Salisbury, NC · On-site
$15.25 - $19.50/hr
... medical claims. 5. Contacts billing providers and IDT (interdisciplinary) teams to correct claim authorizations so that claim billings can be properly processed. 6. Researches and processes claims ...
Salisbury, NC · On-site
$15.25 - $19.50/hr
... medical claims. 5. Contacts billing providers and IDT (interdisciplinary) teams to correct claim authorizations so that claim billings can be properly processed. 6. Researches and processes claims ...
Los Angeles, CA · On-site
$25 - $28/hr
Experience in an entry level accounting role preferred. * Experience with child care providers and ... Medical/ Dental/ Vision - 95% paid by employer * Pet Insurance * Employee Assistance Program
Quick apply
Los Angeles, CA · On-site
$25 - $28/hr
Experience in an entry level accounting role preferred. * Experience with child care providers and ... Medical/ Dental/ Vision - 95% paid by employer * Pet Insurance * Employee Assistance Program
El Paso, TX · On-site
$15.25 - $19.50/hr
Strong understanding of claims processing procedures, including familiarity with medical terminology and insurance policies * Highly detail-oriented with a focus on accuracy and quality assurance in ...
El Paso, TX · On-site
$15.25 - $19.50/hr
Strong understanding of claims processing procedures, including familiarity with medical terminology and insurance policies * Highly detail-oriented with a focus on accuracy and quality assurance in ...
Warren, MI · On-site
$15/hr
Claims Processor for durable medical equipment and pharmaceutical claims submitted from contracted and out of network providers. Responsible for processing claims in a timely manner, verifying ...
Quick apply
Warren, MI · On-site
$15/hr
Claims Processor for durable medical equipment and pharmaceutical claims submitted from contracted and out of network providers. Responsible for processing claims in a timely manner, verifying ...
Minimum of 6 months medical claim processing or customer service dealing with all types of plans/claims and consistently exceeding performance levels. * Professional and effective written and verbal ...
Quick apply
Minimum of 6 months medical claim processing or customer service dealing with all types of plans/claims and consistently exceeding performance levels. * Professional and effective written and verbal ...
$16 - $20.25/hr
... days, Medical, Dental and Vision insurance, 401K retirement savings plan, Life Insurance ... Accurately and efficiently processes manual claims and other simple processes such as matrix and ...
$16 - $20.25/hr
... days, Medical, Dental and Vision insurance, 401K retirement savings plan, Life Insurance ... Accurately and efficiently processes manual claims and other simple processes such as matrix and ...
South Sioux City, NE · On-site
$16.75 - $21.25/hr
As a Claims Processor , you will take the first reports of accidents and initiate the claims ... Medical, Dental, Vision, Life, Long-Term Disability, Company Match 401(k), HSA, FSA * Paternal ...
South Sioux City, NE · On-site
$16.75 - $21.25/hr
As a Claims Processor , you will take the first reports of accidents and initiate the claims ... Medical, Dental, Vision, Life, Long-Term Disability, Company Match 401(k), HSA, FSA * Paternal ...
$15.75 - $19.75/hr
Receive, analyze and process assigned claims by product (medical, dental, vision, FSA or HRA) and group. Ensure accurate processing based on benefit plan design and/or regulations. * Evaluate ...
Quick apply
$15.75 - $19.75/hr
Receive, analyze and process assigned claims by product (medical, dental, vision, FSA or HRA) and group. Ensure accurate processing based on benefit plan design and/or regulations. * Evaluate ...
Be Seen First
Waterbury, CT · On-site
$17 - $24/hr
This role ensures claims are processed in compliance with payer requirements and organizational ... Submit medical claims (electronic and manual) to insurance carriers, Medicaid, and managed care ...
Urgent
Quick apply
Be Seen First
Waterbury, CT · On-site
$17 - $24/hr
This role ensures claims are processed in compliance with payer requirements and organizational ... Submit medical claims (electronic and manual) to insurance carriers, Medicaid, and managed care ...
Urgent
Be Seen First
Waterbury, CT · On-site
$17 - $24/hr
This role ensures claims are processed in compliance with payer requirements and organizational ... Submit medical claims (electronic and manual) to insurance carriers, Medicaid, and managed care ...
Urgent
Quick apply
Be Seen First
Waterbury, CT · On-site
$17 - $24/hr
This role ensures claims are processed in compliance with payer requirements and organizational ... Submit medical claims (electronic and manual) to insurance carriers, Medicaid, and managed care ...
Urgent
$17.50 - $22/hr
Processes routine claims which could include medical, dental, vision, prescription, death, Life and AD&D, Workers' Compensation, or disability. * May provide customer service by responding to and ...
$17.50 - $22/hr
Processes routine claims which could include medical, dental, vision, prescription, death, Life and AD&D, Workers' Compensation, or disability. * May provide customer service by responding to and ...
$18.79/hr
Efficiently process claims and make adjustments as needed * Maintain accuracy and productivity ... Kelly offers eligible employees voluntary benefit plans including medical, dental, vision ...
$18.79/hr
Efficiently process claims and make adjustments as needed * Maintain accuracy and productivity ... Kelly offers eligible employees voluntary benefit plans including medical, dental, vision ...
Manhattan, NY · On-site
$45K - $57K/yr
Process and evaluate hospital claims manually or through claims work flow * Validate information ... Minimum two (2) years experience entering and updating hospital or medical claims in a health ...
Manhattan, NY · On-site
$45K - $57K/yr
Process and evaluate hospital claims manually or through claims work flow * Validate information ... Minimum two (2) years experience entering and updating hospital or medical claims in a health ...
$18.79/hr
Efficiently process claims and make adjustments as needed * Maintain accuracy and productivity ... Kelly offers eligible employees voluntary benefit plans including medical, dental, vision ...
Quick apply
$18.79/hr
Efficiently process claims and make adjustments as needed * Maintain accuracy and productivity ... Kelly offers eligible employees voluntary benefit plans including medical, dental, vision ...
$18.75 - $23.75/hr
Process and evaluate hospital claims manually or through claims work flow * Validate information ... Minimum two (2) years experience entering and updating hospital or medical claims in a health ...
$18.75 - $23.75/hr
Process and evaluate hospital claims manually or through claims work flow * Validate information ... Minimum two (2) years experience entering and updating hospital or medical claims in a health ...
$18.75 - $23.75/hr
Process and evaluate hospital claims manually or through claims work flow * Validate information ... Minimum two (2) years experience entering and updating hospital or medical claims in a health ...
$18.75 - $23.75/hr
Process and evaluate hospital claims manually or through claims work flow * Validate information ... Minimum two (2) years experience entering and updating hospital or medical claims in a health ...
$19 - $20/hr
Review, process, and follow up on medical insurance claims. * Work directly with insurance companies to ensure accurate and timely payments. * Handle inquiries and resolve discrepancies regarding ...
$19 - $20/hr
Review, process, and follow up on medical insurance claims. * Work directly with insurance companies to ensure accurate and timely payments. * Handle inquiries and resolve discrepancies regarding ...
$17.50 - $22/hr
Processes routine claims which could include medical, dental, vision, prescription, death, Life and AD&D, Workers' Compensation, or disability. * May provide customer service by responding to and ...
$17.50 - $22/hr
Processes routine claims which could include medical, dental, vision, prescription, death, Life and AD&D, Workers' Compensation, or disability. * May provide customer service by responding to and ...
Portsmouth, NH · Hybrid
$20.86 - $28.22/hr
FedPoint , a leading third-party insurance administrator, is seeking to hire Claims Processors. You ... Equal Employment Opportunity (EEO) Poster Family and Medical Leave Act (FMLA) Poster Employee ...
Portsmouth, NH · Hybrid
$20.86 - $28.22/hr
FedPoint , a leading third-party insurance administrator, is seeking to hire Claims Processors. You ... Equal Employment Opportunity (EEO) Poster Family and Medical Leave Act (FMLA) Poster Employee ...
Southfield, MI · On-site
$15.75 - $19.75/hr
Receive, analyze and process assigned claims by product (medical, dental, vision, FSA or HRA) and group. Ensure accurate processing based on benefit plan design and/or regulations. * Evaluate ...
Southfield, MI · On-site
$15.75 - $19.75/hr
Receive, analyze and process assigned claims by product (medical, dental, vision, FSA or HRA) and group. Ensure accurate processing based on benefit plan design and/or regulations. * Evaluate ...
$13.94 - $15.01
6% of jobs
$15.01 - $16.08
6% of jobs
$16.08 - $17.15
11% of jobs
$17.27 is the 25th percentile. Wages below this are outliers.
$17.15 - $18.23
15% of jobs
The median wage is $19.01 / hr.
$18.23 - $19.30
16% of jobs
$19.30 - $20.37
11% of jobs
$21.38 is the 75th percentile. Wages above this are outliers.
$20.37 - $21.44
11% of jobs
$21.44 - $22.51
11% of jobs
$22.51 - $23.58
6% of jobs
$23.58 - $24.65
5% of jobs
$24.65 - $25.72
2% of jobs
$13
$19
$25
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.
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.
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.
$15.25 - $19.50/hr
Full-time
Posted 24 days ago
The Accounts Payable - Claims Processor will ensure that claims (both paper and electronic) received from providers are processed and adjudicated correctly based on organizational policies and processes. This position will ensure accurate Medicare and contract payment billing rates with providers. This process will include frequent communication with providers to resolve any issues. Once the claims submission has been adjudicated, the claim will be processed through the accounts payable system.
Essential Functions:
1. Follow procedures to pay, return, or deny claims. Prepares the draft for payment and verifies that payment has been made.
2. Reviews and resolves discrepancies in a timely manner.
3. Establishes a working relationship with billing providers, members, and internal staff.
4. Rejects or accepts authorization documentation, determines benefit due, and starts the denial or payment process to resolve medical claims.
5. Contacts billing providers and IDT (interdisciplinary) teams to correct claim authorizations so that claim billings can be properly processed.
6. Researches and processes claims according to business regulations, internal standards and processing guidelines. Verifies the coding of procedure and diagnosis codes.
7. Resolves system edits, audits, and claims errors through research and use of approved references and investigative sources.
8. Coordinates with internal departments to work edits and deferrals, updating the patient identification, health insurance, provider identification, and other files as necessary.
9. Pays all properly adjudicated claims.
10. Maintains claims files.
11. Records 1099 form at each calendar year.
12. Other duties as assigned.
Education: High School Graduate (Required). BA/BS degree (Preferred).
Experience: Experience in accounts payables and/or claims processing (Preferred)
Specific skills/abilities:
• Excellent computer skills and experience in the Microsoft Office Suite
• Excellent organizational and time management
• Strong communication skills and the ability to work with various internal and external
parties to process claims and billing issues.
• Detail oriented
• Interpersonal skills
• Data entry skills
• Capability to manage confidential and proprietary information.
