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Healthcare Claims Processor Jobs (NOW HIRING)

Datamark, Inc.

Medical Claims Processor

El Paso, TX · On-site

$16.50/hr

Team as a Medical Claims Processor! Are you looking for an exciting opportunity where your ... Health Care Plan (Medical, Dental & Vision) * Retirement Plan (401k, IRA) * Life Insurance (Basic ...

NTT Data Americas, Inc.

Medical Claims Processor

$17 - $18/hr

Medial Claims Processor Industry : Healthcare FSLA status : Non-Exempt Department : Operations Level : Entry to mid-level Location : Work at Home Pay Rate: 17.00-18.00 In this Role the candidate will ...

NFP Corp

Claims Processor - Flex Benefits

Agawam, MA · On-site +1

$43K - $50K/yr

... Directed Health Care. Our core mission is to deliver our empowering technology solutions and ... The Claims Processor is responsible for accurate and timely processing of claims which includes ...

Firstsource

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 ...

U.S. Bank

Check Claims Processor

Tempe, AZ · On-site

$20 - $26.39/hr

This role is responsible for reviewing and processing fraud-related claims, primarily involving ... Our benefits include the following: * Healthcare (medical, dental, vision) * Basic term and ...

1199SEIU Funds

Hospital Claims Processor V

Manhattan, NY · On-site

$18.75 - $23.75/hr

Process and evaluate hospital claims manually or through claims work flow * Validate information ... Minimum two (2) years experience entering and updating hospital or medical claims in a health ...

U.S. Bank

Check Claims Processor

Saint Paul, MN · On-site

$20 - $26.39/hr

This role is responsible for reviewing and processing fraud‑related claims, primarily involving ... Our benefits include the following: * Healthcare (medical, dental, vision) * Basic term and ...

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Healthcare Claims Processor information

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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.

Medical Claims Processor

El Paso, TX • On-site

Datamark, Inc.
See more jobs at Datamark, Inc.external

$16.50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 10 days ago

Job description

Join the DATAMARK, Inc. Team as a Medical Claims Processor!

Are you looking for an exciting opportunity where your attention to detail and problem-solving skills make a real impact? Do you thrive in an environment that requires critical thinking and strong judgment? If so, we have the perfect role for you! As a Medical Claims Processor at DATAMARK, you'll play a vital role in the success of our operations by ensuring accurate and efficient back-office support.

We are seeking a detail-oriented and performance-driven Medical Claims Processor to support patients prescribed complex and high-cost drug therapies. In this role, you will be responsible for verifying insurance coverage, conducting research, and resolving coverage-related issues to ensure timely and accurate prescription processing.

This is a back-office position that requires strong analytical skills, efficiency, and comfort with outbound calls to insurance providers and patients.

  • Verify insurance coverage for new and existing patients to support timely prescription fulfillment
  • Pull and review customer accounts to assess eligibility, benefits, and coverage limitations
  • Conduct detailed research across multiple systems and portals
  • Initiate and complete outbound calls (OB calls) to insurance companies, pharmacies, and other partners to resolve coverage issues
  • Accurately document findings, decisions, and next steps in internal systems
  • Meet or exceed productivity expectations while maintaining accuracy
  • Identify and escalate complex cases or discrepancies as appropriate
  • Support patients requiring specialty, high-cost, or complex therapies through thorough and timely insurance determination

Requirements

  • Previous experience in insurance verification, benefits investigation, pharmacy operations, or healthcare administration preferred
  • Knowledge of medical insurance terminology (deductibles, copays, prior authorizations, etc.)
  • Strong attention to detail and ability to process high volumes of information accurately
  • Excellent reading comprehension and research abilities
  • Comfortable making outbound calls to resolve insurance or coverage-related issues
  • Strong problem-solving and critical-thinking skills
  • Ability to manage productivity metrics in a fast-paced environment
  • Basic computer proficiency and experience navigating multiple systems

Benefits

  • Health Care Plan (Medical, Dental & Vision)
  • Retirement Plan (401k, IRA)
  • Life Insurance (Basic, Voluntary & AD&D)
  • Paid Time Off
  • Short Term & Long Term Disability
  • Training & Development
  • Wellness Resources
  • $16.50 per hour