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Healthcare Insurance Claims Processor Jobs (NOW HIRING)

Allied Tech

Claims Specialist

Austin, TX · Remote

$48K - $60K/yr

Claims Specialist We support clients by keeping their insurance claims processing organized ... Competitive health, dental, and vision insurance * 401(k) with up to 6% company match * 40 days of ...

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

Process medical claims and learn systems and workflows Adjustments & Disputes (Core Role ... insurance, voluntary plans, as well as participation in a 401(k) plan. System One is an Equal ...

System One

Healthcare EDI Claims Analyst

Columbia, MD · On-site

$52.96/hr

Investigate and resolve healthcare claims processing issues and incident tickets. * Analyze EDI 837 ... Experience working with healthcare payers, health plans, or insurance organizations. * Strong ...

Amalgamated Life

Manager, Claims

White Plains, NY · On-site

A bachelor's degree in insurance, healthcare, or a related field and/or extensive work experience handling and processing disability claims. * The ability to analyze complex information from various ...

Tmhcc

CTP Claims Examiner

Carmel, IN · Hybrid

... and processing travel insurance claims while delivering exceptional customer service. You'll work closely with claimants, healthcare providers, and internal teams to ensure claims are handled ...

Tokio Marine HCC

CTP Claims Examiner

Carmel, IN · On-site

... and processing travel insurance claims while delivering exceptional customer service. You'll work closely with claimants, healthcare providers, and internal teams to ensure claims are handled ...

Aon

Tax Insurance Claims Lawyer - VP

Manhattan, NY · On-site

$242K - $315K/yr

Facilitate the tax insurance claim process including reviewing insurer coverage positions and ... account, health care and dependent care reimbursement accounts,employee and dependent life ...

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Healthcare Insurance Claims Processor information

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$12

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$34

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.

Claims, Denials, & AR Management Specialist

Medix

Addison, TX • On-site

$25 - $29/hr

Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted 7 days ago

Job description

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.
Job Summary
The Denials Specialist focuses on investigating, diagnosing, and reversing rejected or underpaid healthcare insurance claims. This position ensures organizational revenue is secured by coordinating with insurance payers, internal departments, and clinicians to guarantee accurate reimbursement while complying with regulatory guidelines and payer policies.
Key Responsibilities
  • Evaluate and diagnose the causes of rejected, unpaid, or short-paid healthcare claims.
  • Correct billing errors, adjust diagnostic/procedural codes, attach necessary documentation, and submit corrected claims within strict payer deadlines.
  • Engage in proactive follow-ups with insurance companies to expedite the resolution of pending denials and secure outstanding revenue.
  • Initiate direct contact with insurance adjudicators to verify claim status, clarify disputes, and reconcile payment discrepancies.
  • Thoroughly document all administrative actions, payer interactions, and resolution outcomes within practice management and billing systems.
  • Identify systemic denial trends, recurring errors, or anomalies among insurance carriers, medical specialties, or coding classifications.
  • Collaborate with coding experts, clinical staff, and billing personnel to implement workflow changes, staff training, and documentation improvements to reduce future claim rejections.
  • Support the Appeals Teams by monitoring the progress of submitted appeals, ensuring absolute compliance with complex payer timelines and regulatory requirements.
  • Ensure all amended claims and resubmissions comply precisely with state, federal, and payer-specific compliance mandates.
  • Stay updated on evolving insurance policies, national coding updates (CPT, HCPCS, ICD-10), and revenue cycle best practices.
  • Compile comprehensive denial analytics, assess reimbursement trends, and provide actionable insights to management.
  • Track critical revenue cycle metrics, including overall denial percentages, appeal success rates, and days in accounts receivable.

Qualifications
  • 2-4 years of experience in medical billing, claims processing, or denial management in a healthcare or payer setting.
  • Strong understanding of insurance payer rules for both commercial and government payers.
  • Excellent knowledge of CPT/HCPCS and ICD-10 coding.
  • Proficiency with EMR/EHR systems, clearinghouses, and billing software.
  • CPC, CPB, or another AAPC/AHIMA certification preferred.
  • Experience with high-volume claims environments is advantageous.

Benefits
  • Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
  • Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
  • 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
  • Short Term Disability Insurance.
  • Term Life Insurance Plan.

Required Employment / Compliance Language
  • Our commitment to our candidates is to continuously offer benefits that align with the needs of our expanding workforce. Eligible team members will be able to access and contribute to these benefits after meeting specific criteria. We welcome inquiries regarding our comprehensive benefits offerings and are proud to support our employees' well-being. Please note that eligibility and application to certain benefits are based on plan availability and state-specific regulations.

* We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
Medix Overview:
With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we're dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.
* As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
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About Medix Staffing Solutions

Sourced by ZipRecruiter

Since 2001, we’ve been dedicated to helping you achieve your goals. Medix was created to become a leading provider of workforce solutions for clients and candidates across the healthcare and life sciences industries. Today, we are that leader. Headquartered in Chicago, we have 23 offices across the United States, and staff talent around the world. Medix is committed to fulfilling our core purpose as an organization: to positively impact the lives of our talent, clients, and teammates through employment, philanthropy, and opportunity. The combination of purpose and values has nurtured our thriving culture that encourages our internal team to excel at work and in everyday life.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Chicago, IL, US

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