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Claims Processing Jobs in Spring Hill, FL (NOW HIRING)

Minimum 2 year medical claims processing experience Knowledge of health benefit plans and health benefit terminology Knowledge of medical terminology Understand CPT, IDC9 and HCPCS coding Experience ...

As a Claims Examiner, you will be responsible for accurately reviewing, investigating, and processing medical claims and provider dispute requests in accordance with payer guidelines, contractual ...

As a Claims Examiner, you will be responsible for accurately reviewing, investigating, and processing medical claims and provider dispute requests in accordance with payer guidelines, contractual ...

As a Claims Examiner, you will be responsible for accurately reviewing, investigating, and processing medical claims and provider dispute requests in accordance with payer guidelines, contractual ...

As a Claims Examiner , you will be responsible for accurately reviewing, investigating, and processing medical claims and provider dispute requests in accordance with payer guidelines, contractual ...

Perform detailed audits of denied, underpaid, and processed claims using EZCap to assess accuracy and compliance with provider contracts and regulatory guidelines. * Analyze provider disputes for ...

Support development of process documentation, job aids, and knowledge base materials * Validate workflows for claims processing, including escalation paths and exception handling * Ensure processes ...

Interpret contract benefits in accordance with specific claims processing guidelines. Primary Responsibilities other duties may be assigned as necessary: * Examine/perform/research & make decisions ...

Proactively communicate and set accurate claims expectations with customers throughout the Claims process while providing high quality customer service. * Research, analyze, and interpret policy ...

VSC Claims Supervisor

Tampa, FL · On-site

$70K - $75K/yr

As an VSC Level 3 Claims Adjuster, you will play a vital role in our company's claims ... Payroll processed weekly with direct deposit * Healthcare options including medical, vision, and ...

Experience with bodily injury claims is preferred. Nature Of Work An employee in this class is ... Drug testing is included in all pre-employment processing. Comments Employees may be required to ...

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Claims Processing information

See Spring Hill, FL salary details

$10

$16

$22

How much do claims processing jobs pay per hour?

As of Aug 3, 2026, the average hourly pay for claims processing in Spring Hill, FL is $16.26, according to ZipRecruiter salary data. Most workers in this role earn between $13.85 and $17.55 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 cities near Spring Hill, FL are hiring for Claims Processing jobs? Cities near Spring Hill, FL with the most Claims Processing job openings:
Infographic showing various Claims Processing job openings in Spring Hill, FL as of July 2026, with employment types broken down into 82% Full Time, 16% Part Time, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $33,820 per year, or $16.3 per hour.

$14 - $17/hr

Full-time

Medical, Dental, Vision

Re-posted 15 days ago


Job description

Company Description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Minimum 2 year medical claims processing experience

Knowledge of health benefit plans and health benefit terminology

Knowledge of medical terminology

Understand CPT, IDC9 and HCPCS coding

Experience with dental and vision claims preferred, but not necessary

Ability to utilize a claims processing system (Aldera)

Ability to read an Explanation of Benefit and apply Coordination of Benefits

Proficiency in Microsoft Excel and Word

Good communication skills, both written and oral


Qualifications

Working knowledge of CPT-4, ICD-9 & medical terminology required. (Dental & Vision highly preferred!)

Working knowledge of commercial insurance primary & secondary payors.

Strong data entry skills.  

Additional Information

Hours:

Monday - Friday 8:30am to 5:00pm


Compensation:

$14-$17/hr.


Start Date:

ASAP


Interested in being considered? 

If you are interested in applying to this position, please contact Tyler Adler  and click the Green I'm Interested Button to email your resume. 



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About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

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