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Health Insurance Claims Processor Jobs (NOW HIRING)

Summa Health System

Claims Processor

Akron, OH · Hybrid

$19.23 - $23.08/hr

Health insurance claims processing ii. Health claims data entry including Document Management Services (DMS) iii. Customer service experience in a managed care environment iv. Physician or hospital ...

New

Health Admins

Claims Processor

Austin, TX · Remote

$17.50 - $22/hr

Austin, TX (preferred) Job Type: Full-time, Non-Exempt About Us Health Admins is a leading force in ... Ensure compliance with insurance policies and industry standards. * Investigate and resolve any ...

Sidecar Health

Claims Processor I

San Antonio, TX · Remote

$15.25 - $19.50/hr

Sidecar Health is redefining health insurance. Our mission is to make excellent healthcare ... The Claims Processor documents all activity thoroughly within internal systems, adheres to ...

Redeemer Health

Claims Processor

Philadelphia, PA · On-site

$16.25 - $20.50/hr

OVERVIEW Joining Redeemer Health means becoming part of an inclusive, supportive team where your ... insurance payers. Reviews and corrects claim edits identified by Hospital EHR and claim ...

Carrot

Claims Processor

Des Moines, IA · On-site

$24 - $28/hr

More than a thousand multinational employers, health plans, and health systems trust Carrot to ... Knowledgeable with insurance regulations and industry best practices * Experience working at a fast ...

Carrot

Claims Processor

Des Moines, IA · On-site

$24 - $28/hr

Knowledgeable with insurance regulations and industry best practices * Experience working at a fast ... health company * Proficiency and comfort using business tools (e.g., Jira, Confluence, Zendesk ...

Conduent, Inc.

Claims Processor II

Lexington, KY · On-site

$16/hr

Claims Processor Onsite: Must live in or near Lexington, KY $16 per hour 7:00am- 3:30pm Monday ... In addition, Conduent provides a variety of benefits to employees including health insurance ...

Collabera

Claims Processor

Mason, OH · On-site

$16 - $20.25/hr

... plan, Life Insurance, Disability Insurance. Position Details : Industry: (Eye Wear Company ... Accurately and efficiently processes manual claims and other simple processes such as matrix and ...

Fittings Unlimited

Be Seen First

Insurance Claims Specialist

Waterloo, IA · On-site

$23/hr

Process claim denials and spearhead the insurance appeals process to ensure proper reimbursement ... Proven experience as an Insurance Claims Processor, Billing Specialist, or Claims Analyst. Deep ...

Crystal Stairs

Claims Processor

Los Angeles, CA · On-site

$25 - $28/hr

Pet Insurance * Employee Assistance Program * Voluntary Life and AD&D for Employee, Spouse and ... Flex Spending (Health Care and Dependent Care) * Mutual of Omaha (STD, Accident, & Critical Illness)

Lutheran Services Carolinas

AP CLAIMS PROCESSOR

Salisbury, NC · On-site

$15.25 - $19.50/hr

The Accounts Payable - Claims Processor will ensure that claims (both paper and electronic ... health insurance, provider identification, and other files as necessary. 9. Pays all properly ...

InvigorateHR

Pension Claims Processor

Indianapolis, IN · On-site

$19 - $21/hr

Pension Claims Processor ID: 1087 Client: Sheet Metal Workers Local 20 Benefit Plans Job Type ... Competitive Salary: $19-$21/hrcommensurate with experience * 100% Employer-Paid Health Insurance ...

Brewer Global

Claims Processor

Henderson, NV

$17/hr

We are searching for a Claims Processor to oversee the processing and support of various forms of correspondence between insurance policy holders, providers, and claimants. This position is onsite ...

Group1001

Inforce, Claims Processor

Zionsville, IN · On-site

The In-Force, Claims Processor position is responsible for the reviewing and processing of death ... health, dental, and vision insurance plan options. Employees are also eligible for Basic and ...

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All JobsHealth Insurance Claims Processor Jobs

Health Insurance Claims Processor information

See salary details

$12

$22

$34

How much do health insurance claims processor jobs pay per hour?

As of Jun 22, 2026, the average hourly pay for health insurance claims processor in the United States is $22.34, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $25.48 per hour, depending on experience, location, and employer.

What is the difference between Health Insurance Claims Processor vs Medical Billing Specialist?

AspectHealth Insurance Claims ProcessorMedical Billing Specialist
CredentialsHigh school diploma; certifications like Certified Claims Professional (CCP)High school diploma; certifications like Certified Medical Billing Specialist (CMBS)
Work EnvironmentInsurance companies, healthcare providers, claims departmentsMedical offices, billing companies, healthcare facilities
Primary ResponsibilitiesReview and process insurance claims, ensure accuracy, follow up on denialsPrepare and submit medical bills, verify insurance coverage, manage patient accounts

While both roles involve handling healthcare financial transactions, the Health Insurance Claims Processor primarily focuses on reviewing and processing insurance claims submitted by providers, whereas the Medical Billing Specialist manages the billing process from patient registration to payment collection. Both roles require knowledge of insurance policies and coding, but their daily tasks and work environments differ slightly.

What does an insurance claims processor do?

An insurance claims processor reviews and evaluates insurance claims to determine coverage and payout amounts. They verify policy details, process claim documentation, and ensure compliance with company policies, often using specialized software. Attention to detail and knowledge of insurance policies are essential for this role.

What does a Health Insurance Claims Processor do?

A Health Insurance Claims Processor reviews and evaluates insurance claims submitted by policyholders or healthcare providers. They verify the accuracy of the information, ensure that the claims comply with policy terms, and determine the amount payable for each claim. Claims processors may also correspond with providers or claimants for additional documentation, resolve discrepancies, and help prevent fraudulent claims. Their work ensures that claims are processed efficiently and payments are made accurately according to insurance policies.

What are the key skills and qualifications needed to thrive as a Health Insurance Claims Processor, and why are they important?

To thrive as a Health Insurance Claims Processor, you need attention to detail, knowledge of insurance policies and medical terminology, and typically a high school diploma or equivalent. Familiarity with claims management software, electronic health record (EHR) systems, and basic coding (ICD-10, CPT) is standard in this role. Strong organizational skills, problem-solving abilities, and effective communication help you manage claims efficiently and resolve discrepancies. These competencies ensure accurate processing, minimize errors, and support timely reimbursement within the healthcare system.

How to become a health insurance claims processor?

To become a health insurance claims processor, candidates typically need a high school diploma or equivalent, along with strong attention to detail and computer skills. Some employers prefer candidates with experience in healthcare or insurance, and training is often provided on the job. Certification is not mandatory but can improve job prospects and may include courses in medical billing or claims processing.

How much do claims processors make in the US?

Health insurance claims processors in the US typically earn a median annual salary of around $40,000 to $45,000. Salaries can vary based on experience, location, and certifications, with some earning over $50,000 annually with advanced skills or in high-demand areas.

Is a claims processor job in demand?

Health insurance claims processor jobs are in steady demand due to the ongoing need for claims management in healthcare and insurance industries. Employment opportunities are expected to grow as healthcare services expand and insurance companies seek skilled workers familiar with claims processing software and regulations.

What are some common challenges Health Insurance Claims Processors face, and how can they effectively manage them?

Health Insurance Claims Processors often encounter challenges such as interpreting complex policy language, managing high volumes of claims, and ensuring compliance with changing regulations. To effectively manage these challenges, processors benefit from developing strong attention to detail, staying up to date with industry guidelines, and utilizing time management strategies. Collaboration with other departments such as customer service and medical coding teams is also key to resolving discrepancies and ensuring accurate claim outcomes.
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Health Insurance Claims Processor jobs near you
Insurance Claims Processor

Insurance Claims Processor

Global Channel Management

Mason, OH

Other

Posted 11 days ago

Job description

Insurance Claims Processor

Mason, Ohio, United States

$ 20.00 - 21.00 (US Dollar)

Insurance Claims Processor needs 1+ years experience

Insurance Claims Processor requires:

  • 2 weeks training onsite
  • Must be able to train onsite when requested
  • Proficient in Microsoft Excel applications.
  • Understand and honor high level of confidentiality. Promote integrity.
  • Working knowledge of mainframe computers and systems in general, ie: AS400
  • Strong work ethic.
  • High school degree required
  • Understands third party benefits and administration
  • 10,000 keystrokes

Insurance Claims Processor duties:

  • Research and apply insurance payments from clients to the appropriate system invoice.
  • Research insurance claim payments in the AS/400 to identify correct claim based on customer information, date of service and service/material procedure codes and related charges.
  • Continuously improve methods for research and in order to effectively and efficiently process transactions.
  • Process transactions apply cash, member bills, resubmit invoices, write-offs, etc. Follow data processing guidelines to meet established departmental standards.
  • Communicate with supervisor regarding transactions processed in a timely manner.
  • Identify and recommend systems and process modifications necessary to improve the efficiency
Global Channel Management logo

About Global Channel Management

Sourced by ZipRecruiter

Global Channel Management is a technology company that specializes in various types of recruiting and staff augmentation. Global Channel Management understands the challenges companies face when it comes to the skills and experience needed to fill the void of the day to day function. Organizations need to reduce training and labor costs but at the same time requiring the best talent for the job. GCM's Ownership and Management teams have extensive Staffing, Recruiting, HR and Executive Leadership knowledge, Experience and Expertise. Our Understanding and Commitment to our Client's Satisfaction are key reasons GCM has been successful in establishing long term relationships.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Austell, GA, US

Year founded

2009

Social media

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