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Claims Processing Jobs in New York (NOW HIRING)

MetroPlusHealth

Claims Service Correspondent

Manhattan, NY · On-site

$55K - $64K/yr

They will work closely with Provider Contracting, Medical Management, Enrollment and Membership department, and Claims Processing unit. Scope of Role & Responsibilities * Act as a key liaison and ...

Harris

Claims Examiner

New York, NY · On-site

Claims Processing and Assessment: * Evaluate incoming claims to determine eligibility, coverage, and validity. * Conduct thorough investigations, including reviewing medical records and other ...

Harris

Claims Examiner

New York, NY · Remote

Claims Processing and Assessment: * Evaluate incoming claims to determine eligibility, coverage, and validity. * Conduct thorough investigations, including reviewing medical records and other ...

Harris

Claims Examiner

New York, NY · Remote

Claims Processing and Assessment: * Evaluate incoming claims to determine eligibility, coverage, and validity. * Conduct thorough investigations, including reviewing medical records and other ...

1199SEIU Funds

Director of Claims

Manhattan, NY · Hybrid

Responsibilities Lead process improvement initiatives within the department to achieve operational excellence and enhance claims services and outcomes Collaborate with functional leaders to define ...

Amalgamated Life

Manager, Claims

White Plains, NY · On-site

Ensure claims are processed in accordance with relevant legal regulations and applicable company policies. * Identify and carefully examine potential fraud within the claims process. * Work to ...

Amalgamated Life

Manager, Claims

White Plains, NY · Hybrid

Ensure claims are processed in accordance with relevant legal regulations and applicable company policies. * Identify and carefully examine potential fraud within the claims process. * Work to ...

1199SEIU Funds

Director of Claims

Manhattan, NY · Hybrid

Responsibilities Lead process improvement initiatives within the department to achieve operational excellence and enhance claims services and outcomes Collaborate with functional leaders to define ...

Amalgamated Life

Manager, Claims

White Plains, NY · Hybrid

Ensure claims are processed in accordance with relevant legal regulations and applicable company policies. * Identify and carefully examine potential fraud within the claims process. * Work to ...

MetroPlusHealth

Claims Examiner I

Manhattan, NY · Hybrid

$50K - $54K/yr

Process claims involving medical and/or surgical services; screens for complete member/provider information * Apply administrative policies when necessary, utilizing the claims processing manuals

MetroPlusHealth

Claims Examiner I

Manhattan, NY · On-site

$50K - $54K/yr

Process claims involving medical and/or surgical services; screens for complete member/provider information * Apply administrative policies when necessary, utilizing the claims processing manuals

MagnaCare

Claims Examiner

Melville, NY · On-site

High School Diploma or GED required. * 1 to 3 years of medical or hospital claims processing experience. * Strong understanding of medical terminology, CPT/HCPCS and ICD coding, and benefits ...

Amalgamated Life

Director, Claims

White Plains, NY · Hybrid

Direct the day-to-day activities, tasks, and processes to ensure the efficient operation of the claims processing units and all related tasks to meet the claims payment TAT, accuracy and production ...

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Claims Processing information

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How much do claims processing jobs pay per hour?

As of Aug 2, 2026, the average hourly pay for claims processing in New York is $20.97, according to ZipRecruiter salary data. Most workers in this role earn between $17.88 and $22.60 per hour, depending on experience, location, and employer.

What is the difference between Claims Processing vs Claims Adjuster?

AspectClaims ProcessingClaims Adjuster
CredentialsHigh school diploma or equivalent; certifications varyHigh school diploma; often state licensing or certifications
Work EnvironmentOffice-based, administrative settingFieldwork and office-based, investigative environment
Industry UsageInsurance companies, healthcare providersInsurance companies, claims departments
Job FocusReviewing and processing claims for paymentInvestigating claims, determining liability and settlement

Claims Processing involves reviewing and managing insurance claims to ensure proper payment, focusing on administrative tasks. Claims Adjusters investigate claims, assess damages, and determine liability. While both roles work within the insurance industry, Claims Processing is more administrative, whereas Claims Adjusters are investigative and evaluative.

What are some common challenges faced by professionals in claims processing, and how can they be managed effectively?

Professionals in claims processing often deal with high volumes of work, tight deadlines, and complex cases that require attention to detail. Managing these challenges involves staying organized, utilizing claims management software efficiently, and continuously updating knowledge of insurance policies and regulations. Effective communication with team members and other departments is also crucial to resolve discrepancies quickly and ensure accurate claim adjudication. Many organizations offer ongoing training and mentorship to help staff adapt to changes and improve efficiency.

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

To thrive as a Claims Processor, you need a solid understanding of insurance policies and claims procedures, typically supported by a high school diploma or equivalent and relevant on-the-job training. Familiarity with claims management software, data entry systems, and basic office applications is essential. Strong attention to detail, analytical thinking, and effective communication skills help you resolve claims accurately and efficiently. These skills ensure the timely and proper handling of claims, enhancing customer satisfaction and minimizing errors or fraudulent activity.

What is claims processing?

Claims processing is the procedure by which insurance companies or organizations review and manage claims submitted by policyholders or clients. This involves verifying the details of the claim, ensuring all necessary documentation is provided, assessing the validity of the claim, and determining the appropriate payout or resolution. Claims processors play a crucial role in ensuring claims are handled efficiently, accurately, and in compliance with company policies and regulations.
What are the most commonly searched types of Claims Processing jobs in New York? The most popular types of Claims Processing jobs in New York are:
Claims Processing jobs near you
Infographic showing various Claims Processing job openings in New York as of July 2026, with employment types broken down into 88% Full Time, 10% Part Time, and 2% Contract. Highlights an 88% Physical, 4% Hybrid, and 8% Remote job distribution, with an average salary of $43,612 per year, or $21 per hour.

Claims Processing & Billing Specialist

Professional Physical Therapy

Melville, NY

$23.64 - $25.51/hr

Full-time

Retirement, PTO

Posted 3 days ago

New

Professional Physical Therapy rating

5.4

Company rating: 5.4 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

Job description

Claims Processing & Billing Specialist

Full-Time | Hybrid

Hourly Rate: $23.64 - $25.51 (commensurate with experience)

The Claims Processing & Billing Specialist is responsible for the accurate and timely submission of institutional and professional medical claims. Reporting to the Manager of Claims Processing & Credentialing, this role reviews claims in the Raintree EMR system, resolves billing edits and clearinghouse exceptions, and works closely with payers, patients, providers, and internal teams to support efficient reimbursement.

What You'll Do
  • Submit accurate institutional (UB-04) and professional (CMS-1500) claims to commercial and government payers.
  • Review and resolve claim edits, billing errors, clearinghouse exceptions, and rejections.
  • Submit corrected claims and ensure successful claim transmission to payers.
  • Verify patient eligibility and resolve coverage or demographic discrepancies prior to claim submission.
  • Communicate with insurance carriers, patients, providers, and internal teams to resolve billing issues.
  • Complete billing reviews, post splint charges, and enter charges into the DOL and Claim Connect portals.
  • Monitor claims processing inboxes and follow up on outstanding clearinghouse responses.
  • Navigate the Raintree EMR system to resolve claim issues and document account activity.
  • Meet departmental productivity and quality standards while maintaining compliance with HIPAA and other applicable regulations.
  • Stay current on payer policies and billing guidelines.
  • Perform other duties and special projects as assigned.
What You'll Bring
  • 3+ years of Revenue Cycle or medical billing experience.
  • Strong knowledge of institutional (UB-04) and professional (CMS-1500) billing.
  • Experience with commercial and government insurance payers.
  • Proficiency with the Raintree EMR system.
  • Strong analytical, organizational, and problem-solving skills with exceptional attention to detail.
  • Proven ability to manage multiple priorities, work independently, and consistently meet productivity goals.
  • Cross-functional Revenue Cycle experience is a plus.
  • Bachelor's degree preferred.
  • Commitment to professionalism, teamwork, confidentiality, and excellent customer service.
Benefits

Rest, Reset & Recharge: 2 weeks PTO; Sick time in accordance with state and local requirements; plus 6 major holidays.

Plan Ahead: Company-matched 401(k) once eligibility requirements are met.

Commute Smart: Pre-tax transit and parking benefits through WageWorks (for eligible in-office employees).

Care for Your Crew: MetLife Pet Insurance with flexible plans, up to 90% reimbursement on eligible expenses, and 24/7 telehealth support.

Play More, Pay Less: Exclusive discounts through PlumBenefits and LifeMart on travel, entertainment, shopping, dining, and more.

Equal Opportunity Employer, including Disabled/Veterans.

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