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Claims Associate Jobs in Reno, NV (NOW HIRING)

Nevada Retina Associates

Medical Biller

Carson City, NV · On-site

$16 - $20.50/hr

Review and appeal denied rejected claims communicating directly with insurance payers. * Verify coding accuracy by reviewing provider documentation against ophthalmologyspecific coding guidelines ...

TopBuild

Warehouse Associate

Sparks, NV · On-site

$13 - $30/hr

Perform receiving duties such as receive and unload inbound material, process inbound shipments, stock material, process customer returns and notify management of damaged shipments for freight claims.

TruTeam

Warehouse Associate

Sparks, NV · On-site

$13 - $30/hr

Perform receiving duties such as receive and unload inbound material, process inbound shipments, stock material, process customer returns and notify management of damaged shipments for freight claims.

TopBuild Corp.

Warehouse Associate

Sparks, NV · On-site

$13 - $30/hr

Perform receiving duties such as receive and unload inbound material, process inbound shipments, stock material, process customer returns and notify management of damaged shipments for freight claims.

Topbuild

Warehouse Associate

Sparks, NV

$13 - $30/hr

Perform receiving duties such as receive and unload inbound material, process inbound shipments, stock material, process customer returns and notify management of damaged shipments for freight claims.

Walgreens

Pharmacy Customer Service Associate

Reno, NV · On-site

$16 - $18/hr

Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner, and performs other clerical duties, as assigned by the Pharmacy ...

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All JobsClaims Associate JobsClaims Associate Jobs in Reno, NV

Claims Associate information

See Reno, NV salary details

$13

$20

$30

How much do claims associate jobs pay per hour?

As of Jul 14, 2026, the average hourly pay for claims associate in Reno, NV is $20.93, according to ZipRecruiter salary data. Most workers in this role earn between $17.02 and $23.03 per hour, depending on experience, location, and employer.

What Does a Claims Associate Do?

A claims associate handles claims for an insurance company. As a claims associate, your job duties may include reviewing a customer’s insurance coverage and interviewing those who have filed a claim. Your job is to ensure that a claim is processed correctly, so the customer receives the financial payout to which they are entitled. In this career, you usually work in an office, but you may need to travel to gather information about the claim. There are positions in every insurance industry so that you may work in anything from auto to life insurance. This position requires excellent research and interpersonal skills, and experience in customer service is a plus. Additional qualifications may include an associate degree.

What is the difference between Claims Associate vs Claims Examiner?

AspectClaims AssociateClaims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may prefer insurance-related certificationsHigh school diploma; insurance certifications like CPCU or similar beneficial
Work EnvironmentOffice setting, interacting with customers and internal teamsOffice setting, reviewing claims and documentation
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, adjusting departments
Common Search & ComparisonClaims Associate vs Claims Examiner

The main difference between a Claims Associate and a Claims Examiner lies in their responsibilities. Claims Associates typically handle initial customer interactions and basic claim processing, while Claims Examiners review and assess claims in detail, often making determinations on claim validity. Both roles require similar credentials and work in comparable environments, but Claims Examiners usually have more specialized knowledge and decision-making authority.

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

To thrive as a Claims Associate, you need a solid understanding of insurance policies, attention to detail, and basic analytical skills, usually supported by a high school diploma or equivalent. Familiarity with claims management systems, CRM software, and sometimes industry certifications like AIC (Associate in Claims) are commonly required. Strong communication, problem-solving, and customer service abilities set top performers apart. These skills are essential for accurately processing claims, ensuring compliance, and providing a positive experience for clients and policyholders.

What does a Claims Associate do?

A Claims Associate is responsible for reviewing, processing, and managing insurance claims submitted by policyholders. Their duties include verifying information, evaluating the validity of claims, and ensuring all necessary documentation is complete. They often communicate with customers, healthcare providers, or other parties to gather additional information and resolve any issues. Claims Associates play a crucial role in ensuring claims are processed accurately and efficiently according to company policies and regulatory guidelines.

What are some common challenges a Claims Associate may face, and how can they effectively handle them?

Claims Associates often encounter challenges such as managing a high volume of claims, navigating complex policy details, and communicating with clients who may be experiencing stress or frustration. Effectively handling these situations requires strong organizational skills, attention to detail, and clear, empathetic communication. Many Claims Associates find success by proactively prioritizing tasks, seeking guidance from senior team members when needed, and utilizing available technology to streamline documentation and follow-ups.
More about Claims Associate jobs
What are the most commonly searched types of Claims jobs in Reno, NV? The most popular types of Claims jobs in Reno, NV are:
What are popular job titles related to Claims Associate jobs in Reno, NV? For Claims Associate jobs in Reno, NV, the most frequently searched job titles are:
What job categories do people searching Claims Associate jobs in Reno, NV look for? The top searched job categories for Claims Associate jobs in Reno, NV are:
Claims Associate jobs near you
Medical Biller

Medical Biller

Nevada Retina Associates

Carson City, NV • On-site

$16 - $20.50/hr

Full-time

Re-posted 4 days ago

Job description

Salary: $18-23

The Ophthalmic Billing & E/M Coding Specialist is responsible for accurately posting clinic and hospital charges, with a primary focus on ophthalmologyrelated Evaluation & Management (E&M) coding. This role includes reviewing documentation from ophthalmologists, ensuring correct use of CPT and ICD10 codes specific to ophthalmic services, drafting appeals for denied claims, assisting patients with understanding their accounts, and payment posting.

Essential Job Functions

  • Accounts Receivable (A/R):Monitor and follow up on aging reports to reduce outstanding, delinquent balances for both patients and insurance.
  • Denial Management: Review and appeal denied rejected claims communicating directly with insurance payers.
  • Verify coding accuracy by reviewing provider documentation against ophthalmologyspecific coding guidelines, payer rules, and reference materials.
  • Communicate with providers when documentation, dictation, or coding information is missing or unclear.
  • Meet regularly with the Billing Supervisor to review and resolve coding questions, documentation issues, and payerspecific challenges.
  • Draft wellsupported appeal letters to insurance carriers for denials related to coding, documentation, or medical necessity, especially for ophthalmic services and diagnostic testing.



  • Patient Inquiries:Resolve patient billing questions, manage account statements, and collect payments.

  • Claims Submission:Electronically submit claims to insurance carriers, ensuring accurate coding for ophthalmology-specific procedures (e.g., cataract surgery, injections, OCT scans).
  • Payment Posting:Accurately post payments from insurance (ERAs/EOBs) and patients to their respective accounts.
  • Compliance:Ensure all billing activities adhere to HIPAA regulations and specific payer guidelines.
  • Participate in staff meetings and continuing education, including ophthalmologyspecific coding updates and compliance training.
  • Promote clear and professional communication with clinical staff, providers, and coworkers.
  • Aid coworkers and support team workflows as needed.
  • Maintain a safe, organized, and clean work environment.
  • Exhibit a professional and courteous appearance and demeanor appropriate for a patientcare setting.

Requirements & Qualifications:

To perform this role successfully, individuals must be able to perform each essential function satisfactorily. Reasonable accommodation may be provided for individuals with disabilities.

  • Minimum of a high school diploma or equivalent.
  • 2-5 years of medical billing experience, with preference for ophthalmology or surgical specialties.
  • Proficiency in CPT, ICD-10, and modifiers, specifically regarding global surgery policies. Familiarity with surgical billing, global periods, and Medicare/Medicaid/Medi-Cal rules.
  • Vast knowledge of Medical terminology.1
  • Strong interpersonal skills, with the ability to communicate clearly and professionally with physicians and staff.
  • Experience with EMR/billing systems such as Practice +, MoD MED, TriZetto, and Availity.
  • Excellent organizational skills and a high level of accuracy, especially in reviewing documentation and entering charges.
  • Strong attention to detail, analytical skills, and communication capabilities for handling patient and payer inquiries.
  • Ability to read and create reports, checklists, and correspondence, and to understand complex written instructions. Excel knowledge a plus.
  • Strong analytical skills with the ability to perform calculations and review detailed coding data quickly and accurately.
  • Ability to apply common sense and sound judgment to resolve routine problems based on standardized procedures.
  • Must be a self-motivated multi-tasker.
  • Bi-Lingual is a plus