct claim edits, rejections, and billing errors before submission or rebilling
  • Work with coding, registration, authorization, clinical, and accounts receivable teams to resolve billing issues, prevent avoidable denials, and submit supporting documentation required by payer guidelines
  • Adhere to defined standard operating procedures and workflows while working in Epic Resolute Hospital Billing, claims clearinghouse systems, payer portals, and related tools; monitor work queues and reports, support complex claim resolution, and meet productivity and quality standards

A successful candidate would possess these skills:

  • Ability to work independently and collaborate as part of a team
  • Effective written and verbal communication skills
  • Meticulous attention to detail and quality of work product
  • Ability to build and sustain professional relationships
  • Ability to lead projects or workstreams
  • Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment
  • Strong interpersonal skills and professional demeanor
  • Ability to meet deadlines
  • Ability to provide clear guidance to others

The team

AI & Engineering leverages cutting-edge engineering capabilities to build, deploy, and operate integrated/verticalized sector solutions in software, data, AI, network, and hybrid cloud infrastructure. These solutions are powered by engineering for business advantage, transforming mission-critical operations. We enable clients to stay ahead with the latest advancements by transforming engineering teams and modernizing technology & data platforms. Our delivery models are tailored to meet each client's unique requirements.

Our Industry Solutions offering provides verticalized solutions that transform how clients sell products, deliver services, generate growth, and execute mission-critical operations. We deliver integrated business expertise with scalable, repeatable technology solutions specifically engineered for each sector.

Qualifications

Required:

  • Bachelor's degree in information technology, business, healthcare, or a related field; or equivalent experience
  • 2+ years of experience in hospital billing operations
  • Experience using Epic Resolute Hospital Billing
  • Experience working in claims clearinghouse systems
  • Experience using Epic Analytics and Reporting applications
  • Ability to travel 10%, on average, based on the work you do and the clients and industries/sectors you serve.
  • Limited immigration sponsorship may be available.

Preferred:

  • Experience using Microsoft Word, Excel, and PowerPoint
  • Experience supporting clinical or healthcare business operations
  • Experience managing multiple projects or workstreams
  • Experience preparing and delivering technical demonstrations
  • Experience analyzing billing workflows, claim issues, or operational data

For individuals assigned and/or hired to work in a remote role, Deloitte is required by law to include a reasonable estimate of the compensation range for this role. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $70,000 to $90,000.

You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.

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