Claims Repricer
Philadelphia, PA · On-site
Review and reprice medical claims to ensure accurate application of provider contracts, fee ... Identify pricing trends, root causes, and recommend process improvements to reduce errors and ...
Philadelphia, PA · On-site
Review and reprice medical claims to ensure accurate application of provider contracts, fee ... Identify pricing trends, root causes, and recommend process improvements to reduce errors and ...
Philadelphia, PA · On-site
Review and reprice medical claims to ensure accurate application of provider contracts, fee ... Identify pricing trends, root causes, and recommend process improvements to reduce errors and ...
Associate's or Bachelor's degree preferred * 2-4 years of healthcare claims processing or provider services experience * Strong knowledge of medical claims adjudication and reimbursement ...
Associate's or Bachelor's degree preferred * 2-4 years of healthcare claims processing or provider services experience * Strong knowledge of medical claims adjudication and reimbursement ...
Norristown, PA · Hybrid
$16.74 - $26.92/hr
The Workers' Compensation Medical Only Claims Specialist manages non-complex and non-problematic ... process taking into consideration experience, qualifications, and overall fit for the role. The ...
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Norristown, PA · Hybrid
$16.74 - $26.92/hr
The Workers' Compensation Medical Only Claims Specialist manages non-complex and non-problematic ... process taking into consideration experience, qualifications, and overall fit for the role. The ...
New
King Of Prussia, PA · On-site
The Claims Adjuster analyzes and processes requests and inquiries for adjustments to medical insurance claims in an accurate and timely manner while adhering to claims processing standards and ...
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King Of Prussia, PA · On-site
The Claims Adjuster analyzes and processes requests and inquiries for adjustments to medical insurance claims in an accurate and timely manner while adhering to claims processing standards and ...
Norristown, PA · Hybrid
$16.74 - $26.92/hr
The Workers' Compensation Medical Only Claims Specialist manages non-complex and non-problematic ... process taking into consideration experience, qualifications, and overall fit for the role. The ...
New
Norristown, PA · Hybrid
$16.74 - $26.92/hr
The Workers' Compensation Medical Only Claims Specialist manages non-complex and non-problematic ... process taking into consideration experience, qualifications, and overall fit for the role. The ...
New
Wilmington, DE · On-site
$52K/yr
Delaware Claims Processing Facility, a leader in mass tort litigation claims processing with over ... package includes medical, dental, vision, disability, parking stipend, 401-K, generous PTO ...
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Wilmington, DE · On-site
$52K/yr
Delaware Claims Processing Facility, a leader in mass tort litigation claims processing with over ... package includes medical, dental, vision, disability, parking stipend, 401-K, generous PTO ...
Wilmington, DE · On-site
$52K/yr
Delaware Claims Processing Facility, a leader in mass tort litigation claims processing with over ... package includes medical, dental, vision, disability, parking stipend, 401-K, generous PTO ...
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Wilmington, DE · On-site
$52K/yr
Delaware Claims Processing Facility, a leader in mass tort litigation claims processing with over ... package includes medical, dental, vision, disability, parking stipend, 401-K, generous PTO ...
Woodbury, NJ · On-site
... process, often including litigation and settlement negotiations, to ensure timely and cost ... Orders bills and reports from medical providers of injured parties, obtain police/ambulance/fire ...
Woodbury, NJ · On-site
... process, often including litigation and settlement negotiations, to ensure timely and cost ... Orders bills and reports from medical providers of injured parties, obtain police/ambulance/fire ...
Merchantville, NJ · On-site
$22 - $25/hr
Monday-Friday, 8:00 AM-4:30 PM or 8:30 AM-5:00 PM Position Overview We are seeking a detail-oriented Medical Billing & Claims Specialist to support medical billing, claims processing, collections ...
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Merchantville, NJ · On-site
$22 - $25/hr
Monday-Friday, 8:00 AM-4:30 PM or 8:30 AM-5:00 PM Position Overview We are seeking a detail-oriented Medical Billing & Claims Specialist to support medical billing, claims processing, collections ...
Merchantville, NJ · On-site
$22 - $25/hr
Monday-Friday, 8:00 AM-4:30 PM or 8:30 AM-5:00 PM Position Overview We are seeking a detail-oriented Medical Billing & Claims Specialist to support medical billing, claims processing, collections ...
Quick apply
Merchantville, NJ · On-site
$22 - $25/hr
Monday-Friday, 8:00 AM-4:30 PM or 8:30 AM-5:00 PM Position Overview We are seeking a detail-oriented Medical Billing & Claims Specialist to support medical billing, claims processing, collections ...
Philadelphia, PA · On-site +1
$32.11 - $57.91/hr
Familiarity with MLR (Medical/Legal/Regulatory) review and Veeva PromoMats * Conceptual and ... If you require accommodation or assistance with the application or onboarding process specifically ...
Philadelphia, PA · On-site +1
$32.11 - $57.91/hr
Familiarity with MLR (Medical/Legal/Regulatory) review and Veeva PromoMats * Conceptual and ... If you require accommodation or assistance with the application or onboarding process specifically ...
Norristown, PA · Hybrid
$13.38 - $23.42/hr
Process payments, as needed * Process form letters, state forms and reports * Assist claims ... A comprehensive benefits package is available for full-time regular employees and includes Medical ...
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Norristown, PA · Hybrid
$13.38 - $23.42/hr
Process payments, as needed * Process form letters, state forms and reports * Assist claims ... A comprehensive benefits package is available for full-time regular employees and includes Medical ...
Mount Laurel, NJ · On-site
$18 - $23/hr
Previous experience with medical claims processing, insurance verification, medical records and insurance terminology required * Competency with Windows PC Applications, including Microsoft Word and ...
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Mount Laurel, NJ · On-site
$18 - $23/hr
Previous experience with medical claims processing, insurance verification, medical records and insurance terminology required * Competency with Windows PC Applications, including Microsoft Word and ...
Philadelphia, PA · On-site
Experience: 3 years or more of experience in medical claims processing and adjusting or healthcare administration. Expertise in the Blue Squared application * Technical Skills: Knowledge of medical ...
Philadelphia, PA · On-site
Experience: 3 years or more of experience in medical claims processing and adjusting or healthcare administration. Expertise in the Blue Squared application * Technical Skills: Knowledge of medical ...
Prepares and submits billing data and medical claims to insurance companies, ensuring accurate ... Processes all required payments, adjustments to accounts when claim payment is received if required ...
Prepares and submits billing data and medical claims to insurance companies, ensuring accurate ... Processes all required payments, adjustments to accounts when claim payment is received if required ...
Prepares and submits billing data and medical claims to insurance companies, ensuring accurate ... Processes all required payments, adjustments to accounts when claim payment is received if required ...
Prepares and submits billing data and medical claims to insurance companies, ensuring accurate ... Processes all required payments, adjustments to accounts when claim payment is received if required ...
Media, PA · Remote
Comfortable learning and using systems, processes, and documentation standards. * Able to balance ... Multiple medical plan options, with preventive care covered at 100% * Free virtual medical and ...
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Media, PA · Remote
Comfortable learning and using systems, processes, and documentation standards. * Able to balance ... Multiple medical plan options, with preventive care covered at 100% * Free virtual medical and ...
Deptford Township, NJ · On-site
$77K - $94K/yr
Assess claims and medical information to calculate potential risk by identifying claimants with ... process. * Must have strong analytical, organizational, and decision-making skills and business ...
Deptford Township, NJ · On-site
$77K - $94K/yr
Assess claims and medical information to calculate potential risk by identifying claimants with ... process. * Must have strong analytical, organizational, and decision-making skills and business ...
Norristown, PA · Hybrid
$13.38 - $23.42/hr
Process payments, as needed * Process form letters, state forms and reports * Assist claims ... A comprehensive benefits package is available for full-time regular employees and includes Medical ...
Norristown, PA · Hybrid
$13.38 - $23.42/hr
Process payments, as needed * Process form letters, state forms and reports * Assist claims ... A comprehensive benefits package is available for full-time regular employees and includes Medical ...
Philadelphia, PA · On-site
$17.75 - $21.50/hr
Submits authorizations to pharmacy and medical claims processors * Forwards prior authorization requests to a pharmacist when necessary * Makes appropriate referrals to other clinical programs
Philadelphia, PA · On-site
$17.75 - $21.50/hr
Submits authorizations to pharmacy and medical claims processors * Forwards prior authorization requests to a pharmacist when necessary * Makes appropriate referrals to other clinical programs
$13.15 - $14.16
6% of jobs
$14.16 - $15.17
6% of jobs
$15.17 - $16.18
11% of jobs
$16.29 is the 25th percentile. Wages below this are outliers.
$16.18 - $17.19
15% of jobs
The median wage is $17.93 / hr.
$17.19 - $18.20
16% of jobs
$18.20 - $19.21
11% of jobs
$20.17 is the 75th percentile. Wages above this are outliers.
$19.21 - $20.22
11% of jobs
$20.22 - $21.23
11% of jobs
$21.23 - $22.24
6% of jobs
$22.24 - $23.25
5% of jobs
$23.25 - $24.26
2% of jobs
$13
$18
$24
A Freelance Medical Claims Processor reviews, processes, and submits medical insurance claims on a contract or per-task basis. They ensure that healthcare providers receive accurate reimbursements by verifying patient information, coding procedures, and following up on claim statuses. Working independently, they may serve multiple clients, including hospitals, clinics, or private practices. This role requires knowledge of medical billing codes, insurance policies, and healthcare regulations. Freelancers typically set their own schedules and may work remotely.
To thrive as a Freelance Medical Claims Processor, you need a solid understanding of medical billing, insurance procedures, and medical terminology, often supported by experience in healthcare administration or a related certification. Familiarity with claims management software, electronic health record (EHR) systems, and HIPAA compliance is typically required. Strong organizational skills, attention to detail, and effective communication are important soft skills for ensuring accuracy and timely resolution of claims. These competencies help ensure claims are processed correctly, prevent costly errors, and enable successful remote collaboration with providers and insurers.
Freelance Medical Claims Processors often encounter challenges such as keeping up with evolving insurance regulations and payer requirements, which can vary between providers and states. Additionally, managing a diverse client base independently requires exceptional organizational skills and self-motivation, as well as the ability to troubleshoot claim denials and appeal rejected claims efficiently. Successfully communicating with healthcare providers, insurance companies, and patients, often remotely, can also be demanding. Staying current with industry updates and participating in ongoing training can help overcome these challenges and ensure continued success in the freelance environment.
The most popular types of Medical Claims Processor jobs in Springfield, PA are:
For Freelance Medical Claims Processor jobs in Springfield, PA, the most frequently searched job titles are:
The top searched job categories for Freelance Medical Claims Processor jobs in Springfield, PA are:
Cities near Springfield, PA with the most Freelance Medical Claims Processor job openings:

8.8
Based on 26 frontline employees who took The Breakroom Quiz
56th of 310 rated insurance
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Sourced by ZipRecruiter
Insurance services
1,001 - 5,000 Employees
Philadelphia, PA, US
1938