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Healthcare Claims Processing Jobs in Florida (NOW HIRING)

Ascension

Claims Processing Assistant

Milton, FL · On-site +1

$19.73 - $26.70/hr

Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold ... or hiring process. Our legitimate email communications will always come from an @ascension.org ...

Ascension

Claims Processing Assistant

Jacksonville, FL · On-site

$17.25 - $22/hr

Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold ... or hiring process. Our legitimate email communications will always come from an @ascension.org ...

Solis Health Plans

Benefits Analyst

Doral, FL · On-site

$60K - $70K/yr

Strong understanding of healthcare benefits structure and claims processing concepts. Preferred Qualifications * Experience in Medicare Advantage, Medicaid, or commercial managed care environments.

Solis Health Plans

Claims Examiner

Doral, FL · On-site

$19 - $23/hr

Bachelor's degreepreferred Experience: * 2 years' experience with complex claims processing and/or auditing within the health insurance industry or medical healthcare deliverysystem * 2 years ...

Solis Health Plans

Claims Auditor I

Doral, FL · On-site

$23.73 - $35.60/hr

... managed care health plan environment. The auditor works independently to evaluate claims processing quality, identify discrepancies, and support continuous improvement initiatives. Key ...

CARNIVAL CRUISE LINES

Specialist, Health Claims

Miami, FL · On-site

$60 - $80/hr

... claims administration processes to optimize outcomes and control healthcare cost. They are ... responsible for developing and maintaining complex economic models to evaluate financial impact ...

New

Independent Living Systems

Claims Examiner

Miami, FL · On-site

Minimum of 2 years experience in claims examination, medical billing, or healthcare insurance processing. * Strong understanding of medical terminology, insurance policies, and healthcare billing ...

Independent Living Systems

Claims Examiner

Miami, FL · On-site

Minimum of 2 years experience in claims examination, medical billing, or healthcare insurance processing. * Strong understanding of medical terminology, insurance policies, and healthcare billing ...

1 Legacy, Inc

Manager I Claims

Miami, FL · On-site

Company Description Finance / Accounting - Claims Review and Adjusting Healthcare / Health Services ... Assure timely and accurate processing of Medicare claims and encounters, and respond to provider ...

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Healthcare Claims Processing information

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.

What are popular job titles related to Healthcare Claims Processing jobs in Florida?

For Healthcare Claims Processing jobs in Florida, the most frequently searched job titles are:

What job categories do people searching Healthcare Claims Processing jobs in Florida look for?

The top searched job categories for Healthcare Claims Processing jobs in Florida are:

Healthcare Claims Processing jobs near you
Infographic showing various Healthcare Claims Processing job openings in Florida as of August 2026, with employment types broken down into 2% As Needed, 70% Full Time, 14% Part Time, and 14% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution.

Claims Processing Assistant

Ascension

Milton, FL • On-site, Remote

$19.73 - $26.70/hr

Full-time

Medical, PTO

Re-posted 12 days ago

Ascension Healthcare rating

7.0

Company rating: 7.0 out of 10

Based on 1,047 frontline employees who took The Breakroom Quiz

420th of 898 rated healthcare providers

Job description

Your future role at a glance

Location: Remote

Facility: Ascension Sacred Heart Medical Group

Department: Administration

Schedule: Day | Full-time | Monday - Friday

Salary: $19.73-$26.70 per hour

How you'll make an impact in this role
  • Prepare and submit bills to individual and third-party payers. Review insurance claims for correct diagnosis and procedure codes.
  • Proactively resolve complex billing issues by reviewing claim rejections and communicating with payers.
  • Serve as a key point of contact, providing clear and professional responses to complex inquiries from patients, physician practices, and third-party payers.
What minimum qualifications you'll need

Education:

  • High School diploma equivalency OR 1 year of applicable cumulative job specific experience required.
    • Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable.
What additional requirements you'll need
  • 1 year of billing experience.
  • 1 year of medical office experience. 
Life at Ascension: Where purpose meets opportunity

Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 97,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you'll find an inclusive and supportive environment where your contributions truly matter.

Equal employment opportunity employer

Equal employment opportunity employer

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

Fraud prevention notice

Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process. Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.

E-Verify statement

Employer participates in the Electronic Employment Verification Program. Please click here for more information.

Benefits

Paid time off (PTO)Various health insurance options & wellness plansRetirement benefits including employer match plansLong-term & short-term disabilityEmployee assistance programs (EAP)Parental leave & adoption assistanceTuition reimbursementWays to give back to your community

Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer.

Employment Type: FULL_TIME

What Ascension Healthcare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Ascension logo

About Ascension

Sourced by ZipRecruiter

Ascension is a leading non-profit, faith-based national health system made up of over 150,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.

Industry

Health care and social assistance and outpatient health care

Company size

10,000+ Employees

Headquarters location

St. Louis, MO, US

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