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Freelance Medical Claims Processor Jobs in Springfield, PA

Delaware Claims

Claims Analyst

Wilmington, DE · On-site

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 ...

Delaware Claims

Claims Analyst

Wilmington, DE · On-site

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 ...

Aon

RN Medical Review Nurse (Hybrid)

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 ...

Corvel

Claims Assistant

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 ...

CorVel

Claims Assistant

West Norriton, PA · On-site

$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 ...

Corvel

Claims Assistant

Norristown, PA · On-site

$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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Freelance Medical Claims Processor information

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$13

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$24

How much do freelance medical claims processor jobs pay per hour?

As of Sep 1, 2026, the average hourly pay for freelance medical claims processor in Springfield, PA is $18.36, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $20.38 per hour, depending on experience, location, and employer.

What is a freelance medical claims processor?

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.

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

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.

What are some common challenges faced by freelance medical claims processors?

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.

How to get a job as a freelance medical claims processor?

To become a freelance medical claims processor, you should have a strong understanding of medical billing and coding, often requiring certification such as CPC or CCS. Gaining experience through internships or entry-level positions can help, and building a professional online presence or profile on freelance platforms can attract clients. Good organizational skills and familiarity with claims processing software are also beneficial.

Is a freelance medical claims processor job in demand?

Freelance medical claims processors are in moderate demand as healthcare providers and insurance companies seek flexible, remote workers to handle claims processing. Success in this role often requires knowledge of medical billing, coding, and claims software, making it a viable option for those with relevant skills and certifications.

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

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

What are popular job titles related to Freelance Medical Claims Processor jobs in Springfield, PA?

For Freelance Medical Claims Processor jobs in Springfield, PA, the most frequently searched job titles are:

What job categories do people searching Freelance Medical Claims Processor jobs in Springfield, PA look for?

The top searched job categories for Freelance Medical Claims Processor jobs in Springfield, PA are:

Freelance Medical Claims Processor jobs near you
Infographic showing various Freelance Medical Claims Processor job openings in Springfield, PA as of August 2026, with employment types broken down into 88% Full Time, and 12% Part Time. Highlights an 77% In-person, and 23% Remote job distribution, with an average salary of $38,199 per year, or $18.4 per hour.

Claims Repricer

Philadelphia, PA • On-site

Independence Blue Cross
Insurance Services • 1 - 5K employees

8.8

Company rating: 8.8 out of 10

Based on 26 frontline employees who took The Breakroom Quiz

58th of 315 rated insurance

Good employer

Recommended by parents

Respectful managers

Learn more about Independence Blue Crossexternal

Full-time

Re-posted 22 days ago

Job description

Position Summary
The Claims Repricer is responsible for the accurate review, adjustment, and application of pricing methodologies to medical claims. This role ensures claims are priced in accordance with provider contracts, fee schedules, and benefit structures. The position plays a critical role in maintaining pricing integrity, minimizing rework, and supporting operational efficiency in a high-volume claims environment.
Key Responsibilities
  • Review and reprice medical claims to ensure accurate application of provider contracts, fee schedules, and reimbursement methodologies
  • Analyze pricing discrepancies and perform adjustments to align with contractual and system guidelines
  • Research complex claims scenarios, including escalations from Provider Services and Claims Processing
  • Partner with Configuration, Network Management, and Claims teams to resolve pricing issues and system defects
  • Validate contract terms and ensure proper interpretation within claims adjudication systems
  • Maintain productivity, quality, and turnaround time standards in a high-volume environment
  • Document findings and maintain audit-ready records of adjustments and issue resolution
  • Identify pricing trends, root causes, and recommend process improvements to reduce errors and rework

Required Qualifications
  • High school diploma or equivalent required; Associate's or Bachelor's degree preferred
  • 2-4 years of experience in healthcare claims processing, pricing, or repricing
  • Strong knowledge of claims adjudication and reimbursement methodologies (e.g., fee schedules, contract pricing)
  • Experience interpreting provider contracts and pricing logic preferred
  • Strong analytical and problem-solving skills with attention to detail
  • Ability to manage fluctuating workloads and prioritize effectively
  • Proficiency in Microsoft Office (Excel, Word) and claims systems

IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.

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