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Claims Clearinghouse Jobs (NOW HIRING)

Headway

Engineering Manager (Claims)

New York, NY · On-site

$222K - $278K/yr

Claims Platform owns the round-trip between Headway and the payer / clearinghouse ecosystem: outbound claim submission, inbound response interpretation, and the structured record of the result - the ...

People USA

Medical Biller

Poughkeepsie, NY

$24.76/hr

Optum - Medical Network Solutions | Claims Clearinghouse Job Qualifications: * Proficient in medical billing software and electronic health records (Awards) systems. * Strong Knowledge of Medical ...

Deloitte

Hospital Billing Operator

Chicago, IL · Remote

$18.75 - $24.25/hr

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 ...

Deloitte

Hospital Billing Operator

San Juan, PR · Remote

$18 - $23/hr

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 ...

Deloitte

Hospital Billing Coordinator

Huntsville, AL · Remote

$50K - $60K/yr

Experience working in claims clearinghouse systems * Ability to travel 10%, on average, based on the work you do and the clients and industries/sectors you serve. * Limited immigration sponsorship ...

Deloitte

Hospital Billing Operator

Wichita, KS · Remote

$16.25 - $21/hr

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 ...

Deloitte

Hospital Billing Operator

Pittsburgh, PA · Remote

$17.75 - $22.75/hr

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 ...

Deloitte

Hospital Billing Operator

Tampa, FL · Remote

$17.25 - $22.25/hr

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 ...

Deloitte

Hospital Billing Operator

Raleigh, NC · Remote

$17.75 - $22.75/hr

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 ...

Deloitte

Hospital Billing Operator

Birmingham, AL · Remote

$17 - $22/hr

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 ...

Deloitte

Hospital Billing Operator

Portland, OR · Remote

$19.25 - $25/hr

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 ...

Deloitte

Hospital Billing Coordinator

Atlanta, GA · Remote

$50K - $60K/yr

Experience working in claims clearinghouse systems * Ability to travel 10%, on average, based on the work you do and the clients and industries/sectors you serve. * Limited immigration sponsorship ...

Deloitte

Hospital Billing Operator

Rochester, NY · Remote

$18 - $23.25/hr

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 ...

Deloitte

Hospital Billing Coordinator

Washington, DC · Remote

$50K - $60K/yr

Experience working in claims clearinghouse systems * Ability to travel 10%, on average, based on the work you do and the clients and industries/sectors you serve. * Limited immigration sponsorship ...

Deloitte

Hospital Billing Coordinator

Colorado Springs, CO · Remote

$50K - $60K/yr

Experience working in claims clearinghouse systems * Ability to travel 10%, on average, based on the work you do and the clients and industries/sectors you serve. * Limited immigration sponsorship ...

Deloitte

Hospital Billing Operator

Fort Worth, TX · Remote

$17.50 - $22.50/hr

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 ...

Deloitte

Hospital Billing Operator

Davenport, IA · Remote

$17.25 - $22.25/hr

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 ...

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All JobsClaims Clearinghouse Jobs

Claims Clearinghouse information

See salary details

$15

$29

$45

How much do claims clearinghouse jobs pay per hour?

As of Jul 19, 2026, the average hourly pay for claims clearinghouse in the United States is $29.40, according to ZipRecruiter salary data. Most workers in this role earn between $22.36 and $35.10 per hour, depending on experience, location, and employer.

How does a Claims Clearinghouse professional typically collaborate with healthcare providers and insurance companies during the claims submission process?

As a Claims Clearinghouse professional, you serve as a crucial intermediary between healthcare providers and insurance companies. Your daily responsibilities often include reviewing, validating, and transmitting claims data to ensure accuracy and compliance with both payer and regulatory requirements. You’ll regularly communicate with provider billing teams to resolve data discrepancies and follow up with insurance companies for claim status updates. Effective collaboration and attention to detail are essential, as timely and accurate claim processing directly impacts reimbursement cycles and provider satisfaction.

What is a claims clearinghouse?

A claims clearinghouse is an intermediary that electronically receives, processes, and forwards medical claims from healthcare providers to insurance payers. The clearinghouse reviews claims for common errors before they reach the insurers, helping to reduce denials and processing delays. This electronic system streamlines billing, ensures compliance with payer requirements, and often provides status updates on submitted claims. Using a clearinghouse can significantly improve claim acceptance rates and speed up reimbursement for providers.

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

To thrive as a Claims Clearinghouse Specialist, you need a solid understanding of medical billing, insurance claims processing, and healthcare regulations, often supported by experience or certification in medical billing and coding. Familiarity with claims management software, electronic data interchange (EDI) systems, and HIPAA compliance tools is essential. Attention to detail, problem-solving abilities, and effective communication are important soft skills for resolving claim issues and collaborating with providers and payers. These skills ensure accurate, timely processing of claims, minimizing denials and ensuring smooth revenue cycles for healthcare organizations.

What is the difference between Claims Clearinghouse vs Claims Processor?

AspectClaims ClearinghouseClaims Processor
CredentialsHigh school diploma or equivalent; familiarity with billing softwareHigh school diploma; knowledge of insurance policies and billing
Work EnvironmentOffice setting, often remote or in healthcare billing companiesHealthcare facilities, hospitals, or insurance companies
Industry UsageUsed by healthcare providers to submit claims efficientlyHandles claims processing and follow-up within healthcare organizations
Primary RoleFacilitates claim submission and data managementReviews, processes, and follows up on insurance claims

While both roles are involved in healthcare billing, Claims Clearinghouses focus on submitting and managing claims data between providers and insurers, streamlining the process. Claims Processors handle the detailed review and processing of claims within healthcare organizations. Understanding these differences helps in choosing the right career path or service for healthcare billing needs.

More about Claims Clearinghouse jobs
What cities are hiring for Claims Clearinghouse jobs? Cities with the most Claims Clearinghouse job openings:
What states have the most Claims Clearinghouse jobs? States with the most job openings for Claims Clearinghouse jobs include:
What job categories do people searching Claims Clearinghouse jobs look for? The top searched job categories for Claims Clearinghouse jobs are:
Claims Clearinghouse jobs near you
Infographic showing various Claims Clearinghouse job openings in the United States as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $61,156 per year, or $29.4 per hour.
Medical Claims Clearinghouse Specialist

Medical Claims Clearinghouse Specialist

Orthopedic One

Westerville, OH

Full-time

Posted 5 days ago

Orthopedic One rating

6.8

Company rating: 6.8 out of 10

Based on 15 frontline employees who took The Breakroom Quiz

Job description

  • POSITION SUMMARY
    • Responsible for the accurate entry of physician and ancillary charges into Claims Clearinghouse module.
  • RESPONSIBILITIES AND ACCOUNTABILITIES
    • Claims:
      • Submits provider claims to clearinghouse on a daily basis. 
      • Correct claims errors for clean claim submission on day of submission.
      • Communicate to Supervisors and other team members to assist in claim error correction.
      • Document the number of claims received and rejected on the daily claim’s submission log
      • Correspond to Supervisors to improve workflows to prevent claim errors.
      • Create reports with Supervisor to track trends within the Clearinghouse.
      • Keeps up on changes in medical billing and coding
      • Assist with special accounts receivable projects
    • Customer Service and Communications:
      • Communicates with patients, insurance carriers and other outside entities in a professional manner.  Identifies solutions and responds professionally to patient concerns, i.e., pleasant tone of voice, courteous language, etc.  Uses appropriate grammar and demonstrates tact and diplomacy in patient interactions, by phone and in person.
      • Diffuses negative situations with patients and maintains a pleasant and professional tone during stressful circumstances and heavy workload.
      • Communicates with staff members in a professional, pleasant manner; Shares information relevant to work, no gossiping or disparaging remarks, accepts work without complaint or provides reasons why assignment is unmanageable, asks and answers questions related to improving department performance.
  • TEAMWORK
    • Teamwork: 
      • Willingly provides coverage, volunteers assistance, and maintains workflows within department as needed without direct instruction/supervision.
      • Works cooperatively and refrains from participating in negative conversations.
      • Shares knowledge and insights with co-workers in a constructive manner.
      • Works to solve problems and address conflicts with appropriate person directly before involving leadership or uninvolved peers.
      • Is considerate of others in the work environment with regard to taking breaks or meal periods, use of computer and phone, noise level in the department, etc.
  • POLICIES AND PROCEDURES
    • Policies and Procedures
      • Knows and complies with policies and procedures as enumerated in the Orthopedic One Employee Handbook and policies and procedures documents.
      • Provides assistance and support to leadership in implementing policies and procedures as necessary.
      • Actively participates in training, and conducting day to day work activity by adhering to all policies and procedures as enumerated in compliance and risk management programs.
  • QUALIFICATIONS
    • Education, Experience, Certification and Licensure Requirements:
      • A high school diploma/GED required. A minimum of five years of previous medical billing experience preferred. Ideal candidate will have experience in managing claims through clearinghouse.
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