Columbia, MD · On-site
$52.96/hr
Healthcare EDI Claims Analyst Location: Hybrid - Columbia/Baltimore, MD (2-3 days onsite per month) Duration: 12-Month Contract-to-Hire Pay Rate: $52.96/hour W2 (No PTO) About the Role We are seeking ...
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Columbia, MD · On-site
$52.96/hr
Healthcare EDI Claims Analyst Location: Hybrid - Columbia/Baltimore, MD (2-3 days onsite per month) Duration: 12-Month Contract-to-Hire Pay Rate: $52.96/hour W2 (No PTO) About the Role We are seeking ...
$80 - $100/hr
Claims Analyst, Managed Care The Managed Care Claims Analyst is a healthcare claims professional who will evaluate and adjudicate reinsurance claims on HMO reinsurance, provider stoploss and medical ...
$80 - $100/hr
Claims Analyst, Managed Care The Managed Care Claims Analyst is a healthcare claims professional who will evaluate and adjudicate reinsurance claims on HMO reinsurance, provider stoploss and medical ...
Plymouth, MN · On-site
Claims Analyst, Managed Care The Managed Care Claims Analyst is a healthcare claims professional who will evaluate and adjudicate reinsurance claims on HMO reinsurance, provider stoploss and medical ...
Plymouth, MN · On-site
Claims Analyst, Managed Care The Managed Care Claims Analyst is a healthcare claims professional who will evaluate and adjudicate reinsurance claims on HMO reinsurance, provider stoploss and medical ...
Actively searching for Healthcare, Functional, Business Analysts for a 6 month + contract to hire opportunity with our direct client, located in Baltimore, MD. This is an onsite W2 based position ...
Actively searching for Healthcare, Functional, Business Analysts for a 6 month + contract to hire opportunity with our direct client, located in Baltimore, MD. This is an onsite W2 based position ...
The Optum Serve Community Care Network (CCN) team is seeking a highly experienced Senior Healthcare Claims Analytics Analyst to support claims oversight, payment integrity, reimbursement policy ...
The Optum Serve Community Care Network (CCN) team is seeking a highly experienced Senior Healthcare Claims Analytics Analyst to support claims oversight, payment integrity, reimbursement policy ...
Tulsa, OK · On-site
$18 - $20/hr
Healthcare Claims Specialist (CONTRACT Opportunity) Downtown Tulsa, OK Monday-Friday | 8:00 AM - 5 ... Strong analytical skills and exceptional attention to detail. * Excellent computer, documentation ...
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Tulsa, OK · On-site
$18 - $20/hr
Healthcare Claims Specialist (CONTRACT Opportunity) Downtown Tulsa, OK Monday-Friday | 8:00 AM - 5 ... Strong analytical skills and exceptional attention to detail. * Excellent computer, documentation ...
Tulsa, OK · On-site
$18 - $20/hr
Healthcare Claims Specialist (CONTRACT Opportunity) Downtown Tulsa, OK Monday-Friday | 8:00 AM - 5 ... Strong analytical skills and exceptional attention to detail. * Excellent computer, documentation ...
Quick apply
Tulsa, OK · On-site
$18 - $20/hr
Healthcare Claims Specialist (CONTRACT Opportunity) Downtown Tulsa, OK Monday-Friday | 8:00 AM - 5 ... Strong analytical skills and exceptional attention to detail. * Excellent computer, documentation ...
Tulsa, OK · On-site
$18 - $20/hr
Healthcare Claims Specialist (CONTRACT Opportunity) Downtown Tulsa, OK Monday-Friday | 8:00 AM - 5 ... Strong analytical skills and exceptional attention to detail. * Excellent computer, documentation ...
Quick apply
Tulsa, OK · On-site
$18 - $20/hr
Healthcare Claims Specialist (CONTRACT Opportunity) Downtown Tulsa, OK Monday-Friday | 8:00 AM - 5 ... Strong analytical skills and exceptional attention to detail. * Excellent computer, documentation ...
Tulsa, OK · On-site
$18 - $20/hr
Healthcare Claims Specialist (CONTRACT Opportunity) Downtown Tulsa, OK Monday-Friday | 8:00 AM - 5 ... Strong analytical skills and exceptional attention to detail. * Excellent computer, documentation ...
Quick apply
Tulsa, OK · On-site
$18 - $20/hr
Healthcare Claims Specialist (CONTRACT Opportunity) Downtown Tulsa, OK Monday-Friday | 8:00 AM - 5 ... Strong analytical skills and exceptional attention to detail. * Excellent computer, documentation ...
Tulsa, OK · On-site
$18 - $20/hr
Healthcare Claims Specialist (CONTRACT Opportunity) Downtown Tulsa, OK Monday-Friday | 8:00 AM - 5 ... Strong analytical skills and exceptional attention to detail. * Excellent computer, documentation ...
Quick apply
Tulsa, OK · On-site
$18 - $20/hr
Healthcare Claims Specialist (CONTRACT Opportunity) Downtown Tulsa, OK Monday-Friday | 8:00 AM - 5 ... Strong analytical skills and exceptional attention to detail. * Excellent computer, documentation ...
Los Angeles, CA · On-site
Our centers are more than healthcare facilities. They are vibrant community hubs where participants ... The Claims Analyst is responsible for the accurate, timely, and compliant processing and ...
Los Angeles, CA · On-site
Our centers are more than healthcare facilities. They are vibrant community hubs where participants ... The Claims Analyst is responsible for the accurate, timely, and compliant processing and ...
WV · On-site +1
$83K - $113K/yr
No GDIT is hiring a healthcare claims Investigative Analyst to support the Centers for Medicare and Medicaid (CMS), you will be trusted to identify trends in the data and create leads and referrals ...
WV · On-site +1
$83K - $113K/yr
No GDIT is hiring a healthcare claims Investigative Analyst to support the Centers for Medicare and Medicaid (CMS), you will be trusted to identify trends in the data and create leads and referrals ...
Conshohocken, PA · On-site +1
$90K - $115K/yr
Position Summary The Healthcare Claims Business Analyst / Subject Matter Expert (BA/SME) serves as InfoMC's primary domain authority for healthcare claims operations during new client onboarding ...
Conshohocken, PA · On-site +1
$90K - $115K/yr
Position Summary The Healthcare Claims Business Analyst / Subject Matter Expert (BA/SME) serves as InfoMC's primary domain authority for healthcare claims operations during new client onboarding ...
California, MO · On-site
Our centers are more than healthcare facilities. They are vibrant community hubs where participants ... The Claims Analyst is responsible for the accurate, timely, and compliant processing and ...
California, MO · On-site
Our centers are more than healthcare facilities. They are vibrant community hubs where participants ... The Claims Analyst is responsible for the accurate, timely, and compliant processing and ...
Our centers are more than healthcare facilities. They are vibrant community hubs where participants ... The Claims Analyst is responsible for the accurate, timely, and compliant processing and ...
Our centers are more than healthcare facilities. They are vibrant community hubs where participants ... The Claims Analyst is responsible for the accurate, timely, and compliant processing and ...
Compton, CA · On-site
Our centers are more than healthcare facilities. They are vibrant community hubs where participants ... The Claims Analyst is responsible for the accurate, timely, and compliant processing and ...
Compton, CA · On-site
Our centers are more than healthcare facilities. They are vibrant community hubs where participants ... The Claims Analyst is responsible for the accurate, timely, and compliant processing and ...
Tampa, FL · On-site
Analyze and identify trends and provide robust reports * Conduct regular meetings with staff toward ... Associate degree in a field related to managing claims in the healthcare field such as business ...
Tampa, FL · On-site
Analyze and identify trends and provide robust reports * Conduct regular meetings with staff toward ... Associate degree in a field related to managing claims in the healthcare field such as business ...
Tulsa, OK · On-site
$20/hr
Healthcare Claims Project Specialist - Contract Downtown Tulsa | $20/hour | Immediate Start Long-term project through March 2027! Monday-Friday, 8 AM-5 PM | 100% Onsite System One is looking for ...
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Tulsa, OK · On-site
$20/hr
Healthcare Claims Project Specialist - Contract Downtown Tulsa | $20/hour | Immediate Start Long-term project through March 2027! Monday-Friday, 8 AM-5 PM | 100% Onsite System One is looking for ...
Tampa, FL · On-site
Analyze and identify trends and provide robust reports * Conduct regular meetings with staff toward ... Associate degree in a field related to managing claims in the healthcare field such as business ...
Tampa, FL · On-site
Analyze and identify trends and provide robust reports * Conduct regular meetings with staff toward ... Associate degree in a field related to managing claims in the healthcare field such as business ...
Whittier, CA · On-site
$31 - $32/hr
Healthcare Claims Examiner Location: Whittier, CA Shift: Monday - Friday | 7:00 AM - 3:30 PM Position Overview We are seeking an experienced Claims Examiner with strong UB-92 and HCFA-1500 claims ...
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Whittier, CA · On-site
$31 - $32/hr
Healthcare Claims Examiner Location: Whittier, CA Shift: Monday - Friday | 7:00 AM - 3:30 PM Position Overview We are seeking an experienced Claims Examiner with strong UB-92 and HCFA-1500 claims ...
$14.66 - $18.05
14% of jobs
$20.07 is the 25th percentile. Wages below this are outliers.
$18.05 - $21.44
19% of jobs
The median wage is $23.67 / hr.
$21.44 - $24.83
26% of jobs
$24.83 - $28.21
9% of jobs
$29.98 is the 75th percentile. Wages above this are outliers.
$28.21 - $31.60
13% of jobs
$31.60 - $34.99
11% of jobs
$34.99 - $38.37
2% of jobs
$38.37 - $41.76
2% of jobs
$41.76 - $45.15
1% of jobs
$45.15 - $48.54
2% of jobs
$48.54 - $51.92
1% of jobs
$14
$27
$51
A Healthcare Claims Analyst is responsible for reviewing, processing, and analyzing medical insurance claims to ensure accuracy and compliance with policies. They verify patient information, check for errors, investigate discrepancies, and assess claim validity. Their role helps prevent fraud, minimize financial losses, and ensure timely payments to healthcare providers. Strong analytical skills and knowledge of medical billing codes, insurance regulations, and healthcare procedures are essential for this role.
As a Healthcare Claims Analyst, your day-to-day work often includes reviewing and analyzing insurance claims for accuracy, completeness, and compliance with policy guidelines. You'll spend time investigating discrepancies, resolving billing issues with healthcare providers, and ensuring claims are processed efficiently. Collaboration with colleagues in billing, customer service, and medical teams is common to verify information and streamline processes. You may also generate reports on claims trends and help implement improvements to reduce errors and enhance reimbursement accuracy. These varied responsibilities make the role both dynamic and vital to the financial success of healthcare organizations.
To thrive as a Healthcare Claims Analyst, you need strong analytical skills, attention to detail, and a solid understanding of medical billing and insurance processes—often supported by a degree in healthcare administration or a related field. Familiarity with claims management software, ICD-10/CPT coding, and sometimes certifications such as CPC (Certified Professional Coder) are usually required. Excellent communication, problem-solving, and organizational skills help you resolve discrepancies and effectively collaborate with both internal teams and external providers. These skills are vital for accurately processing claims, preventing errors, and ensuring compliance with regulatory requirements.
Cities with the most Healthcare Claims Analyst job openings:
The most popular types of Healthcare Claims Analyst jobs are:
The top employers for Healthcare Claims Analyst jobs are:
States with the most job openings for Healthcare Claims Analyst jobs include:
For Healthcare Claims Analyst jobs, the most frequently searched job titles are:
Columbia, MD • On-site
$52.96/hr
Contractor
Medical, PTO
Re-posted 18 days ago
Healthcare EDI Claims Analyst
Location: Hybrid – Columbia/Baltimore, MD (2-3 days onsite per month) Duration: 12-Month Contract-to-Hire Pay Rate: $52.96/hour W2 (No PTO)
About the Role
We are seeking a Healthcare EDI Claims Analyst to support healthcare claims processing operations. This role focuses on investigating claims issues, resolving incident tickets, analyzing EDI transactions, and coordinating with internal teams and health plans to ensure successful claims processing.
This is an operational support and claims analysis position—not a software development, production support, or monitoring role.
Responsibilities
Required Qualifications
Preferred Qualifications
Ideal Background
Candidates with experience in the following roles are encouraged to apply:
What We're Looking For
A healthcare claims professional who enjoys investigating issues, resolving claims-related incidents, working with EDI transactions, and collaborating across teams to drive successful outcomes. This is a hands-on role focused on claims operations and issue resolution rather than software development.
Apply today to join a team supporting critical healthcare claims processing operations.
Ref: #851-Rockville-S1
Sourced by ZipRecruiter
System One helps employers get work done more efficiently and economically without compromising quality. Over our 35+ year history, we've helped connect thousands of talented people with innovative companies. The excitement of a perfect fit motivates us every single day.
Business consulting services and recruiting and staffing services
5,001 - 10,000 Employees
Pittsburgh, PA, US
