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Claims Assistant Jobs in Springfield, IL (NOW HIRING)

Memorial Health

Credit/ Refund Specialist

Springfield, IL · On-site

$18.34 - $28.42/hr

... claims. Initiates contractual adjustments on the account and/or processes refunds to patients ... May assist with special projects, analyses, or audits. * As directed and defined by management ...

Walgreens

Certified Pharmacy Technician

Chatham, IL · On-site

$18.25 - $22.25/hr

... assist in locating products. * Handles telephone calls that do not require personal attention of the pharmacist, including those to physicians. * Processes (corrects and resubmits) manual claims for ...

Walgreens

Certified Pharmacy Technician

Chatham, IL · On-site

$18.25 - $22.25/hr

... assist in locating products. * Handles telephone calls that do not require personal attention of the pharmacist, including those to physicians. * Processes (corrects and resubmits) manual claims for ...

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Claims Assistant information

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How much do claims assistant jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for claims assistant in Springfield, IL is $20.86, according to ZipRecruiter salary data. Most workers in this role earn between $17.88 and $22.64 per hour, depending on experience, location, and employer.

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

To thrive as a Claims Assistant, you need strong organizational skills, attention to detail, and a basic understanding of insurance processes, often supported by a high school diploma or equivalent. Familiarity with claims management software, data entry systems, and office productivity tools like Microsoft Office is important. Excellent communication, customer service, and problem-solving skills help you interact effectively with clients and team members. These abilities ensure efficient claims processing, accurate documentation, and a positive customer experience.

What are the duties of a claims assistant?

A claims assistant works under the supervision of more senior claims examiners to ensure a claims adjuster and the claimants have followed the proper guidelines for filing claims. You also help adjusters deal with complex cases such as after a natural disaster hits and there are a significant number of claims coming in. As an assistant, you perform a number of administrative and clerical tasks which free examiners up to do other work. These duties include data entry, checking payment paperwork, confirming a claimant’s wage statement, and drafting report and billing paperwork.

What is the difference between Claims Assistant vs Claims Processor?

AspectClaims AssistantClaims Processor
Required CredentialsHigh school diploma or equivalent; some roles may prefer certifications in insurance or customer serviceHigh school diploma; certifications in insurance claims processing are a plus
Work EnvironmentOffice setting, interacting with clients and insurance agentsOffice or remote, focusing on reviewing and processing claims
Employer & Industry UsageInsurance companies, third-party administrators, and brokersInsurance companies, claims departments, and third-party administrators
Common Search & Comparison IntentUnderstanding entry-level claims roles and responsibilitiesClarifying the specific duties and qualifications of claims processing roles

Claims Assistants typically handle customer inquiries, gather documentation, and support claims processing, while Claims Processors focus on reviewing, evaluating, and approving claims. Both roles often require similar credentials and work in insurance settings, but their responsibilities differ in scope and focus.

How does a claims assistant typically interact with other departments during the claims process?

As a Claims Assistant, you will regularly collaborate with various teams such as adjusters, underwriters, and customer service representatives to ensure that claims are processed accurately and efficiently. Your role often involves gathering necessary documentation, clarifying claim details, and updating records, which requires clear communication and attention to detail. Effective teamwork and the ability to coordinate with different departments are essential, as you may need to follow up on missing information or escalate complex cases to senior staff. This collaborative environment helps ensure that claimants receive timely resolutions and supports the overall workflow of the claims department.

What is the role of a claims assistant?

A claims assistant supports insurance claims processing by reviewing claim forms, gathering necessary documentation, and communicating with clients and adjusters. They often use claims management software and need strong organizational and communication skills to ensure accurate and efficient handling of claims. The role may require familiarity with insurance policies and attention to detail.
More about Claims Assistant jobs
What are the most commonly searched types of Claims jobs in Springfield, IL? The most popular types of Claims jobs in Springfield, IL are:
What are popular job titles related to Claims Assistant jobs in Springfield, IL? For Claims Assistant jobs in Springfield, IL, the most frequently searched job titles are:
What job categories do people searching Claims Assistant jobs in Springfield, IL look for? The top searched job categories for Claims Assistant jobs in Springfield, IL are:
What cities near Springfield, IL are hiring for Claims Assistant jobs? Cities near Springfield, IL with the most Claims Assistant job openings:
Claims Assistant jobs near you
Infographic showing various Claims Assistant job openings in Springfield, IL as of August 2026, with employment types broken down into 1% As Needed, 70% Full Time, 26% Part Time, 1% Temporary, and 2% Contract. Highlights an 98% Physical, 1% Hybrid, and 1% Remote job distribution, with an average salary of $43,394 per year, or $20.9 per hour.

Credit/ Refund Specialist

Memorial Health

Springfield, IL • On-site

$18.34 - $28.42/hr

Full-time

Re-posted 5 days ago

Memorial Health rating

6.9

Company rating: 6.9 out of 10

Based on 175 frontline employees who took The Breakroom Quiz

453rd of 887 rated healthcare providers

Job description

Min
USD $18.34/Hr.
Max
USD $28.42/Hr.
Overview
Position Summary:
Identifies and researches the basis for credit amounts due on the more complex patient health insurance claims. Initiates contractual adjustments on the account and/or processes refunds to patients, governmental agencies, or insurance companies. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values.
Qualifications
Education:
Education equivalent to graduation from high school or GED is required.
Experience:
Two or more years as a Billing Adjustment Specialist, or comparable insurance, accounting, and/or health care billing experience is required. Must possess the technical knowledge to process credit amounts due on routine and the more complex claims and resolve errors and complex issues associated with them.
Other Knowledge/Skills/Abilities:
  • Demonstrates thorough knowledge of medical terminology, medical procedural (CPT) and diagnosis (ICD-9) coding, and hospital billing claim form UB-04.
  • Basic working knowledge of personal computers and their associate user software is required. Experience with Microsoft Office products Word and Excel is preferred.
  • Ability to multi-task while working on multiple responsibilities simultaneously.
  • Demonstrated ability to work successfully with internal customers and external contacts is required.
  • Possesses a highly developed critical thinking and problem solving-ability to work through complex situations.
  • Demonstrates excellent oral and written communication, keyboarding, basic math, and problem solving skills.

Responsibilities
Principal Duties & Responsbilities:
  1. Identifies patient accounts with credit balances and prioritizes the daily reconciliation and processing of each account.

  1. Analyzes credit balances on patient accounts and confirms the reason and validity of refunds or contractual adjustments prior to processing.

  1. Approves and processes individual account refunds, contractual adjustments, or write-offs up to authority limit granted. Refers items above this level to supervisor or manager for approval prior to processing.

  1. Identifies situations in which contractual adjustments are warranted by determining the original billed amounts as compared to the amounts allowed and prescribed by Medicare / Medicaid and/or managed care contracts, as applicable.
  2. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values:
  • SAFETY: Prevent Harm - I put safety first in everything I do. I take action to ensure the safety of others.
  • COURTESY: Serve Others - I treat others with dignity and respect. I project a professional image and positive attitude.
  • QUALITY: Improve Outcomes - I continually advance my knowledge, skills and performance. I work with others to achieve superior results.
  • EFFICIENCY: Reduce Waste - I use time and resources wisely. I prevent defects and delays.

  1. Uses an electronic spreadsheet to calculate contractual or credit adjustments and documents/posts these amounts to the appropriate account using system software.

  1. Communicates orally and in writing with internal and external insurance representatives and/or governmental agencies (as applicable) to obtain insurance verification and to resolve account questions and billing issues.

  1. Identifies errors or omissions and initiates corrections on accounts with credit balances.

  1. Researches and reconciles unidentified payments and posts such payments to the appropriate account or initiates refunds as appropriate.

  1. Researches and resolves payment issues associated with patient accounts. As applicable, identifies, documents, and reports problematic trends to management.

  1. Provides input regarding system edits designed to identify and ensure consistent and compliant data necessary for processing medical claims.

  1. Responds to requests from internal departments regarding the billing, adjustments, and crediting of medical claims.

  1. Documents online systems and electronic files to ensure accurate data is noted regarding the status payment and credit adjustment of claims.

  1. Ensures compliance to Medicare/Medicaid and/or managed care contract guidelines and processes at each work step to facilitate accurate and timely reimbursements to the organization.

  1. May assist with special projects, analyses, or audits.

  1. As directed and defined by management, orients and cross-trains on other unit duties which are outside of regularly assigned area of responsibility. May serve as a back-up for other areas within the unit or department, especially during times of special needs or staff absences.

  1. Performs other related work as required or requested.

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