ZipRecruiter

Log In

1

Healthcare Insurance Claims Processor Jobs (NOW HIRING)

Apolis

Claims Processing Executive

$17.50 - $22/hr

Review, validate, and process healthcare claims submitted by providers in accordance with US insurance policies. * Work on the QNXT claims platform (Required). * Verify patient eligibility, coverage ...

TEKsystems

Claims Processor

Oak Brook, IL

$21/hr

We are seeking a detail-oriented Claims Processor to join a growing healthcare benefits ... Exposure to healthcare benefits administration and insurance operations * Monday-Friday schedule ...

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 ...

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 ...

Amwins

Claims Processor

Glendale, AZ

$17 - $21.50/hr

Are you ready to make a meaningful impact in the dynamic world of insurance? Join Amwins Self-Funded as a Claims Analyst . This is an in-office position, that offers the flexibility to work from home ...

Wellcove

Claims - Claims Examiner

Pensacola, FL · On-site

High school diploma or equivalent required; associate or bachelor's degree preferred * 2+ years of experience in insurance claims, healthcare administration, or Long-Term Care claims processing

NTT Data Americas, Inc.

Medical Claims Processor

$17 - $18/hr

Medial Claims Processor Industry : Healthcare FSLA status : Non-Exempt Department : Operations ... Company benefits may include medical, dental, and vision insurance, flexible spending or health ...

NFP Corp

Claims Processor - Flex Benefits

Agawam, MA · Remote

$43K - $50K/yr

NFP, an Aon company, is a multiple Best Places to Work award winner in Business Insurance. We are ... Directed Health Care. Our core mission is to deliver our empowering technology solutions and ...

TriOptus LLC

Claims Processors

Denver, CO · On-site

$17.50 - $22.25/hr

Smart Data rejects Required * 3+ as a Claims Processor or similar position in either a doctor's office, healthcare clinic or other healthcare setting; or equivalent combination of education and ...

Ourhrconnect

Claims Processor I

Columbia, SC

$15.75 - $20/hr

Summary Responsible for the accurate and timely processing of claims. Description Logistics: PGBA ... Preferred Work Experience: 1 year-of experience in a healthcare or insurance environment.

NTT DATA

Medical 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 ...

Ourhrconnect

Claims Processor I-19

Florence, SC · On-site

$16.50 - $20.75/hr

Summary Responsible for the accurate and timely processing of claims. Description Why should you ... Preferred Work Experience: 1 year-of experience in a healthcare or insurance environment.

New

Peach Tree Dental

Insurance Claims Specialist

Monroe, LA · On-site

$16 - $20/hr

Insurance Claims Specialist Peach Tree Dental - Monroe, LA 71201 Insurance Claims Specialist Job ... Dependent Care & Healthcare Flexible Spending Account * Simple IRA With Employer Match * Basic Life ...

next page

Showing results 1-20

All JobsFinance And Insurance JobsInsurance JobsClaim Processing Specialist JobsHealthcare Insurance Claims Processor Jobs

Healthcare Insurance Claims Processor information

See salary details

$12

$22

$34

How much do healthcare insurance claims processor jobs pay per hour?

As of Sep 14, 2026, the average hourly pay for healthcare insurance claims processor in the United States is $22.34, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $25.48 per hour, depending on experience, location, and employer.

What does a healthcare insurance claims processor do?

A Healthcare Insurance Claims Processor reviews and processes medical claims submitted by healthcare providers and patients to insurance companies. They ensure that the information is accurate, complete, and in compliance with insurance policies and regulations. Their role involves verifying patient details, coding procedures, determining coverage, and approving or denying claims for payment. Claims processors also communicate with providers and policyholders to resolve discrepancies and may assist with appeals or adjustments. Their work helps ensure timely and accurate reimbursement for healthcare services.

What are some common challenges faced by a healthcare insurance claims processor, and how can they be managed?

Healthcare Insurance Claims Processors often deal with complex medical terminology, varying insurance policies, and strict deadlines. A common challenge is ensuring accuracy when reviewing and entering claims to prevent denials or delays in payment. Staying organized, maintaining attention to detail, and regularly updating knowledge on policy changes can help manage these challenges. Additionally, effective communication with healthcare providers and insurance companies is essential for resolving discrepancies efficiently.

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

To thrive as a Healthcare Insurance Claims Processor, you need strong attention to detail, knowledge of medical terminology and coding, and a high school diploma or equivalent; some employers may prefer additional certification. Familiarity with claims management software, electronic health records (EHR) systems, and ICD/CPT coding tools is common in this role. Excellent organization, problem-solving abilities, and clear communication skills help you efficiently resolve claim discrepancies and interact with providers or policyholders. These skills ensure accurate, timely processing of claims, minimize errors, and maintain compliance with regulations, all of which are critical for smooth healthcare operations.

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

AspectHealthcare Insurance Claims ProcessorMedical Billing Specialist
CredentialsHigh school diploma; certifications like CPC or CPC-HHigh school diploma; certifications like CPC or CPC-H
Work EnvironmentInsurance companies, healthcare providers, billing officesHospitals, clinics, medical offices, billing companies
Primary ResponsibilitiesReview and process insurance claims, ensure accuracy, follow up on denialsPrepare and submit medical bills, verify patient info, follow up on payments

Both roles require similar certifications and often work in healthcare or insurance settings. The main difference is that Healthcare Insurance Claims Processors focus on reviewing and processing insurance claims, while Medical Billing Specialists handle the billing process directly with patients and providers.

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

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

Healthcare Insurance Claims Processor jobs near you
Infographic showing various Healthcare Insurance Claims Processor job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 20% Part Time, and 6% Contract. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $46,461 per year, or $22.3 per hour.

Claims Processing Executive

Remote

Apolis
See more jobs at Apolisexternal

$17.50 - $22/hr

Other

Re-posted 4 days ago

Job description

Healthcare Claims Processing Executive (QNXT Claims)

Join our team as a Claims Processing Executive in the healthcare sector where you will utilize your expertise in MS Excel to efficiently manage and process commercial claims. This remote position offers the flexibility of working from home during day shifts, allowing you to balance work and personal commitments effectively. Your contributions will directly impact the accuracy and efficiency of our claims processing, enhancing customer satisfaction and operational excellence.

Roles & Responsibilities:
  • Review, validate, and process healthcare claims submitted by providers in accordance with US insurance policies.
  • Work on the QNXT claims platform (Required).
  • Verify patient eligibility, coverage, benefits, and pre-authorization requirements under Medicare, Medicaid, and private insurance plans.
  • Approve, deny, or adjust claims based on payer guidelines and policy terms.
  • Maintain compliance with HIPAA regulations, CMS guidelines, and other US healthcare compliance standards.
  • Record claim activity, maintain audit trails, and prepare reports for management.
  • Utilize MS Excel for claims tracking, reporting, and analysis.
Required Skills:
  • QNXT Claims Processing (Required)
  • Healthcare Claims Processing
  • Commercial Claims
  • Medicare
  • Medicaid
  • Commercial Insurance
  • Claims Adjudication
  • Eligibility Verification
  • HIPAA Compliance
  • CMS Guidelines
  • EDI Transactions
  • Claims Management Software
  • MS Excel
  • Insurance Policy Interpretation
  • Analytical & Problem-Solving Skills
  • Strong Communication Skills
  • Detail-Oriented
Qualifications:
  • High school diploma or equivalent (Required).
  • 2–4 years of experience in US healthcare claims processing.
  • Strong knowledge of US healthcare insurance systems, including Medicare, Medicaid, and commercial payers.
  • Familiarity with claims management software and EDI transactions.
  • Excellent analytical, organizational, and communication skills.
  • Ability to interpret insurance policies and payer guidelines.
  • Detail-oriented with strong problem-solving abilities.
  • Must be a resident of Iowa.
  • Must be comfortable with a 3–6 month contract.

Apply