Specialist, Appeals & Grievances (Must Reside in OH or KY)
$16.40 - $31.97/hr
Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of ... Employment Type: Full Time
Specialist, Appeals & Grievances (Must Reside in OH or KY)
$16.40 - $31.97/hr
Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of ... Employment Type: Full Time
Claims & Referral Processor
Aurora, CO · On-site
$17.25 - $21.75/hr
... bill payment processing and medical regulations, verifies and updates relevant data into ... Verifies member eligibility and/or Medicare status. Receives daily workflow via Doc-Flo, and ...
Claims & Referral Processor
Aurora, CO · On-site
$17.25 - $21.75/hr
... bill payment processing and medical regulations, verifies and updates relevant data into ... Verifies member eligibility and/or Medicare status. Receives daily workflow via Doc-Flo, and ...
Specialist, Provider Appeals (Florida)
$16.40 - $31.97/hr
Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of ... Employment Type: Full Time
Specialist, Provider Appeals (Florida)
$16.40 - $31.97/hr
Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of ... Employment Type: Full Time
Lab Billing Specialist- SMC Onsite
Spartanburg, SC · On-site
$18.25 - $23.50/hr
... requirements for claims processing • Good communication Skills License/Registration ... Utilize Medicare DDE system to correct errors on Medicare claims • Batch and key all ...
Lab Billing Specialist- SMC Onsite
Spartanburg, SC · On-site
$18.25 - $23.50/hr
... requirements for claims processing • Good communication Skills License/Registration ... Utilize Medicare DDE system to correct errors on Medicare claims • Batch and key all ...
Specialist, Appeals & Grievances
$16.40 - $31.97/hr
Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of ... Employment Type: Full Time
Specialist, Appeals & Grievances
$16.40 - $31.97/hr
Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of ... Employment Type: Full Time
Specialist, Appeals & Grievances
$21.78 - $36.77/hr
Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of ... Employment Type: Full Time
Specialist, Appeals & Grievances
$21.78 - $36.77/hr
Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of ... Employment Type: Full Time
Specialist, Appeals & Grievances
$21.78 - $36.77/hr
Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of ... Employment Type: Full Time
Specialist, Appeals & Grievances
$21.78 - $36.77/hr
Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of ... Employment Type: Full Time
Lab Billing Specialist- SMC Onsite
Spartanburg, SC · On-site
$18.25 - $23.50/hr
... requirements for claims processing • Good communication Skills License/Registration ... Utilize Medicare DDE system to correct errors on Medicare claims • Batch and key all ...
Lab Billing Specialist- SMC Onsite
Spartanburg, SC · On-site
$18.25 - $23.50/hr
... requirements for claims processing • Good communication Skills License/Registration ... Utilize Medicare DDE system to correct errors on Medicare claims • Batch and key all ...
Specialist, Appeals & Grievances
Bothell, WA · On-site
$21.78 - $36.77/hr
... and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for appeals and denials. • Customer service experience. • Strong organizational and time management ...
Specialist, Appeals & Grievances
Bothell, WA · On-site
$21.78 - $36.77/hr
... and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for appeals and denials. • Customer service experience. • Strong organizational and time management ...
Health claims processing experience, including coordination of benefits (COB), subrogation and eligibility criteria. Experience with Medicaid and Medicare claims denials and appeals processing, and ...
Health claims processing experience, including coordination of benefits (COB), subrogation and eligibility criteria. Experience with Medicaid and Medicare claims denials and appeals processing, and ...
Specialist, Appeals & Grievances Remote
$14.76 - $31.97/hr
... and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for appeals and denials. • Customer service experience. • Strong organizational and time management ...
Specialist, Appeals & Grievances Remote
$14.76 - $31.97/hr
... and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for appeals and denials. • Customer service experience. • Strong organizational and time management ...
Remote Claims Processing Clerk
KY · Remote
$15/hr
Medical
Dental
Vision
Life
Retirement
PTO
Consider this when applying Job Type: Full-Time Remote Job Summary We are hiring a detail-oriented Claims Processor to support a fast-paced healthcare team. This role is fully remote and requires ...
Remote Claims Processing Clerk
KY · Remote
$15/hr
Medical
Dental
Vision
Life
Retirement
PTO
Consider this when applying Job Type: Full-Time Remote Job Summary We are hiring a detail-oriented Claims Processor to support a fast-paced healthcare team. This role is fully remote and requires ...
Claims Manager
San Bernardino, CA · On-site
$87K - $97K/yr
Job Type Full-time Description JOB SUMMARY: The Claims Manager is responsible for overseeing the ... This position plays a critical role in ensuring claims processing accuracy, maintaining provider ...
Claims Manager
San Bernardino, CA · On-site
$87K - $97K/yr
Job Type Full-time Description JOB SUMMARY: The Claims Manager is responsible for overseeing the ... This position plays a critical role in ensuring claims processing accuracy, maintaining provider ...
MSO CLAIMS MANAGER
Burlingame, CA · On-site
Medical
Dental
Vision
Retirement
... payment processing for Medi-Cal, Medicare, PACE, and other lines of business based on member ... This is a full-time position. NEMS is proud to be an Equal Opportunity Employer welcoming diversity ...
MSO CLAIMS MANAGER
Burlingame, CA · On-site
Medical
Dental
Vision
Retirement
... payment processing for Medi-Cal, Medicare, PACE, and other lines of business based on member ... This is a full-time position. NEMS is proud to be an Equal Opportunity Employer welcoming diversity ...
MSO CLAIMS MANAGER
Medical
Dental
Vision
Retirement
... payment processing for Medi-Cal, Medicare, PACE, and other lines of business based on member ... This is a full-time position. NEMS is proud to be an Equal Opportunity Employer welcoming diversity ...
MSO CLAIMS MANAGER
Medical
Dental
Vision
Retirement
... payment processing for Medi-Cal, Medicare, PACE, and other lines of business based on member ... This is a full-time position. NEMS is proud to be an Equal Opportunity Employer welcoming diversity ...
... Medicare Claims processing • MQ • Endevor • Xpeditor Company : Lumen Solutions Inc., is a dynamic small and minority-owned, Disadvantaged Business Enterprise headquartered in Virginia, USA.
... Medicare Claims processing • MQ • Endevor • Xpeditor Company : Lumen Solutions Inc., is a dynamic small and minority-owned, Disadvantaged Business Enterprise headquartered in Virginia, USA.
Inpatient Medicare Collection Specialist
$20.50 - $27.75/hr
Medical
Dental
Vision
Life
Retirement
PTO
Join Us as Inpatient Medicare Collections Specialist! Full Time 40 hours onsite in Auburn, MA The ... This role focuses on Medicare fee-for-service claims, including high-dollar hospital stays, by ...
Inpatient Medicare Collection Specialist
$20.50 - $27.75/hr
Medical
Dental
Vision
Life
Retirement
PTO
Join Us as Inpatient Medicare Collections Specialist! Full Time 40 hours onsite in Auburn, MA The ... This role focuses on Medicare fee-for-service claims, including high-dollar hospital stays, by ...
Inpatient Medicare Collection Specialist
Devens, MA · On-site
$20.50 - $27.75/hr
Medical
Dental
Vision
Life
Retirement
PTO
Join Us as Inpatient Medicare Collections Specialist! Full Time 40 hours onsite in Auburn, MA The ... This role focuses on Medicare fee-for-service claims, including high-dollar hospital stays, by ...
Inpatient Medicare Collection Specialist
Devens, MA · On-site
$20.50 - $27.75/hr
Medical
Dental
Vision
Life
Retirement
PTO
Join Us as Inpatient Medicare Collections Specialist! Full Time 40 hours onsite in Auburn, MA The ... This role focuses on Medicare fee-for-service claims, including high-dollar hospital stays, by ...
Inpatient Medicare Collection Specialist
Devens, MA · On-site
$24 - $30/hr
Medical
Dental
Vision
Life
Retirement
PTO
Join Us as Inpatient Medicare Collections Specialist! Full Time 40 hours onsite in Auburn, MA The ... This role focuses on Medicare fee-for-service claims, including high-dollar hospital stays, by ...
Inpatient Medicare Collection Specialist
Devens, MA · On-site
$24 - $30/hr
Medical
Dental
Vision
Life
Retirement
PTO
Join Us as Inpatient Medicare Collections Specialist! Full Time 40 hours onsite in Auburn, MA The ... This role focuses on Medicare fee-for-service claims, including high-dollar hospital stays, by ...
Inpatient Medicare Collection Specialist
$20.50 - $27.75/hr
Medical
Dental
Vision
Life
Retirement
PTO
Join Us as Inpatient Medicare Collections Specialist! Full Time 40 hours onsite in Auburn, MA The ... This role focuses on Medicare fee-for-service claims, including high-dollar hospital stays, by ...
Inpatient Medicare Collection Specialist
$20.50 - $27.75/hr
Medical
Dental
Vision
Life
Retirement
PTO
Join Us as Inpatient Medicare Collections Specialist! Full Time 40 hours onsite in Auburn, MA The ... This role focuses on Medicare fee-for-service claims, including high-dollar hospital stays, by ...
Full Time Medicare Claims Processing information
See salary details
$12.02 - $13.33
2% of jobs
$13.33 - $14.64
6% of jobs
$14.64 - $15.95
9% of jobs
$16.63 is the 25th percentile. Wages below this are outliers.
$15.95 - $17.26
14% of jobs
$17.26 - $18.58
18% of jobs
The median wage is $18.62 / hr.
$18.58 - $19.89
17% of jobs
$20.61 is the 75th percentile. Wages above this are outliers.
$19.89 - $21.20
16% of jobs
$21.20 - $22.51
7% of jobs
$22.51 - $23.82
4% of jobs
$23.82 - $25.13
4% of jobs
$25.13 - $26.44
2% of jobs
$12
$19
$26
How much do full time medicare claims processing jobs pay per hour?
As of Aug 19, 2026, the average hourly pay for full time medicare claims processing in the United States is $19.16, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $20.67 per hour, depending on experience, location, and employer.
What is the difference between Full Time Medicare Claims Processing vs Part Time Medicare Claims Processing?
| Aspect | Full Time Medicare Claims Processing | Part Time Medicare Claims Processing |
|---|---|---|
| Work Hours | Typically 35-40 hours per week | Less than 30 hours per week |
| Certifications | Required certifications often include medical billing and coding credentials | Same certifications as full-time roles, but may vary by employer |
| Work Environment | Office or remote, structured schedule | Flexible hours, part-time schedule |
| Job Responsibilities | Full scope of claims processing, audits, and follow-up | Limited scope, may focus on specific claims or tasks |
Full Time Medicare Claims Processing involves working standard hours with comprehensive responsibilities, while Part Time roles offer flexible schedules with focused tasks. Both roles require similar certifications and work environments, but differ mainly in hours and scope of duties.
More about Full Time Medicare Claims Processing jobs
What cities are hiring for Full Time Medicare Claims Processing jobs?
Cities with the most Full Time Medicare Claims Processing job openings:
What are the most commonly searched types of Medicare Claims Processing jobs?
The most popular types of Medicare Claims Processing jobs are:
What job categories do people searching Full Time Medicare Claims Processing jobs look for?
The top searched job categories for Full Time Medicare Claims Processing jobs are:
$16.40 - $31.97/hr
Full-time
Posted 19 days ago
Molina Healthcare rating
8.0
Based on 199 frontline employees who took The Breakroom Quiz
166th of 310 rated insurance
Job description
JOB DESCRIPTION Job Summary
Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS).
Essential Job Duties
Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or regulatory timelines are met.
Researches claims appeals and grievances using support systems to determine appropriate appeals and grievance outcomes.
Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina guidelines.
Meets claims production standards set by the department.
Applies contract language, benefits and review of covered services to claims review process.
Contacts members/providers as needed via written and verbal communications.
Prepares appeal summaries and correspondence, and documents findings accordingly (includes information on trends as requested).
Composes all correspondence, appeals/disputes and/or grievances information concisely, accurately and in accordance with regulatory requirements.
Researches claims processing guidelines, provider contracts, fee schedules and systems configurations, to determine root causes of payment errors.
Resolves and prepares written response to incoming provider reconsideration requests related to claims payment, requests for claim adjustments, and/or requests from outside agencies.
Required Qualifications
At least 2 years of managed care experience in a call center, appeals, and/or claims environment, or equivalent combination of relevant education and experience.
Health claims processing experience, including coordination of benefits (COB), subrogation and eligibility criteria.
Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for appeals and denials.
Customer service experience.
Strong organizational and time management skills; ability to manage simultaneous projects and tasks to meet internal deadlines.
Effective verbal and written communication skills.
Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
Customer/provider experience in a managed care organization (Medicaid, Medicare, Marketplace and/or other government-sponsored program), or medical office/hospital setting.
Completion of a health care related vocational program in health care (i.e., certified coder, billing, or medical assistant).
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $16.4 - $31.97 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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About Molina Healthcare
Sourced by ZipRecruiter
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Long Beach, CA, US
Year founded
1980