ZipRecruiter

Log In

2

Entry Level Medical Claims Processor Jobs in Scranton, PA

Erie Insurance

Property Adjuster I

Wilkes Barre, PA · Remote

$56K - $90K/yr

Low contributions to medical and prescription premiums. We currently pay up to 97% of employees ... Also responsible for servicing assigned territory and may handle litigated claims. * This is a ...

previous pagenext page

Showing results 21-40

All JobsMedical Claims Processor JobsEntry Level Medical Claims Processor JobsEntry Level Medical Claims Processor Jobs in Scranton, PA

Entry Level Medical Claims Processor information

See Scranton, PA salary details

$13

$19

$25

How much do entry level medical claims processor jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for entry level medical claims processor in Scranton, PA is $19.27, according to ZipRecruiter salary data. Most workers in this role earn between $17.12 and $21.39 per hour, depending on experience, location, and employer.

What is an entry level medical claims processor?

An Entry Level Medical Claims Processor is responsible for reviewing and processing medical insurance claims submitted by healthcare providers and patients. They verify accuracy, ensure claims meet policy requirements, and enter data into processing systems. Their role helps facilitate timely payments and resolves issues related to denied or incorrect claims. Strong attention to detail, knowledge of medical billing codes, and basic computer skills are essential for success in this role.

What does an entry level medical claims processor do?

A typical day for an Entry Level Medical Claims Processor involves reviewing medical claims for accuracy and completeness, inputting data into claims management systems, and communicating with healthcare providers or insurance companies to resolve discrepancies. You may also be responsible for verifying patient information, checking eligibility, and ensuring claims comply with current regulations and company policies. Collaboration with other claims processors, supervisors, or billing teams is common to resolve issues and meet processing deadlines. This role usually follows regular business hours in an office or remote work environment and provides structured training to help you learn the systems and processes. Over time, you may have the opportunity to advance to senior processor or specialist roles as you gain experience.

What are the key skills and qualifications needed to thrive as an entry level medical claims processor?

To thrive as an Entry Level Medical Claims Processor, you need attention to detail, basic knowledge of medical terminology or insurance procedures, and a high school diploma or equivalent. Familiarity with claims processing software, electronic health records (EHR) systems, and Microsoft Office tools is often required, while some employers may value a medical billing and coding certification. Strong organizational skills, problem-solving abilities, and clear communication are important soft skills in this position. These competencies ensure that claims are processed accurately and efficiently, which helps prevent errors, speeds up reimbursements, and supports overall workflow in healthcare administration.

What are the most commonly searched types of Medical Claims Processor jobs in Scranton, PA?

The most popular types of Medical Claims Processor jobs in Scranton, PA are:

What are popular job titles related to Entry Level Medical Claims Processor jobs in Scranton, PA?

For Entry Level Medical Claims Processor jobs in Scranton, PA, the most frequently searched job titles are:

What job categories do people searching Entry Level Medical Claims Processor jobs in Scranton, PA look for?

The top searched job categories for Entry Level Medical Claims Processor jobs in Scranton, PA are:

What cities near Scranton, PA are hiring for Entry Level Medical Claims Processor jobs?

Cities near Scranton, PA with the most Entry Level Medical Claims Processor job openings:

Entry Level Medical Claims Processor jobs near you
Infographic showing various Entry Level Medical Claims Processor job openings in Scranton, PA as of August 2026, with employment types broken down into 1% As Needed, 61% Full Time, 32% Part Time, and 6% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $40,083 per year, or $19.3 per hour.

Manager, Revenue Cycle & Coding Compliance

The Wright Center Medical Group

Scranton, PA • On-site

Full-time

Re-posted 8 days ago

Job description

Job Type
Full-time
Description
POSITION SUMMARY
The Manager, Revenue Cycle and Coding Compliance is responsible for all aspects of the coding and billing of all inpatient and outpatient claims, as well as all aspects of the CCM billing. The Manager, Revenue Cycle and Coding Compliance, a key position in the Revenue Cycle, facilitates the coding as well as manages the claims process, including accurate and timely claim creation, follow-up and correspondence with providers, insurance inquiries and patients related to coding/billing issues. The incumbent will assist in the clarification and development of process improvements and inquiries in order to maximize revenues and will oversee the certified coding and billing / coding training & education teams.
REPORTING RELATIONSHIPS
The position reports to the Vice President, Controller Revenue Cycle. The position manages the coding & training team which includes: Compliance Coder & Trainer, Billing & Coding Educational Liaison, Coding team member(s), and the Billing Specialist.
ESSENTIAL JOB DUTIES and FUNCTIONS
While living and demonstrating our Core Values, the Manager Revenue cycle/Coding, Compliance & Education will:
  • Perform accurate and timely multi-specialty coding for daily claims submission.
  • Prepare and submit clean claims to third-party payers working closely with clinical team members regarding claims appeal, denial, and resolution.
  • Develop and maintain the ongoing audit process of the daily billing summary reviewing the quality of the clinical documentation and coded data to validate that the documentation supports services rendered while ensuring the integrity of the coding.
  • Respond timely (either orally or written) to account inquiries from patients, third-party payers, clinical providers, and/or other staff on claims submission.
  • Manage the daily workload of the billing specialist
  • Monitor AR over 120 Days
  • Perform ongoing trend analysis to ensure compliant contractual third-party payer reimbursement and work with appropriate individuals to resolve discrepancies
  • Prepare/review monthly aging reports
  • Establish and monitor best practice and standards to control the integrity and quality of data throughout the revenue cycle.
  • Actively participate in staff development, training and assessments to support industry best practice.
  • Ensure compliance with federal/state laws and regulations and billing and collection policies in order to facilitate attainment of account receivable targets
  • Interact with physicians, learners and other patient care providers on daily basis regarding billing and documentation policies, procedures, and regulations to ensure receipt and analysis of all charges; obtains clarification of conflicting, ambiguous, or non-specific documentation; as well as develop working relationship with operational leaders.
  • Perform and monitor all steps in the billing and coding process to ensure maximum reimbursement from patients, third-party payers as well as from special billing arrangements.
  • Develop, implement and oversee clinical provider and learner education performed by Trainer and Educational Liaison to ensure coding quality. Must have capacity to attend meetings day/evening as needed within assigned areas.
  • Participate in clinical huddles/didactics and other clinical meetings as requested.
  • Develop, implement and maintain billing and coding educational materials used in clinical provider and learner training, including the creation and ongoing maintenance of training protocol documents of the clinical workflow, including Medent usage.
  • Develop, implement and maintain population management learner training program addressing inpatient/outpatient chart review. Provide meaningful feedback and ongoing support and monitor to ensure residents have the knowledge needed.
  • Serve as resource and subject matter expert for all billing and coding matters.
  • Oversee and monitor the coding compliance program. Develop and coordinate educational and training programs regarding elements of the coding compliance such as appropriate documentation and accurate coding to all appropriate staff including coding staff, physicians, learners, other clinical providers and operational departments. Ensures the appropriate dissemination and communication of regulatory, policy and guideline changes.
  • Understand all aspects of Federally Qualified Health Center (FQHC) coverage, coding, billing and reimbursement of patient services, as well as other third-party payers.
  • Understand Medicare, Medicaid and other commercial payer rules and regulations applicable to billing/coding.
  • Understand the considerations of coding in Value Based payment contracts.
  • Follow coding/billing guidelines and legal requirements to ensure compliance with federal and state regulations.
  • Manage multiple priorities and projects with competing deadlines.
  • Serve as a coach and mentor for coding team. Assist team with projects as needed.
  • Maintain strictest confidentiality; adhere to all HIPAA guidelines/regulations.
  • Other duties as assigned by management.

Requirements
REQUIRED QUALIFICATIONS
  • Bachelor or Associate degree in any Healthcare related field or equivalent experience.
  • Must be a Certified Professional Coder with 7-10 years minimum direct professional coding experience. Certified Professional Coder CPC, Certified Risk Adjustment Coder CRC (not required but a plus), Certified Professional Compliance Officer Certification - CPCO (not required but a plus).
  • Must have strong knowledge of all guidelines for ICD-10, CPT/HCPCS codes, medical terminology, and billing processes.
  • Knowledge of Medical Billing/EHR (Electronic Health Records) systems preferably Medent
  • Knowledge of EOBs (Explanation of Benefit), EFTs (Electronic Funds Transfer) and ERAs (Electronic Remittance Advice).
  • Knowledge of Microsoft Office software.
  • Must possess team leadership skills and have a positive disposition.
  • Must be focused, self-directed, & organized, with problem-solving abilities.
  • Accurate and precise attention to detail.
  • Excellent verbal and written communication skills.

REQUIRED LICENSES/CERTIFICATIONS
  • Certified Professional Coder-CPC
  • Certified Risk Adjustment Coder-CRC (not required but a plus)
  • Certified Professional Compliance Officer Certification - CPCO (not required but a plus)

PREFERRED QUALIFICATIONS
  • FQHC billing helpful (not required but a plus).
  • 5 to 7 year minimum experience managing staff within the patient revenue cycle.
  • General working knowledge/previous exposure of healthcare environments and auditing concepts, medical billing/operations, medical terminology and clinical documentation.

Apply