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 ...
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 ...
Huntington Beach, CA · On-site
$70K - $80K/yr
Verda Healthcare, Inc. is a Medicare Advantage Prescriptions Drug Plan (MAPD) organization ... We are looking for a Senior Claims Analyst to join our growing company with many internal ...
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Huntington Beach, CA · On-site
$70K - $80K/yr
Verda Healthcare, Inc. is a Medicare Advantage Prescriptions Drug Plan (MAPD) organization ... We are looking for a Senior Claims Analyst to join our growing company with many internal ...
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 ...
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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 ...
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 ...
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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 ...
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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 ...
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 ...
New York, NY · On-site
$145K - $195K/yr
The successful candidate will be able to provide insight and analysis on US Healthcare claims across various product lines, including primary medical liability, excess and surplus lines, and allied ...
New York, NY · On-site
$145K - $195K/yr
The successful candidate will be able to provide insight and analysis on US Healthcare claims across various product lines, including primary medical liability, excess and surplus lines, and allied ...
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 ...
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 ...
Fairfield, CA · On-site
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 ...
Fairfield, CA · On-site
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 ...
... Care (PRC) and is a key resource for team members. The PRC Claims Analyst works closely with ... Research the electronic health record (EHR) to identify existing medical records for patient and ...
... Care (PRC) and is a key resource for team members. The PRC Claims Analyst works closely with ... Research the electronic health record (EHR) to identify existing medical records for patient and ...
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 ...
Manchester, NH · 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 ...
Manchester, NH · 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 ...
Manchester, NH · 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 ...
Manchester, NH · 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 ...
Healthcare Claims Supervisor - Remote Job Type: Full-time Location: Remote Reports To:Claims ... Analyze trends related to productivity, quality, error rates, SLA compliance, attendance, inventory ...
Healthcare Claims Supervisor - Remote Job Type: Full-time Location: Remote Reports To:Claims ... Analyze trends related to productivity, quality, error rates, SLA compliance, attendance, inventory ...
Healthcare Claims Supervisor - Remote Job Type: Full-time Location: Remote Reports To: Claims ... Analyze trends related to productivity, quality, error rates, SLA compliance, attendance, inventory ...
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Healthcare Claims Supervisor - Remote Job Type: Full-time Location: Remote Reports To: Claims ... Analyze trends related to productivity, quality, error rates, SLA compliance, attendance, inventory ...
Baltimore, MD · Remote
$25/hr
Job Title : Healthcare Claims Adjuster Location : Baltimore, Maryland (meetings and tranings) Type: Contract To Hire Compensation : $25/HR Contractor Work Model : 80% Remote (must reside in D.C., MD ...
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Baltimore, MD · Remote
$25/hr
Job Title : Healthcare Claims Adjuster Location : Baltimore, Maryland (meetings and tranings) Type: Contract To Hire Compensation : $25/HR Contractor Work Model : 80% Remote (must reside in D.C., MD ...
The Analyst supports the design and maintenance of quality monitoring formats and standards ... The ideal candidate has prior healthcare claims auditing experience, working knowledge of claims ...
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The Analyst supports the design and maintenance of quality monitoring formats and standards ... The ideal candidate has prior healthcare claims auditing experience, working knowledge of 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
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.
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.
$52.96/hr
Contractor
Medical, PTO
Posted 15 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
