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Healthcare Claims Processing Jobs (NOW HIRING)

Healthcare Claims Specialist

Tulsa, OK ยท On-site

$18 - $20/hr

Healthcare Claims Specialist (CONTRACT Opportunity) Downtown Tulsa, OK Monday-Friday | 8:00 AM - 5 ... Learn and work within the QNXT claims processing system. * Execute system and user acceptance ...

Healthcare Claims Specialist

Tulsa, OK ยท On-site

$18 - $20/hr

Healthcare Claims Specialist (CONTRACT Opportunity) Downtown Tulsa, OK Monday-Friday | 8:00 AM - 5 ... Learn and work within the QNXT claims processing system. * Execute system and user acceptance ...

Review and test healthcare claims processing * Validate member eligibility and benefits * Check claims adjudication for accuracy * Identify and document system issues * Help troubleshoot problems ...

Job Title : Healthcare Claims Adjuster Location : Baltimore, Maryland (meetings and tranings) Type ... Process medical claims and learn systems and workflows Adjustments & Disputes (Core Role)

Job Title : Healthcare Claims Adjuster Location : Baltimore, Maryland (meetings and tranings) Type ... Process medical claims and learn systems and workflows Adjustments & Disputes (Core Role)

Job Title : Healthcare Claims Adjuster Location : Baltimore, Maryland (meetings and tranings) Type ... Process medical claims and learn systems and workflows Adjustments & Disputes (Core Role)

The Claims Supervisor oversees the daily activities of the team responsible for processing the billing for healthcare services provided to patients. This role will develop and share knowledge of ...

Claims Examiner

$17 - $20/hr

This role is responsible for reviewing and processing healthcare claims, researching and resolving claim-related issues, coordinating appeals and grievance activities, ensuring compliance with ...

Lead Healthcare Claims Assistant

Chicago, IL ยท Hybrid

$29.90 - $51.35/hr

As part of this opportunity, you will have an integral part in developing processes and identifying efficiencies in all parts of healthcare claims operations. Key Responsibilities * Manageclaims ...

Senior Data Analyst Claims Reconciliation

Prosper, TX ยท Remote

$88K - $111K/yr

The ideal candidate brings extensive healthcare claims data experience, strong Snowflake and data warehousing capabilities, and a working knowledge of health plan claims processing. This individual ...

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Healthcare Claims Processing information

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$12

$19

$26

How much do healthcare claims processing jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for healthcare claims processing in the United States is $19.16, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $20.67 per hour, depending on experience, location, and employer.

What is healthcare claims processing?

Healthcare claims processing is the administrative procedure by which insurance companies review and determine whether to pay for medical services provided to patients. This process involves submitting, analyzing, and either approving or denying claims submitted by healthcare providers on behalf of patients. Claims processors verify patient information, check coverage details, and ensure that services are medically necessary and properly documented. Accurate and timely claims processing is essential for both healthcare providers and patients to ensure services are paid for according to insurance policies.

What are some common challenges faced in healthcare claims processing, and how can a new employee prepare to handle them?

Healthcare claims processors often encounter challenges such as interpreting complex insurance policies, identifying errors or discrepancies in submitted claims, and keeping up with frequent regulatory changes. New employees can prepare by developing strong attention to detail, familiarizing themselves with medical terminology, and staying current on industry guidelines. Additionally, effective communication and collaboration with providers, insurers, and team members are key to resolving issues quickly and accurately.

What are the key skills and qualifications needed to thrive in healthcare claims processing, and why are they important?

To thrive in Healthcare Claims Processing, you need a solid understanding of medical billing, insurance policies, and healthcare regulations, often supported by relevant coursework or certification. Familiarity with claims management software, coding systems like ICD-10 and CPT, and electronic data interchange (EDI) platforms is typically required. Attention to detail, analytical thinking, and strong organizational skills are crucial soft skills for this role. These abilities ensure accurate and timely claims processing, minimizing errors and optimizing reimbursement for healthcare providers.

What is the difference between Healthcare Claims Processing vs Medical Billing Specialist?

AspectHealthcare Claims ProcessingMedical Billing Specialist
Primary RoleReviewing and submitting insurance claims for reimbursementCreating and managing patient invoices and billing records
CredentialsKnowledge of insurance policies, coding, and claims softwareKnowledge of billing procedures, coding, and insurance requirements
Work EnvironmentHealthcare facilities, insurance companies, or billing companiesMedical offices, hospitals, or billing service providers
Industry UsageUsed across healthcare providers and insurance payersPrimarily in healthcare provider settings

While both roles involve coding and insurance knowledge, Healthcare Claims Processing focuses on submitting and managing insurance claims, whereas Medical Billing Specialists handle patient billing and invoicing. Both roles are essential for revenue cycle management in healthcare organizations.

More about Healthcare Claims Processing jobs

What cities are hiring for Healthcare Claims Processing jobs?

Cities with the most Healthcare Claims Processing job openings:

What states have the most Healthcare Claims Processing jobs?

States with the most job openings for Healthcare Claims Processing jobs include:

Infographic showing various Healthcare Claims Processing job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 67% Full Time, 14% Part Time, and 17% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $39,863 per year, or $19.2 per hour.

Healthcare Claims Specialist

System One

Tulsa, OK โ€ข On-site

$18 - $20/hr

Contractor

Medical, Dental, Vision, Life, Retirement

Re-posted 29 days ago


Job description

Healthcare Claims Specialist (CONTRACT Opportunity)

Downtown Tulsa, OK Monday–Friday | 8:00 AM – 5:00 PM | Onsite Project Assignment Through March 2027 - IMMEDIATE START Pay rate DOE: $18-20/hr.

System One is hiring a Healthcare Claims Specialist for a project-based opportunity with a respected healthcare organization in Tulsa. If you have healthcare claims or medical insurance experience and enjoy problem-solving in a fast-paced environment, we'd love to hear from you!

What You'll Do

  • Learn and work within the QNXT claims processing system.
  • Execute system and user acceptance testing (UAT) during implementation.
  • Validate member benefits, eligibility, and claims processing.
  • Verify claims adjudication accuracy and provider contract configurations.
  • Identify, document, and communicate testing results and system issues.
  • Collaborate with project teams to troubleshoot and resolve issues.
  • Support successful implementation of a major claims system project.

What We're Looking For

  • Healthcare claims processing experience preferred.
  • Medical insurance, healthcare operations, or related healthcare experience required.
  • Previous QA, system testing, or UAT experience is a plus.
  • Strong analytical skills and exceptional attention to detail.
  • Excellent computer, documentation, and communication skills.
  • Experience with QNXT is preferred but not required.

If you're ready to put your healthcare claims experience to work on an exciting implementation project, apply today!

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- #LI-

Ref: #208-Rowland Tulsa


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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