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Claims Processing Coordinator Jobs (NOW HIRING)

Healthcare Support Staffing

Claims Processor

Tampa, FL

$14 - $17/hr

Minimum 2 year medical claims processing experience Knowledge of health benefit plans and health ... processing system (Aldera) Ability to read an Explanation of Benefit and apply Coordination of ...

90 Degree Benefits

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Experienced Medical Claims Processor (TPA)

Charlotte, NC · On-site

$18 - $21/hr

... claims processing * Experience working with TPA preferred (candidates with this experience will be considered first) * Possess a thorough working and CPT coding * Application of coordination of ...

Lutheran Services Carolinas

AP CLAIMS PROCESSOR

Salisbury, NC · On-site

$15.25 - $19.50/hr

... Coordinates with internal departments to work edits and deferrals, updating the patient ... Experience in accounts payables and/or claims processing (Preferred) Specific skills/abilities: • ...

Lutheran Services Carolinas

AP CLAIMS PROCESSOR

Salisbury, NC · On-site

$15.25 - $19.50/hr

... Coordinates with internal departments to work edits and deferrals, updating the patient ... Experience in accounts payables and/or claims processing (Preferred) Specific skills/abilities: • ...

Key Staffing, Inc

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Claims Examiner

Bakersfield, CA · On-site

$22 - $23.10/hr

Up to 1-2 years of medical claims processing, medical billing, or related healthcare experience. * Experience investigating Coordination of Benefits (COB). * Ability to calculate benefits and ...

New

Amalgamated Life

Manager, Claims

White Plains, NY

... the process of reviewing and managing disability claims, ensuring compliance with applicable company policy, contract language and regulations by evaluating medical records, coordinating with ...

Amalgamated Life

Director, Claims

White Plains, NY · On-site

... the process of reviewing and managing disability claims, ensuring compliance with applicable company policy, contract language and regulations by evaluating medical records, coordinating with ...

Amalgamated Life

Director, Claims

White Plains, NY · On-site

... the process of reviewing and managing disability claims, ensuring compliance with applicable company policy, contract language and regulations by evaluating medical records, coordinating with ...

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Claims Processing Coordinator information

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How much do claims processing coordinator jobs pay per hour?

As of Jun 26, 2026, the average hourly pay for claims processing coordinator in the United States is $21.04, according to ZipRecruiter salary data. Most workers in this role earn between $17.55 and $24.04 per hour, depending on experience, location, and employer.

What is the difference between Claims Processing Coordinator vs Claims Examiner?

AspectClaims Processing CoordinatorClaims Examiner
CredentialsHigh school diploma or equivalent; some roles may require insurance certificationsHigh school diploma; insurance licensing or certifications often preferred
Work EnvironmentOffice setting, handling claims processing tasksOffice setting, reviewing and evaluating claims
Employer & IndustryInsurance companies, healthcare providers, third-party administratorsInsurance companies, healthcare organizations, government agencies
Common Search & ComparisonYesYes

While both roles work within the insurance claims process, Claims Processing Coordinators focus on managing and coordinating claims workflows, whereas Claims Examiners evaluate and authorize claims based on policy coverage. Understanding these differences helps job seekers find the right position aligned with their skills and career goals.

What are the typical challenges a Claims Processing Coordinator faces, and how can they be managed effectively?

One of the main challenges for a Claims Processing Coordinator is managing a high volume of claims while ensuring accuracy and compliance with regulations. Coordinators must stay organized and detail-oriented to avoid errors that can delay claim resolutions. Additionally, they often need to communicate with multiple departments, providers, and policyholders, which requires strong interpersonal and problem-solving skills. Utilizing effective workflow tools and maintaining up-to-date knowledge on insurance policies and industry standards can help overcome these challenges.

What does a Claims Processing Coordinator do?

A Claims Processing Coordinator is responsible for reviewing, processing, and managing insurance claims to ensure they are complete, accurate, and compliant with company policies. They work closely with clients, healthcare providers, and insurance companies to collect necessary documentation, verify information, and resolve any discrepancies. Their role also involves entering claim data into systems, following up on outstanding issues, and helping to ensure timely reimbursement. Attention to detail and strong communication skills are essential for this position.

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

To thrive as a Claims Processing Coordinator, you need a strong understanding of insurance policies, claims procedures, and attention to detail, often supported by a high school diploma or associate degree. Familiarity with claims management software, Microsoft Office Suite, and sometimes industry certifications like AIC (Associate in Claims) are commonly required. Excellent organizational skills, effective communication, and problem-solving abilities help you manage multiple claims efficiently and resolve discrepancies. These combined skills ensure accurate, timely claims processing and high customer satisfaction in a regulated environment.
What cities are hiring for Claims Processing Coordinator jobs? Cities with the most Claims Processing Coordinator job openings:
What are the most commonly searched types of Claims Processing jobs? The most popular types of Claims Processing jobs are:
What states have the most Claims Processing Coordinator jobs? States with the most job openings for Claims Processing Coordinator jobs include:
Claims Processing Coordinator jobs near you
Claims Audit Coordinator (Garden City, NY)

Claims Audit Coordinator (Garden City, NY)

HealthCare Partners

Garden City, NY • On-site

$24 - $28/hr

Full-time

Medical, Dental, Retirement, PTO

Posted 19 days ago

Job description

HealthCare Partners, IPA and HealthCare Partners, MSO together comprise our health care delivery system providing enhanced quality care to our members, providers and health plan partners. Active since 1996, HealthCare Partners (HCP) is the largest physician-owned and led IPA in the Northeast, serving the five boroughs and Long Island. Our network includes over 6,000 primary care physicians and specialists delivering services to our 125,000 members enrolled in Commercial, Medicare and Medicaid products. Our MSO employs 200+ skilled professionals dedicated to ensuring members have access to the highest quality of care while efficiently utilizing healthcare resources.
HCP's vision is to be recognized by members, providers and payers as the organization that delivers unsurpassed excellence in healthcare to the people of New York and their communities. We pride ourselves on selecting the most qualified candidates who reflect HCP's mission of serving our members by facilitating the delivery of quality care. Interested in joining our successful Garden City Team? We are currently seeking a Claims Audit Coordinator in our Garden City Office!
Position Summary: The Claims Audit Coordinator is responsible for auditing claims processing activities to ensure compliance with HCP guidelines, specifically focusing on payment and procedural accuracy. This role plays a critical part in safeguarding the accuracy of completed claims before payment is issued, identifying trends, and recommending process improvements.
Essential Position Functions/Responsibilities:
  • Perform thorough audits on all processed claims, including adjustments, to ensure compliance with HCP guidelines.
  • Identify and analyze both positive and negative trends through ongoing auditing and internal reporting, proactively recommending corrective actions or process improvements as needed.
  • Generate, review, and analyze data processing reports, making necessary corrections or adjustments to claims data.
  • Investigate and resolve any discrepancies or issues arising from audit results, ensuring timely follow-up and resolution.
  • Assist in the training and development of internal audit staff, sharing expertise and best practices to enhance team performance.
  • Maintain and update the audit database to support departmental evaluations, ensuring accurate records are available for internal and external use.
  • Collaborate with other departments to assist in the preparation of external audits, ensuring compliance with regulatory and organizational standards.
  • Price pharmaceutical drugs using an external database, ensuring claims reflect accurate and up-to-date pricing.
  • Perform other duties as assigned to support departmental and organizational objectives.

Qualification Requirements:
Skills, Knowledge, Abilities
  • Strong working knowledge of CPT, HCPCS, Revenue, and ICD coding standards.
  • Extensive experience with both professional and hospital claims adjudication processes.
  • In-depth knowledge of CMS claims processing guidelines and Correct Coding Initiative (CCI) standards.
  • Proficient in the use of Microsoft Windows applications, particularly Excel and other data management tools.
  • Strong analytical skills with the ability to detect patterns and anomalies in claims data.
  • Ability to manage multiple tasks effectively in a fast-paced, dynamic work environment.
  • Detail-oriented with a commitment to ensuring high levels of claims processing accuracy.
  • Strong problem-solving skills, with the ability to identify solutions to complex claims issues.
  • Excellent communication skills for cross-departmental collaboration and training.

Training/Education:
  • High School Diploma or equivalent required.
  • Some college coursework preferred, with a focus on health administration, business, or a related field.

Experience:
  • Minimum of 3 years of experience in claims processing, preferably within a managed care or health plan setting.
  • Experience in auditing claims or working in a quality assurance capacity within a healthcare environment is highly desirable.

Our website: HealthCare Partners
Base Compensation: $50,000 - $60,000 annually ($24-$28 per hour)
Bonus Incentive: Eligibility based off organizational performance
Benefits: Fully paid Medical & Dental employee coverage + robust benefits package (PTO, 401k, FSA, Tuition Reimbursement, etc.)
HealthCare Partners, MSO provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, HealthCare Partners, MSO complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Job Disclaimer:
The above job description outlines the general scope and responsibilities of the position. It is not intended to be an exhaustive list of duties, skills, or qualifications required. Responsibilities may evolve based on business needs.
Department: Claims This is a non-management position This is a full time position

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