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Healthcare Claims Analyst Jobs (NOW HIRING)

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 ...

Senior Data Analyst Claims Reconciliation

Prosper, TX Β· Remote

$88K - $111K/yr

The ideal candidate brings extensive healthcare claims data experience, strong Snowflake and data ... Analyze claims data across major healthcare platforms to identify patterns, relationships, and ...

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 ...

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 ...

Lead Healthcare Claims Assistant

New York, NY Β· Hybrid

$29.90 - $51.35/hr

Lead Healthcare Claims Assistant Location: New York or Chicago Work Schedule: Hybrid Employment ... Advanced organizational and analytical skills; demonstrated ability to manage multiple tasks ...

... health plan administration, holistic wellbeing solutions, and comprehensive care navigation ... Proficiency in KPI analysis, reporting, and process improvement methodologies * Familiarity with ...

Claims Analyst

Cleveland, OH Β· On-site

$28 - $44/hr

We are seeking five experienced, licensed Claims Analysts to join our team and support ... Performance‐based incentives or bonuses. * 100% employer paid Healthcare Benefits * 401(k) with ...

Claims Analyst

Menasha, WI Β· Remote

$19.25/hr

We are seeking a Claims Analyst to review and process both paper and electronic claims while ... Experience processing or adjudicating healthcare claims preferred. * Strong problem-solving and ...

Claims Analyst

New Brighton, MN Β· On-site

$23 - $25/hr

EOSIS (formerly Meridian Behavioral Health) is a leader in behavioral health care and addiction recovery services, with a network of addiction treatment centers in Minnesota.

Electronic Claims Analyst

Campbell, CA Β· On-site

$24.92 - $36.16/hr

We have an exciting opportunity for you to join HCA Healthcare which is part of the nation ... Upload and process electronic claims * Perform e-claim analysis that may have financial impact to ...

... health plan administration, holistic wellbeing solutions, and comprehensive care navigation ... Proficiency in KPI analysis, reporting, and process improvement methodologies * Familiarity with ...

Stop Loss Aggregate Analyst

$18.50 - $35.29/hr

The position offers exposure to many areas of healthcare claims administration, including stop loss and reinsurance policy, data analytics, underwriting, eligibility, finance, client management, and ...

Healthcare Claims Processor, Remote

$17.50 - $22/hr

... in Healthcare Claims Processing * 2+ years using a computer with Windows applications using a ... Effective troubleshooting where you can leverage your research, analysis and problem-solving ...

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Healthcare Claims Analyst information

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How much do healthcare claims analyst jobs pay per hour?

As of Sep 12, 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 is a healthcare claims analyst?

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 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.

What are the key skills and qualifications needed to thrive in a 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 processesβ€”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.

How much do healthcare 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, especially in larger healthcare organizations or with advanced certifications like CPC or CCS.

How to become a healthcare claims analyst?

To become a healthcare claims analyst, typically a bachelor's degree in health administration, finance, or a related field is required. Gaining experience with medical billing, coding, or insurance claims, along with proficiency in claims processing software and understanding healthcare regulations, is also important. Certifications such as the Certified Healthcare Revenue Cycle Professional (CHRP) or Certified Professional Coder (CPC) can enhance job prospects.
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Infographic showing various Healthcare Claims Analyst job openings in the United States as of September 2026, with employment types broken down into 2% As Needed, 64% Full Time, 19% Part Time, and 15% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $56,974 per year, or $27.4 per hour.

Healthcare Claims Adjuster

Baltimore, MD β€’ Remote

System One
Business Consulting ServicesΒ β€’Β 5 - 10K employees

$25/hr

Contractor

Medical, Dental, Vision, Life, Retirement

Re-posted 26 days ago


Job description

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, or VA per client)

About the Role We’re hiring a Healthcare Claims Adjuster with a strong claims processing background and exposure to adjustments, rework, or dispute resolution who wants to grow in that area. The role involves handling claims adjustments, discrepancies, and provider dispute work.

This is a fast-paced role with the opportunity to build hands-on adjustment experience and potential for long-term growth. What You’ll Do Processing (Training Ramp-Up)

  • Process medical claims and learn systems and workflows
Adjustments & Disputes (Core Role)
  • Investigate and resolve claim discrepancies and provider disputes
  • Perform adjustments, reprocessing, and corrections
  • Review overpayments, underpayments, and errors
Daily Operations
  • Handle high volume (~50 cases/day after ramp-up)
  • Update claims systems and maintain accurate records
  • Shift between processing and adjustment work
Quality & Accuracy
  • Identify trends and exceptions
  • Ensure accuracy and compliance
Why This Role Is a Great Fit
  • Grow adjustment expertise (not just processing)
  • Exposure to complex claims and dispute resolution
  • High-impact work on claim backlog
  • Mostly remote, flexible work model
  • Contract-to-hire with potential for full-time conversion based on performance
What You Bring Required Skills:
  • 2+ years of medical claims experience
  • Strong claims processing background
  • Adjustment experience (rework, discrepancies, or dispute resolution)
  • Ability to work in a fast-paced, high-volume environment
  • Strong attention to detail and problem-solving skills
Nice to Have (sets you apart):
  • Payer-side experience
  • FACETS or similar claims system experience
  • Exposure to refunds, subrogation, or workers’ compensation

System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.

#M-1 #LI-AJ1 Ref: #851-Rockville-S1


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About System One

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.

Industry

Business consulting services and recruiting and staffing services

Company size

5,001 - 10,000 Employees

Headquarters location

Pittsburgh, PA, US