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Healthcare Insurance Claims Processor Jobs (NOW HIRING)

Amerita

Pharmacy Claims Processor / Remote

Louisville, KY · On-site +1

$15.50 - $19.75/hr

Our mission is to provide top-quality care and outstanding customer service to hospitals ... Health, Dental, Vision, and Life Insurance * Company-Paid Disability Insurance * Tuition Assistance ...

1199SEIU Funds

Hospital Claims Processor V

Manhattan, NY

$18.75 - $23.75/hr

Process and evaluate hospital claims manually or through claims work flow * Validate information ... health insurance or benefits environment required * Basic keyboarding skills required * Strong ...

APS Medical

Clerical - Claims Processor

Toledo, OH · On-site

$16/hr

Submit claims * Adjust accounts and work on balance reconciling projects * Enter patient ... Health Savings Account * Alight - Personal Health Care Advisor * Dental, Vision, Life Insurance ...

32bjfunds

Medical Insurance Claims Specialist

Manhattan, NY

$19.75 - $26.50/hr

Prior knowledge with healthcare regulations and claims compliance requirements preferred. Excellent ... Ability to identify trends and recommend process improvements. Experience accurately interpreting ...

32bjfunds

Medical Insurance Claims Specialist

Manhattan, NY

$19.75 - $26.50/hr

Prior knowledge with healthcare regulations and claims compliance requirements preferred. Excellent ... Ability to identify trends and recommend process improvements. Experience accurately interpreting ...

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

Healthcare Insurance Claims Processor information

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

As of Aug 22, 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.

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, 21% Part Time, and 5% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $46,461 per year, or $22.3 per hour.

Pharmacy Claims Processor / Remote

Amerita

Louisville, KY • On-site, Remote

$15.50 - $19.75/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 12 days ago

Job description

Our Company
Amerita
Overview
Step Into a Rewarding Role as a Claims Specialist with PharMerica!
Are you ready to make a real impact in a growing organization? Join our PharMerica team as a Claims Specialist, where you'll play a key role in ensuring our long-term care and senior living clients receive the pharmaceutical support they need. We offer a non-retail, closed-door pharmacy environment, allowing you to focus on what truly matters-delivering exceptional care and service.
Why Join PharMerica?
  • Focused on Service Excellence: Our mission is to provide top-quality care and outstanding customer service to hospitals, rehabilitation centers, long-term acute care hospitals, and specialized care centers across the nation.
  • Career Growth: We're in high growth mode, offering plenty of opportunities for those looking to advance their careers.
  • Remote Flexibility: This position is 100% remote, giving you the freedom to work from anywhere!

What You'll Do: As a dynamic Claims Specialist, you will:
  • Leverage your Pharmacy Claims Experience to manage and resolve claims efficiently, ensuring our clients get the support they need.
  • Be a vital part of a team that's dedicated to enhancing patient care through meticulous claims management and customer service.

What We Offer:
  • DailyPay
  • Flexible Schedules
  • Competitive Pay with Shift Differentials
  • Health, Dental, Vision, and Life Insurance
  • Company-Paid Disability Insurance
  • Tuition Assistance & Reimbursement
  • Employee Discount Program
  • 401k Plan
  • Paid Time Off
  • Non-Retail, Closed-Door Environment

Responsibilities
The Claims Specialist - 3rd Party:
  • Manages and identifies a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks
  • Researches, analyzes and appropriately resolves rejected claims by working with national Medicare D plans, third party insurance companies and all state Medicaid plans to ensure maximum payer reimbursement adhering to critical deadlines
  • Ensures approval of claims by performing appropriate edits and/or reversals to ensure maximum payer reimbursement
  • Monitors and resolves at risk revenue associated with payer set up, billing, rebilling and reversal processes
  • Works as a team to identify, document, communicate and resolve payer/billing trends and issues
  • Reviews and works to convert billing exception reports to ensure claims are billed to accurate financial plans
  • Prepares and maintains reports and records for processing
  • Performs other tasks as assigned

Qualifications
Education/Learning Experience:
  • Required: High School Diploma or GED
  • Desired: Associate's or Bachelor's Degree

Work Experience:
  • Required: Customer Service
  • Desired: Up to one year of related experience. Pharmacy Technician experience

Skills/Knowledge:
  • Required: Ability to retain a large amount of information and apply that knowledge to related situations. Ability to work in a fast-paced environment. Basic math aptitude. Microsoft Office Suite
  • Desired: Knowledge of the insurance industry's trends, directions, major issues, regulatory considerations and trendsetters

Licenses/Certifications:
  • Desired: Pharmacy technician, but not required

About our Line of Business
Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider. For more information, please visit www.ameritaiv.com. Follow us on Facebook, LinkedIn, and X.
Additional Job Information
This is an excellent opportunity to move from a retail to office environment for those who are willing to learn claims, billing and insurance processing.
Pharmacy Technician experience and/or knowledge of pharmaceuticals is a strong preference.

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