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Claims Processing Jobs (NOW HIRING)

Claims Processor

Fresno, CA · Remote

$20 - $22/hr

This role is responsible for reviewing, analyzing, and processing medical, dental, and vision claims while ensuring accuracy, compliance, and adherence to established production and quality standards.

Claims Processor

Maryland Heights, MO · On-site

$16.50 - $20.75/hr

Responsible and accountable for the accurate and timely claims processing of all claim types. Claims must be processed with a high level of detailed quality and in accordance with claims payment ...

Claims Processor

Mason, OH · On-site

$16 - $20.25/hr

Processing - Efficiently and accurately processes standard claims or adjustments Consistently achieves key internals with respect to production, cycle time, and quality May participate on non-complex ...

Claims Processor

Tampa, FL · On-site

$14 - $17/hr

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 ...

Delaware Claims Processing Facility, a leader in mass tort litigation claims processing with over twenty years of industry expertise is currently hiring recent college graduates for our Claim Analyst ...

Claims Processor (52219)

$17.50 - $22/hr

Two years of medical claims processing experience strongly preferred. Knowledge, Skills and Abilities: * Must have full understanding of insurance processes (Managed Care, Medicare, Medicaid and ...

Claims Processor

Mason, OH · On-site

$16 - $20.25/hr

Processing - Efficiently and accurately processes standard claims or adjustments * Consistently achieves key internals with respect to production, cycle time, and quality * May participate on non ...

Claims Processor (52219)

Oklahoma City, OK · On-site +1

$15.75 - $20/hr

Two year of medical claims processing experience strongly preferred. KNOWLEDGE, SKILLS AND ABILITIES: * Must have full understanding of insurance processes (Managed Care, Medicare, Medicaid and ...

Delaware Claims Processing Facility, a leader in mass tort litigation claims processing with over twenty years of industry expertise is currently hiring recent college graduates for our Claim Analyst ...

Claims - Processor, Claims I

Baltimore, MD · On-site

$17 - $21.25/hr

Essential functions: * 60% Examines and resolves non-adjudicated claims to identify key elements of processing requirements based on contracts, policies and procedures. Process product or system ...

FACETS Claims Processor

Albany, NY · Remote

$17 - $21.25/hr

Must have 5+ years of relevant claim processing experience in healthcare industry (managed care or ... The claims examiner is responsible for accurate and timely adjudication of claims for the Health ...

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Claims Processing information

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$12

$19

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How much do claims processing jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for claims processing in the United States is $19.16, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $20.67 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.

Is claims processing a stressful job?

Claims processing can be a stressful job due to tight deadlines, high volume of claims, and the need for accuracy. It often requires attention to detail, communication skills, and the ability to handle complex or difficult cases, which can contribute to job stress. However, workload and stress levels vary depending on the employer and work environment.

What do claims processing specialists do?

Claims processing specialists review and evaluate insurance claims to determine coverage and payment amounts. They verify information, process claims using specialized software, and ensure compliance with policies and regulations. Strong attention to detail and knowledge of insurance procedures are essential for this role.

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.

How to get a job as a claims processing?

To get a job in claims processing, candidates typically need a high school diploma or equivalent, strong attention to detail, and good communication skills. Relevant experience in customer service or administrative roles can be beneficial, and familiarity with claims management software is often preferred. Certifications such as the Certified Claims Professional (CCP) can enhance prospects.

What are the key skills and qualifications needed to thrive as a claims processor?

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.
More about Claims Processing jobs
What cities are hiring for Claims Processing jobs? Cities with the most Claims Processing 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 jobs? States with the most job openings for Claims Processing jobs include:
Infographic showing various Claims Processing job openings in the United States as of August 2026, with employment types broken down into 80% Full Time, 15% Part Time, 1% Temporary, 3% Contract, and 1% Nights. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $39,863 per year, or $19.2 per hour.

Claims Processing & Billing Specialist

Professional Physical Therapy

Melville, NY • On-site

$23.64 - $25.51/hr

Full-time

Retirement, PTO

Posted 5 days ago


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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