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Freelance Medical Claims Processor Jobs (NOW HIRING)

Kintegra Health

Medical Claims Supervisor

Gastonia, NC · On-site

  • Medical

  • Vision

The Medical Claims Supervisor manages the Medical Authorization team and is responsible for overseeing medical claims processing activities, monitoring pending and aged claims inventories ...

New

Next Step Systems

Medical Claims Coder

Tucson, AZ · On-site

  • Medical

  • Retirement

  • PTO

Maximize reimbursement and develop effective policies for billing and claim processing. This position is 100% Onsite and NOT open for Remote. Medical Claims Coder Responsibilities: - Submit claims ...

Zenith American Solutions

Claims Processor

Tualatin, OR · On-site

$17.75 - $22.50/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

Moda Health

Medical Claims COB Processor I

Milwaukie, OR · Remote

$18.39 - $20.58/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

Collabera

Claims Processor

Mason, OH · On-site

$16 - $20.25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... 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 ...

Conduent, Inc.

Claims Processor

KY · Remote

$18/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Claims Processor (Remote) Are you detail-oriented with claims experience and looking for a remote ... medical condition, use of a guide dog or service animal, military/veteran status, citizenship ...

1199SEIU Funds

Hospital Claims Processor V

Manhattan, NY · On-site

$18.75 - $23.75/hr

  • Medical

... claims Process and evaluate hospital claims manually or through claims work flow Validate ... medical claims in a health insurance or benefits environment required Basic keyboarding skills ...

1199SEIU Funds

Hospital Claims Processor V

Manhattan, NY · On-site

$18.75 - $23.75/hr

  • Medical

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 ...

Next Step Systems

Medical Claims Coder

Tucson, AZ · On-site

  • Medical

  • Retirement

  • PTO

Maximize reimbursement and develop effective policies for billing and claim processing. This position is 100% Onsite and NOT open for Remote. Medical Claims Coder Responsibilities: - Submit claims ...

1199SEIU Funds

Hospital Claims Processor V

Manhattan, NY

$18.75 - $23.75/hr

  • Medical

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 ...

Great West Casualty Company

Claims Processor

South Sioux City, NE · On-site

$16.75 - $21.25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

Great West Casualty Company

Claims Processor

South Sioux City, NE · On-site

$16.75 - $21.25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

Zenith American Solutions, Inc.

Claims Processor

Tualatin, OR · On-site

$17.75 - $22.50/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

Zenith American Solutions, Inc.

Claims Processor

Tualatin, OR · On-site

$17.75 - $22.50/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

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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 13, 2026, the average hourly pay for freelance medical claims processor in the United States is $19.47, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $21.63 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 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.

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.

More about Freelance Medical Claims Processor jobs
What cities are hiring for Freelance Medical Claims Processor jobs? Cities with the most Freelance Medical Claims Processor job openings:
What are the most commonly searched types of Medical Claims Processor jobs? The most popular types of Medical Claims Processor jobs are:
What states have the most Freelance Medical Claims Processor jobs? States with the most job openings for Freelance Medical Claims Processor jobs include:
What job categories do people searching Freelance Medical Claims Processor jobs look for? The top searched job categories for Freelance Medical Claims Processor jobs are:
Freelance Medical Claims Processor jobs near you
Infographic showing various Freelance Medical Claims Processor job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $40,493 per year, or $19.5 per hour.

Medical Claims Supervisor

Kintegra Health

Gastonia, NC • On-site

Full-time

Medical, Vision

Posted 2 days ago

New

Kintegra Health rating

6.4

Company rating: 6.4 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

Job description

Job Summary and Specifications


Job Title: Medical Claims Supervisor

FLSA Status: Exempt

Salary Range: See Pay Scale

Job Summary: The Medical Claims Supervisor manages the Medical Authorization team and is responsible for overseeing medical claims processing activities, monitoring pending and aged claims inventories, researching claim issues, and ensuring timely and accurate adjudication of claims in accordance with health plan benefits, provider contracts, regulatory requirements, and internal performance standards. The position reports directly to the Director of Finance. This position works closely with claims operations, finance, compliance, quality, IT, provider relations, member services, contracted providers, facilities, vendors, and leadership to ensure accurate and timely processing of claims and resolution of claims-related issues.
Specifications

Education: Bachelor's degree preferred; associate degree in healthcare administration, business administration, health information management, medical billing and coding, or related field preferred.

Experience: Minimum five years of experience in medical claims processing, claims adjudication, health plan operations, payer operations, or provider billing. Experience monitoring claims inventories, denied claims, payer worklists, and claims processing workflows. At least 1 years experience working with the frail elderly population.

Number and Type of Employees Supervised (optional): 2-4 employees.

Licensure, Registry or Certification Required: None

Special Training: Meet a standardized set of competencies for the specific position description established by Senior TLC, Inc. and approved by CMS before working independently. Working knowledge of health insurance operations, claims adjudication, benefit interpretation, provider contracts, denials, reconsiderations, and appeals. Familiarity with CPT, ICD-10, HCPCS, Medicare, Medicaid, managed care plans, electronic claims systems, and payer portals.

Immunizations: Be medically cleared for communicable diseases and have all immunizations up to date before engaging in direct participant contact

Ages of Patients Rendered Care:

Neonate/Infant Early Childhood Adolescent Adult Geriatric All Age Groups

Key Responsibilities: (*denotes an age-related skill or task)

· Supervise the Medical Authorization team and processes.

· Monitor claims adjudication queues, pending claims inventories, suspended claims, denied claims, corrected claims, and claims requiring manual review.

· Review claim status, member eligibility, benefit coverage, provider contract terms, coding information, claim edits, and supporting documentation to determine why claims are pending, delayed, denied, or not processing correctly.

· Research and resolve claims discrepancies including payment variances, benefit application issues, duplicate claims, coding errors, provider setup concerns, system edits, and member eligibility issues.

· Follow up with providers, facilities, vendors, claims processors, and internal departments to obtain necessary information and facilitate claim resolution.

· Document claims research, follow-up activities, communication, actions taken, escalation steps, and claim outcomes within health plan systems.

· Maintain tracking logs and reports for pending claims, aged claims, denial trends, turnaround times, and unresolved claims requiring management attention.

· Escalate complex or high-priority claims issues to leadership as appropriate.

· Assist with claims reprocessing, reconsideration requests, appeals, provider inquiries, member inquiries, and internal or external audits.

· Monitor compliance with health plan policies, claims processing standards, HIPAA requirements, and applicable Medicare, Medicaid, and managed care regulations.

· Collaborate with operations, compliance, finance, quality, and IT teams to identify workflow improvements and resolve recurring claims issues.

· Prepare and submit monthly reinsurance reports.

· Submit monthly outstanding inpatient claims reports for accrual processing.

· Monitor and resolve participant bills related to medical claims processing.

· Monitor key performance indicators (KPIs), claims inventory metrics, denial trends, turnaround times, and productivity measures.

· Supports Senior TLC’s mission to encourage and support the quality of life of seniors wishing to continue living in the community; its vision to be the preferred provider of individualized care for seniors in the community; and its values of respect, integrity, accountability, compatible goals, and compassionate care.

· Other duties as assigned.


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