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Healthcare Claims Processor Jobs (NOW HIRING)

NTT DATA

Healthcare Claims Processor, Remote

$17.50 - $22/hr

Correctly calculating claims payable amount using applicable methodology/fee schedule Requirements: * 1-3 years hands-on experience in Healthcare Claims Processing * 2+ years using a computer with ...

System One

Healthcare Claims Specialist

Tulsa, OK · 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 ...

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) ...

System One

Healthcare Claims Specialist

Tulsa, OK · On-site

$20/hr

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

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

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

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

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

Carrot

Claims Processor

Des Moines, IA · On-site

$16.50 - $21/hr

Carrot is widely regarded as a defining force in healthcare innovation as a recipient of several ... Process 53+ claims each working day, maintaining a quality assurance score of 93% or higher

Tmhcc

Lead Healthcare Claims Assistant

New York, NY · 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 ...

Service Insurance Companies

Claims Processor

Austin, TX · On-site

$25/hr

About the Role: The Claims Processor will work closely with all Processors, Adjusters and ... Service Insurance Companies Offers a competitive benefits package including: * Healthcare: Medical ...

Premera Blue Cross

Claims Processor IV

Spokane, WA · On-site

$17.25 - $21.75/hr

Working at Premera means you have the opportunity to drive real change by transforming healthcare. ... As a Claims Processor IV your attention to detail and commitment to quality will directly impact ...

Zenith American Solutions, Inc.

Claims Processor

Tualatin, OR · On-site

$17.75 - $22.50/hr

Non-exempt Hours per Week: 40 Position Summary The Claims Processor provides customer service and processes routine health and welfare claims on assigned accounts according to plan guidelines and ...

Premera Blue Cross

Claims Processor IV

Spokane, WA · On-site

$17.25 - $21.75/hr

Working at Premera means you have the opportunity to drive real change by transforming healthcare. ... As a Claims Processor IV your attention to detail and commitment to quality will directly impact ...

Premera Blue Cross

Claims Processor III

$17.50 - $22/hr

Claims Processor III Join Our Team: Do Meaningful Work and Improve People's Lives Our purpose, to ... Working at Premera means you have the opportunity to drive real change by transforming healthcare. ...

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Healthcare Claims Processor information

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$12

$19

$26

How much do healthcare claims processor jobs pay per hour?

As of Sep 10, 2026, the average hourly pay for healthcare claims processor 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 does a healthcare claims processor do?

A Healthcare Claims Processor is responsible for reviewing, evaluating, and processing medical insurance claims submitted by healthcare providers or patients. They ensure that claims are complete, accurate, and comply with insurance policies and regulations. Their job includes verifying patient information, checking medical codes, calculating benefit payments, and resolving discrepancies or denied claims. Healthcare Claims Processors play a crucial role in making sure that healthcare providers and patients receive timely and correct payments for medical services. Attention to detail and knowledge of insurance procedures are essential for success in this role.

What are the key skills and qualifications needed to thrive as a healthcare claims processor, and why are they important?

To thrive as a Healthcare Claims Processor, you need strong attention to detail, knowledge of medical terminology and coding, and a high school diploma or equivalent, with some employers preferring postsecondary coursework in health administration. Familiarity with claims management software, electronic health records (EHR) systems, and industry-standard codes like ICD-10 and CPT is typically required. Excellent organizational skills, problem-solving abilities, and effective communication help you manage large volumes of claims and resolve discrepancies. These competencies are essential for ensuring timely, accurate claim processing and maintaining compliance with healthcare regulations.

What are some common challenges healthcare claims processors face when handling insurance claims?

Healthcare Claims Processors often encounter challenges such as navigating complex insurance policies, ensuring accuracy in data entry, and managing high volumes of claims within tight deadlines. They must also stay updated on changing regulations and payer requirements to prevent claim denials or delays. Effective communication with providers, payers, and team members is essential to resolve discrepancies and ensure timely claim resolution.

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

AspectHealthcare Claims ProcessorMedical Billing Specialist
Primary RoleReview and process insurance claims for reimbursementPrepare and submit medical bills to insurance companies and patients
CertificationsOften requires HIPAA training, insurance claim processing knowledgeLikewise, may need HIPAA, coding, and billing certifications
Work EnvironmentHealthcare facilities, insurance companies, or third-party billing servicesMedical offices, clinics, or billing companies
Industry UsageCommonly employed in healthcare and insurance sectorsPrimarily in healthcare providers and billing companies

While both roles involve handling medical financial documentation, Healthcare Claims Processors focus on reviewing and processing insurance claims, ensuring accuracy for reimbursement. Medical Billing Specialists prepare and submit bills to insurance companies and patients, managing the billing cycle from start to finish. Both roles require knowledge of healthcare regulations and billing procedures, but their specific responsibilities differ within the revenue cycle.

More about Healthcare Claims Processor jobs

What states have the most Healthcare Claims Processor jobs?

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

What are popular job titles related to Healthcare Claims Processor jobs?

For Healthcare Claims Processor jobs, the most frequently searched job titles are:

Healthcare Claims Processor jobs near you
Infographic showing various Healthcare Claims Processor job openings in the United States as of September 2026, with employment types broken down into 2% As Needed, 69% Full Time, 14% Part Time, and 15% 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 Processor, Remote

Remote

NTT DATA
IT Services • 10K+ employees
Learn more about NTT DATAexternal

$17.50 - $22/hr

Other

Re-posted 19 days ago

NTT Data rating

7.5

Company rating: 7.5 out of 10

Based on 93 frontline employees who took The Breakroom Quiz

Job description

Remote Claims Processing Associate

NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team.

In this role, the candidate will be responsible for:

  • Processing of professional claim forms files by provider
  • Reviewing the policies and benefits
  • Complying with company regulations regarding HIPAA, confidentiality, and PHI
  • Abide with the timelines to complete compliance training of NTT Data/Client
  • Working independently to research, review and act on the claims
  • Prioritizing work and adjudicating claims as per turnaround time/SLAs
  • Ensuring claims are adjudicated as per clients defined workflows, guidelines
  • Sustaining and meeting the client productivity/quality targets to avoid penalties
  • Maintaining and sustaining quality scores above 98.5% PA and 99.75% FA
  • Timely response and resolution of claims received via emails as priority work
  • Correctly calculating claims payable amount using applicable methodology/fee schedule

Requirements:

  • 1-3 years hands-on experience in Healthcare Claims Processing
  • 2+ years using a computer with Windows applications using a keyboard, navigating multiple screens and computer systems, and learning new software tools
  • High school diploma or GED
  • Previously performing – in P&Q work environment; work from queue; remotely
  • Key board skills and computer familiarity – Toggling back and forth between screens/can you navigate multiple systems
  • Working knowledge of MS office products – Outlook, MS Word and MS-Excel
  • Must be able to work 8 am - 4 pm EST online/remote (training is required on-camera)
  • Effective troubleshooting where you can leverage your research, analysis and problem-solving abilities
  • Time management with the ability to cope in a complex, changing environment
  • Ability to communicate (oral/written) effectively in a professional office setting

Preferred Skills & Experiences:

Xcelys Preferred

About NTT DATA

NTT DATA is a $30 billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize and transform for long-term success. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure and connectivity. We are one of the leading providers of digital and AI infrastructure in the world. NTT DATA is a part of NTT Group, which invests over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future.

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About NTT DATA

Sourced by ZipRecruiter

NTT DATA Services is a global business and IT services provider specializing in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services. We are part of the NTT family of companies, a partner to 85 % of the Fortune 100.

Industry

It services

Company size

10,000+ Employees

Headquarters location

Plano, TX, US

Year founded

1967

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