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Healthcare Claims Processing Jobs (NOW HIRING)

Quantix

Healthcare Claims Auditor

Ann Arbor, MI · On-site

Successful candidates will have a solid understanding of healthcare claims processing having gained experience working for a health plan or a TPA. Required Skills: 1) Healthcare Claims Auditing. 2) ...

Curative HR LLC

Senior Auditor, Healthcare Claims

Austin, TX · Remote

$83K - $104K/yr

Experience analyzing root causes of claims processing errors and implementing corrective actions ... Deep understanding of healthcare claims lifecycle and adjudication processes * Knowledge of CMS ...

Imagenet

Claims Examiner - Remote

Tampa, FL · Remote

$17 - $18/hr

Imagenet LLC is a premier healthcare technology company revolutionizing medical claims processing as well as document management with unparalleled service, security, and efficiency. Our core mission ...

ImageNetLLC

Claims Examiner - Remote

Tampa, FL · Remote

Salary: $17-18 per hour DOE Imagenet LLC is a premier healthcare technology company revolutionizing medical claims processing as well as document management with unparalleled service, security, and ...

Health Source MSO

Claims Auditor

Alhambra, CA

... rates Health Plan procedures Medicare and Medi-cal reimbursement Claims processing guidelines ... are claims adjudication experience within a managed care industry Must be familiar with ICD-10, ...

1199SEIU Funds

Director of Claims

Manhattan, NY · Hybrid

... health care claims processing, polices and procedures including benefit determinations and eligibility requirements Proven experience improving a Claims operation (reduction in pended claims ...

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Healthcare Claims Processing information

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How much do healthcare claims processing jobs pay per hour?

As of Jun 8, 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 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.

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 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 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.
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:
What job categories do people searching Healthcare Claims Processing jobs look for? The top searched job categories for Healthcare Claims Processing jobs are:
Healthcare Claims Processing jobs near you
Infographic showing various Healthcare Claims Processing job openings in the United States as of May 2026, with employment types broken down into 3% Locum Tenens, 4% As Needed, 55% Full Time, 1% Part Time, 36% Contract, and 1% Nights. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $39,863 per year, or $19.2 per hour.
Healthcare Claims Auditor

Healthcare Claims Auditor

Quantix

Ann Arbor, MI • On-site

Contractor

Posted 19 days ago

Job description

Company Description

Since 2002, Quantix ProTech has successfully delivered IT resources and solutions to companies while building a solid reputation for integrity and consistent quality.  Quantix ProTech continues to partner with the commercial sector for specialized IT placement and staffing services.  Quantix ProTech was recently featured in US News and World Report and Forbes. 

Job Description

Job Title: Healthcare Claims Auditor
Location:  Ann Arbor, MI
Type:  Contract
Length:  Through 12/22/2016
Job Description:  Our client in the Ann Arbor, Michigan area is looking for Healthcare Claims Auditors to join their team on a short term contract basis.  This candidates will translate client's healthcare Summary Plan Descriptions into plan builds in the the audit rules engine.  Successful candidates will have a solid understanding of healthcare claims processing having gained experience working for a health plan or a TPA.  
Required Skills:
1) Healthcare Claims Auditing.
2) Helathcare Coding methods.

Qualifications

Required Skills:
1) Healthcare Claims Auditing.
2) Helathcare Coding methods.

Additional Information

All your information will be kept confidential according to EEO guidelines. If your interested, send a copy of your resume at

henriquez@quantixinc. com

or reach me at

303-557-4014.


Apply