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Freelance Medical Claims Processor Jobs in Springfield, PA

NFP Corp

RN Medical Review Nurse (Hybrid)

Woodbury, 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 ...

NFP Corp

RN Medical Review Nurse (Hybrid)

Woodbury, 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 ...

NFP Corp

RN Medical Review Nurse (Hybrid)

Woodbury, 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 ...

NFP

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 ...

Pacer Group

Prior Authorization Technician

Philadelphia, PA · On-site

$17.75 - $21.50/hr

Submit approved authorizations to pharmacy and medical claims processors. * Forward requests to a pharmacist for clinical review when necessary. * Make appropriate referrals to other clinical ...

Acrisure

Commercial Lines Claims Consultant

Wayne, PA · On-site

... claims processes and following up with the client at the conclusion of the claim to ensure all ... Comprehensive medical insurance, dental insurance, and vision insurance; life and disability ...

Acrisure

Commercial Lines Claims Consultant

Wayne, PA · On-site

... claims processes and following up with the client at the conclusion of the claim to ensure all ... Comprehensive medical insurance, dental insurance, and vision insurance; life and disability ...

RhythMedix

Billing Reimbursement Specialist

Mount Laurel, NJ · On-site

$19 - $25.75/hr

Previous experience with medical claims processing, insurance verification, medical records and insurance terminology * Competency with Windows PC Applications, including strong Microsoft Word and ...

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Freelance Medical Claims Processor information

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

As of Aug 21, 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:

What cities near Springfield, PA are hiring for Freelance Medical Claims Processor jobs?

Cities near Springfield, PA with the most Freelance Medical Claims Processor job openings:

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.

RN Medical Review Nurse (Hybrid)

NFP Corp

Woodbury, NJ • On-site

$77K - $94K/yr

Full-time

Medical, Retirement, PTO

Posted 7 days ago

Job description

Posting Description
Who We Are:

NFP, an Aon Company, is a multi-year Best Places to Work award winner in Business Insurance. We are an organization of consultative advisors and problem solvers. We help companies and individuals around the world address their most significant risk, workforce, wealth management, and retirement challenges through custom solutions and a people-first approach. To learn more, please visit: https://www.NFP.com.

Summary of Role:

Excess Reinsurance is currently seeking a licensed RN to work in its Woodbury, NJ location to provide cost projections and underwriter support for the review of medical claims. This full-time position requires using your extensive knowledge, expertise, and experience to review claims data and medical documentation to identify and project future medical risks for underwriting purposes.

Essential Duties and Responsibilities:
  • Assess claims and medical information to calculate potential risk by identifying claimants with catastrophic care needs.
  • Use varying resources to research diagnoses, treatment plans, and average costs.
  • Read, analyze, and interpret medical records, claims files, and underwriting reports.
  • Provide written assessments within encouraged timeframes for use when establishing rates for new and renewal business.
  • Connect with underwriters and Senior Management to advise of potential claims involving significant risk.
  • Investigate course of treatment for existing conditions.
  • Recommend lasers where warranted.
Knowledge, Skills, and/or Abilities:
  • A minimum of three years clinical RN experience, preferably in a hospital setting.
  • At least two years of experience in the health insurance industry with in-depth knowledge of the UR and/or the case management process.
  • Must have strong analytical, organizational, and decision-making skills and business orientation.
  • Strong digital literacy
  • Excellent written and verbal communication skills.
Certificates, Licenses, Registration:
  • Must be a Registered Nurse

Excess Reinsurance Underwriters Agency, Inc. is a market leader in the self-funded insurance market. Excess Reinsurance is located in Woodbury, New Jersey, about 12 miles from Philadelphia. Please submit your resume and cover letter with salary requirements.

What We Offer:

We're proud to offer a competitive salary, PTO & paid holidays, 401(k) with match, best-in-class discount programs, health & wellness programs, and more. Our PeopleFirst culture focuses on building and nurturing lifelong relationships with our employees because, when all is said and done, we exist to be there for others. The base salary range for this position is $77,000 – $94,000. The base salary offered will be determined by factors including, but not limited to, experience, credentials, education, certifications, skill level required for the position, the scope of the position, and geographic location. Actual base salary offered will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives.

NFP and You... Better Together!

NFP is an inclusive Equal Employment Opportunity employer.

2585475Qualifications:UNAVAILABLEEducation:UNAVAILABLEEmployment Type: FULL_TIME

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