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Healthcare Claims Analyst Jobs (NOW HIRING)

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 ...

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 ...

Healthcare Claims Specialist

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 ...

Healthcare Claims Specialist

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 ...

Healthcare Claims Specialist

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 ...

Job Title: Healthcare Claims Auditor Location: Ann Arbor, MI Type: Contract Length: Through 12/22/2016 Our client in the Ann Arbor, Michigan area is looking for Healthcare Claims Auditors to join ...

Claims Analyst II (On-Site)

Fairfield, CA · On-site

$33.29 - $40.44/hr

At NorthBay Health, the Claims Analyst II is responsible for independently completing all tasks in ... Interacts and communicates effectively inside and outside NorthBay Healthcare. * Oversees Managed ...

Senior Auditor, Healthcare Claims

Austin, TX · Remote

$83K - $104K/yr

The ideal candidate combines deep healthcare claims expertise with strong analytical skills, operational insight, and a continuous improvement mindset. This is a remote position Key Responsibilities ...

Senior Auditor, Healthcare Claims

Austin, TX · Remote

$83K - $104K/yr

The ideal candidate combines deep healthcare claims expertise with strong analytical skills, operational insight, and a continuous improvement mindset. This is a remote position Key Responsibilities ...

Senior Auditor, Healthcare Claims

Austin, TX · On-site +1

$95K - $120K/yr

The ideal candidate combines deep healthcare claims expertise with strong analytical skills, operational insight, and a continuous improvement mindset. This is a remote position Key Responsibilities ...

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 ...

Claims Analyst

Trenton, NJ · Remote

$70K - $80K/yr

Prior experience handling first dollar payer insurance (medical healthcare claims) * Experience ... Strong problem solving, decision-making, reporting and analytical skills * Must possess good ...

Claims Analyst

Trenton, NJ · On-site

$70K - $80K/yr

Prior experience handling first dollar payer insurance (medical healthcare claims) * Experience ... Strong problem solving, decision-making, reporting and analytical skills * Must possess good ...

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Healthcare Claims Analyst information

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How much do healthcare claims analyst jobs pay per hour?

As of Jul 27, 2026, the average hourly pay for healthcare claims analyst in the United States is $27.39, according to ZipRecruiter salary data. Most workers in this role earn between $20.19 and $31.49 per hour, depending on experience, location, and employer.

What are the typical daily responsibilities of a Healthcare Claims Analyst?

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.

How to become a medical claims analyst?

To become a healthcare claims analyst, individuals typically need a high school diploma or equivalent, with many employers preferring a bachelor's degree in health administration, finance, or a related field. Gaining experience with medical billing, coding, or insurance claims, along with proficiency in claims processing software and knowledge of healthcare regulations, is beneficial. Certifications such as the Certified Professional Coder (CPC) or Certified Medical Reimbursement Specialist (CMRS) can enhance job prospects.

What are the key skills and qualifications needed to thrive in the Healthcare Claims Analyst position, and why are they important?

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.

What is a Healthcare Claims Analyst job?

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.

What healthcare jobs pay over $100k per year?

Healthcare claims analysts typically earn between $60,000 and $80,000 annually, but senior or specialized roles in healthcare management, healthcare administration, or medical billing can exceed $100,000. Positions such as healthcare managers, health information managers, and medical directors often have salaries over six figures, especially with experience and relevant certifications like RHIA or RHIT.

What does a medical claims analyst do?

A healthcare claims analyst reviews and processes medical insurance claims to ensure accuracy, compliance, and proper reimbursement. They analyze claim data, identify errors or discrepancies, and work with healthcare providers and insurance companies to resolve issues, often using claims processing software and adhering to industry regulations.

How much do claims analysts make in the US?

Healthcare claims analysts in the US typically earn a median annual salary of around $45,000 to $65,000, depending on experience, location, and certifications. Entry-level positions may start lower, while experienced analysts with specialized skills can earn higher salaries and additional benefits.
More about Healthcare Claims Analyst jobs
What cities are hiring for Healthcare Claims Analyst jobs? Cities with the most Healthcare Claims Analyst job openings:
What are the most commonly searched types of Healthcare Claims Analyst jobs? The most popular types of Healthcare Claims Analyst jobs are:
What states have the most Healthcare Claims Analyst jobs? States with the most job openings for Healthcare Claims Analyst jobs include:
Infographic showing various Healthcare Claims Analyst job openings in the United States as of July 2026, with employment types broken down into 89% Full Time, 6% Part Time, 1% Temporary, and 4% Contract. Highlights an 83% Physical, 7% Hybrid, and 10% Remote job distribution, with an average salary of $56,974 per year, or $27.4 per hour.
Healthcare EDI Claims Analyst

Healthcare EDI Claims Analyst

System One

Columbia, MD • On-site

$52.96/hr

Other

Medical, PTO

Posted 18 days ago


Job description

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
  • Investigate and resolve healthcare claims processing issues and incident tickets.
  • Analyze EDI 837 claim transactions, XML files, and claim processing errors.
  • Research transaction rejections, data issues, and claim failures.
  • Run SQL queries to support claims analysis and troubleshooting.
  • Partner with internal teams and external health plans/payers to resolve claims-related issues.
  • Support claims adjudication and vouchering processes.
  • Document incidents, resolutions, and support procedures.
  • Identify opportunities to improve claims processing workflows and efficiency.
Required Qualifications
  • 5+ years of healthcare claims processing experience.
  • Experience with EDI 837 healthcare claim transactions.
  • Experience investigating claims processing errors and transaction failures.
  • Incident/ticket management experience.
  • Basic SQL skills for querying and analyzing data.
  • Experience working with healthcare payers, health plans, or insurance organizations.
  • Strong analytical, troubleshooting, and communication skills.
Preferred Qualifications
  • EDI 835 transaction experience.
  • ServiceNow experience.
  • Claims adjudication experience.
  • BCBS or other healthcare payer experience.
Ideal Background

Candidates with experience in the following roles are encouraged to apply:

  • Healthcare EDI Claims Analyst
  • EDI Analyst
  • EDI Support Analyst
  • Healthcare Claims Analyst
  • Claims Systems Analyst
  • Claims Operations Analyst
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