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Healthcare Claims Jobs (NOW HIRING)

System One

Healthcare EDI Claims Analyst

Columbia, MD · On-site

$52.96/hr

Healthcare EDI Claims Analyst Location: Hybrid - Columbia/Baltimore, MD (2-3 days onsite per month) Duration: 12-Month Contract-to-Hire Pay Rate: $52.96/hour W2 (No PTO) About the Role We are seeking ...

Insperity

Director of Claims- Healthcare

Los Angeles, CA · On-site

$130K - $160K/yr

General information Client / Corporate Client Work Mode In-Office Name Director of Claims- Healthcare Job ID 22038 City Chatsworth Published date 27-Jul-2026 State California Country United States ...

Insperity

Director of Claims- Healthcare

Chatsworth, CA · On-site +1

$130K - $160K/yr

Description & Requirements Director of Claims- Healthcare Preferred IPA of California is committed to delivering exceptional care management, care coordination, and claim processing services that ...

Apolis

Claims Processing Executive

Iowa City, IA · On-site

$16.50 - $20.75/hr

Job Title: Healthcare Claims Processing Executive (QNXT Claims) Location: Remote ( Iowa Residents Only ) Tax Term: W2 Job Type: Contract Duration: 3-6 Months Join our team as a Claims Processing ...

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Healthcare Claims information

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$11

$24

$42

How much do healthcare claims jobs pay per hour?

As of Sep 9, 2026, the average hourly pay for healthcare claims in the United States is $24.12, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $27.40 per hour, depending on experience, location, and employer.

What are healthcare claims?

Healthcare claims are formal requests submitted by healthcare providers or patients to insurance companies for payment of medical services rendered. These claims contain details about the patient, the services provided, diagnosis codes, and the associated costs. The insurer reviews the claim to determine if the services are covered under the patient's policy and then reimburses the provider or patient accordingly. Efficient processing of healthcare claims is essential to ensure timely payment and smooth operation within the healthcare system.

What are common challenges faced by professionals in healthcare claims processing, and how can they be managed effectively?

Healthcare claims professionals often encounter challenges such as navigating complex insurance policies, handling high volumes of claims, and resolving discrepancies between providers and payers. Staying organized and detail-oriented is essential, as is keeping up with evolving regulations and coding updates. Effective communication skills are also important for collaborating with providers, patients, and insurance representatives to resolve issues quickly and accurately. Many organizations provide ongoing training and use technology to streamline workflows, which can help claims professionals manage these challenges successfully.

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

To thrive as a Healthcare Claims Specialist, you need a solid understanding of medical billing, insurance policies, coding systems (like ICD-10 and CPT), and typically a high school diploma or associate degree in a related field. Familiarity with claims management software, electronic health records (EHRs), and sometimes certification such as Certified Professional Coder (CPC) is valuable. Attention to detail, analytical thinking, and effective communication are essential soft skills for resolving discrepancies and working with providers and insurers. These skills and qualifications ensure accurate claims processing, reduce errors, and help organizations maintain compliance and timely reimbursement.

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

AspectHealthcare ClaimsMedical Billing Specialist
CertificationsTypically requires knowledge of insurance policies and claims processingRequires understanding of billing procedures and coding
Work EnvironmentInsurance companies, healthcare providers, claims processing centersMedical offices, hospitals, billing companies
Primary ResponsibilitiesSubmitting and managing insurance claims, ensuring reimbursementCreating patient bills, coding diagnoses and procedures, managing accounts

Healthcare Claims professionals focus on submitting and managing insurance claims to ensure reimbursement, often working directly with insurance companies. Medical Billing Specialists handle creating patient bills, coding medical procedures, and managing billing accounts. While both roles require knowledge of healthcare documentation and insurance processes, Healthcare Claims roles are more centered on claims submission and reimbursement management, whereas Medical Billing Specialists focus on billing accuracy and patient invoicing.

What does a healthcare claims specialist do?

A healthcare claims specialist reviews and processes insurance claims to ensure accurate billing and reimbursement. They verify patient information, coding accuracy, and compliance with insurance policies, often using claims processing software. Strong attention to detail and knowledge of medical coding and insurance regulations are essential for this role.
More about Healthcare Claims jobs

What cities are hiring for Healthcare Claims jobs?

Cities with the most Healthcare Claims job openings:

What states have the most Healthcare Claims jobs?

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

What are popular job titles for Healthcare Claims?

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Healthcare Claims jobs near you
Infographic showing various Healthcare Claims 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 $50,180 per year, or $24.1 per hour.

Healthcare Claims & Provider Services Specialist I

Scottsdale, AZ • On-site

Green Light Cost Management
Health Care and Social Assistance • 1 - 10 employees
Learn more about Green Light Cost Managementexternal

$18 - $25/hr

Full-time

Posted 26 days ago

Job description

About Green Light

Green Light is a growing healthcare technology company that partners with healthcare providers and health plans to improve the healthcare claims and dispute-resolution process.


We're looking for a detail-oriented, dependable professional who wants to build a career in healthcare operations. No healthcare or claims experience is required. Training is provided. Candidates with relevant experience may take on more advanced responsibilities.


What You'll Do

  • Review and organize claims, case information, and supporting documentation
  • Manage emails, calls, case records, and provider communications
  • Track cases, deadlines, follow-ups, and required documentation
  • Identify missing information and items requiring follow-up
  • Support appeals, reimbursement matters, disputes, and case resolution
  • Communicate with providers, billing offices, health plans, clients, and internal teams
  • Maintain accurate case records and confidential information
  • Learn and apply healthcare claims, reimbursement, appeals, and dispute-resolution procedures


As your skills develop, you may take on more complex work involving IDR, Open Negotiations, No Surprises Act workflows, grievances and appeals, and provider or payer disputes.


What We're Looking For

  • High school diploma or equivalent
  • Strong attention to detail and organizational skills
  • Excellent written and verbal communication
  • Ability to learn new processes and terminology
  • Comfortable using Microsoft Office and electronic recordkeeping tools
  • Ability to manage multiple priorities and meet deadlines
  • Dependable, accountable, and willing to ask questions
  • Good judgment and a problem-solving mindset
  • Commitment to confidentiality


Relevant experience in healthcare, claims, billing, provider services, customer service, administration, or legal support is helpful, but strong transferable skills and a willingness to learn are equally valued.


If you're ready to learn, contribute, and grow, we'd love to hear from you.