Insurance Specialist
Richmond, VA · On-site
Minimum of three years of experience as an insurance specialist with a demonstrated understanding of the in and out of network insurance eligibility and claim submission processes. A bachelor ...
Insurance Specialist
Richmond, VA · On-site
Minimum of three years of experience as an insurance specialist with a demonstrated understanding of the in and out of network insurance eligibility and claim submission processes. A bachelor ...
Insurance Specialist
Richmond, VA · On-site
Minimum of three years of experience as an insurance specialist with a demonstrated understanding of the in and out of network insurance eligibility and claim submission processes. A bachelor ...
Insurance Specialist
Richmond, VA · On-site
Minimum of three years of experience as an insurance specialist with a demonstrated understanding of the in and out of network insurance eligibility and claim submission processes. A bachelor ...
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Practice administrator
Alexandria, VA · On-site
$18 - $34/hr
... Process insurance claims · experience in Dental Insurance claim follow-up · Can read EOBs and post insurance checks to patient's ledger. · Competent at keeping patient accounts 100% accurate. · ...
Quick apply
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Practice administrator
Alexandria, VA · On-site
$18 - $34/hr
... Process insurance claims · experience in Dental Insurance claim follow-up · Can read EOBs and post insurance checks to patient's ledger. · Competent at keeping patient accounts 100% accurate. · ...
Be Seen First
Practice administrator
Alexandria, VA · On-site
$18 - $34/hr
... Process insurance claims · experience in Dental Insurance claim follow-up · Can read EOBs and post insurance checks to patient's ledger. · Competent at keeping patient accounts 100% accurate. · ...
Quick apply
Be Seen First
Practice administrator
Alexandria, VA · On-site
$18 - $34/hr
... Process insurance claims · experience in Dental Insurance claim follow-up · Can read EOBs and post insurance checks to patient's ledger. · Competent at keeping patient accounts 100% accurate. · ...
Insurance Follow-up Agent
Sterling, VA · On-site
... claim * Resubmit reprints, rebills, and/or appeals to the insurance for processing * Identify and submit any needed contractual adjustments or other write-offs * Identify remaining patient ...
Insurance Follow-up Agent
Sterling, VA · On-site
... claim * Resubmit reprints, rebills, and/or appeals to the insurance for processing * Identify and submit any needed contractual adjustments or other write-offs * Identify remaining patient ...
Insurance Follow-up Agent
Sterling, VA · On-site +1
... claim * Resubmit reprints, rebills, and/or appeals to the insurance for processing * Identify and submit any needed contractual adjustments or other write-offs * Identify remaining patient ...
Insurance Follow-up Agent
Sterling, VA · On-site +1
... claim * Resubmit reprints, rebills, and/or appeals to the insurance for processing * Identify and submit any needed contractual adjustments or other write-offs * Identify remaining patient ...
Insurance Agent
Farmville, VA · On-site
$75K - $105K/yr
Provide continual service by processing insurance renewals and working to retain clients * Distribute policy funds after a claim has been settled * Answer client and potential client insurance ...
Insurance Agent
Farmville, VA · On-site
$75K - $105K/yr
Provide continual service by processing insurance renewals and working to retain clients * Distribute policy funds after a claim has been settled * Answer client and potential client insurance ...
Insurance Agent
Sussex, VA · On-site
$75K - $105K/yr
Provide continual service by processing insurance renewals and working to retain clients * Track insurance claims to ensure the satisfaction of all parties * Distribute policy funds after a claim has ...
Insurance Agent
Sussex, VA · On-site
$75K - $105K/yr
Provide continual service by processing insurance renewals and working to retain clients * Track insurance claims to ensure the satisfaction of all parties * Distribute policy funds after a claim has ...
Insurance Agent
Sussex, VA · On-site
$75K - $105K/yr
Provide continual service by processing insurance renewals and working to retain clients * Track insurance claims to ensure the satisfaction of all parties * Distribute policy funds after a claim has ...
Insurance Agent
Sussex, VA · On-site
$75K - $105K/yr
Provide continual service by processing insurance renewals and working to retain clients * Track insurance claims to ensure the satisfaction of all parties * Distribute policy funds after a claim has ...
Insurance Agent
Lynchburg, VA · On-site
$75K - $105K/yr
Provide continual service by processing insurance renewals and working to retain clients * Distribute policy funds after a claim has been settled * Answer client and potential client insurance ...
Insurance Agent
Lynchburg, VA · On-site
$75K - $105K/yr
Provide continual service by processing insurance renewals and working to retain clients * Distribute policy funds after a claim has been settled * Answer client and potential client insurance ...
Insurance Agent
Farmville, VA · On-site
$75K - $105K/yr
Provide continual service by processing insurance renewals and working to retain clients * Distribute policy funds after a claim has been settled * Answer client and potential client insurance ...
Insurance Agent
Farmville, VA · On-site
$75K - $105K/yr
Provide continual service by processing insurance renewals and working to retain clients * Distribute policy funds after a claim has been settled * Answer client and potential client insurance ...
Insurance Agent
Glen Allen, VA · On-site
$75K - $105K/yr
Provide continual service by processing insurance renewals and working to retain clients * Track insurance claims to ensure the satisfaction of all parties * Distribute policy funds after a claim has ...
Insurance Agent
Glen Allen, VA · On-site
$75K - $105K/yr
Provide continual service by processing insurance renewals and working to retain clients * Track insurance claims to ensure the satisfaction of all parties * Distribute policy funds after a claim has ...
Insurance Agent
$75K - $105K/yr
Provide continual service by processing insurance renewals and working to retain clients * Track insurance claims to ensure the satisfaction of all parties * Distribute policy funds after a claim has ...
Insurance Agent
$75K - $105K/yr
Provide continual service by processing insurance renewals and working to retain clients * Track insurance claims to ensure the satisfaction of all parties * Distribute policy funds after a claim has ...
Insurance Agent
Manassas, VA · On-site
$75K - $105K/yr
Provide continual service by processing insurance renewals and working to retain clients * Track insurance claims to ensure the satisfaction of all parties * Distribute policy funds after a claim has ...
Insurance Agent
Manassas, VA · On-site
$75K - $105K/yr
Provide continual service by processing insurance renewals and working to retain clients * Track insurance claims to ensure the satisfaction of all parties * Distribute policy funds after a claim has ...
Insurance Agent
$75K - $105K/yr
Provide continual service by processing insurance renewals and working to retain clients * Track insurance claims to ensure the satisfaction of all parties * Distribute policy funds after a claim has ...
Insurance Agent
$75K - $105K/yr
Provide continual service by processing insurance renewals and working to retain clients * Track insurance claims to ensure the satisfaction of all parties * Distribute policy funds after a claim has ...
Insurance Agent
$75K - $105K/yr
Provide continual service by processing insurance renewals and working to retain clients * Track insurance claims to ensure the satisfaction of all parties * Distribute policy funds after a claim has ...
Insurance Agent
$75K - $105K/yr
Provide continual service by processing insurance renewals and working to retain clients * Track insurance claims to ensure the satisfaction of all parties * Distribute policy funds after a claim has ...
Insurance Agent
Spotsylvania, VA · On-site
$75K - $105K/yr
Provide continual service by processing insurance renewals and working to retain clients * Track insurance claims to ensure the satisfaction of all parties * Distribute policy funds after a claim has ...
Insurance Agent
Spotsylvania, VA · On-site
$75K - $105K/yr
Provide continual service by processing insurance renewals and working to retain clients * Track insurance claims to ensure the satisfaction of all parties * Distribute policy funds after a claim has ...
Insurance Agent
Mechanicsville, VA · On-site
$75K - $105K/yr
Provide continual service by processing insurance renewals and working to retain clients * Track insurance claims to ensure the satisfaction of all parties * Distribute policy funds after a claim has ...
Insurance Agent
Mechanicsville, VA · On-site
$75K - $105K/yr
Provide continual service by processing insurance renewals and working to retain clients * Track insurance claims to ensure the satisfaction of all parties * Distribute policy funds after a claim has ...
Insurance Agent
Roanoke, VA · On-site
$75K - $105K/yr
Provide continual service by processing insurance renewals and working to retain clients * Track insurance claims to ensure the satisfaction of all parties * Distribute policy funds after a claim has ...
Insurance Agent
Roanoke, VA · On-site
$75K - $105K/yr
Provide continual service by processing insurance renewals and working to retain clients * Track insurance claims to ensure the satisfaction of all parties * Distribute policy funds after a claim has ...
Insurance Agent
$75K - $105K/yr
Provide continual service by processing insurance renewals and working to retain clients * Track insurance claims to ensure the satisfaction of all parties * Distribute policy funds after a claim has ...
Insurance Agent
$75K - $105K/yr
Provide continual service by processing insurance renewals and working to retain clients * Track insurance claims to ensure the satisfaction of all parties * Distribute policy funds after a claim has ...
Insurance Claim Processor information
See Virginia salary details
$11.92 - $13.91
2% of jobs
$13.91 - $15.90
13% of jobs
$17.80 is the 25th percentile. Wages below this are outliers.
$15.90 - $17.90
11% of jobs
$17.90 - $19.89
14% of jobs
The median wage is $20.63 / hr.
$19.89 - $21.88
29% of jobs
$21.88 - $23.88
6% of jobs
$24 is the 75th percentile. Wages above this are outliers.
$23.88 - $25.87
9% of jobs
$25.87 - $27.86
3% of jobs
$27.86 - $29.86
3% of jobs
$29.86 - $31.85
3% of jobs
$31.85 - $33.84
7% of jobs
$11
$22
$33
How much do insurance claim processor jobs pay per hour?
As of Jul 15, 2026, the average hourly pay for insurance claim processor in Virginia is $22.15, according to ZipRecruiter salary data. Most workers in this role earn between $18.12 and $25.24 per hour, depending on experience, location, and employer.
What is the difference between Insurance Claim Processor vs Insurance Adjuster?
| Aspect | Insurance Claim Processor | Insurance Adjuster |
|---|---|---|
| Credentials | High school diploma or equivalent; some roles may require insurance certifications | High school diploma; state licensing or certifications often required |
| Work Environment | Office setting, processing claims via computer systems | Field and office work, inspecting damages and assessing claims |
| Employer & Industry | Insurance companies, third-party administrators | Insurance companies, independent adjusting firms |
| Search & Comparison Intent | Understanding roles related to claims processing | Assessing damage and determining claim payouts |
The main difference is that Insurance Claim Processors handle the administrative side of claims, verifying information and processing payments, while Insurance Adjusters evaluate damages and determine claim validity. Both roles require insurance knowledge but differ in responsibilities and work environments.
What does an insurance claims processor do?
An insurance claims processor reviews and evaluates insurance claims to determine coverage and payout amounts. They verify policy details, gather necessary documentation, and ensure claims are processed accurately and efficiently, often using specialized software. Strong attention to detail and knowledge of insurance policies are essential for this role.
How to become a claim processor?
To become an insurance claim processor, typically a high school diploma or equivalent is required, and some employers prefer candidates with postsecondary education or relevant experience. Training is often provided on the job, and familiarity with insurance policies, computer skills, and attention to detail are important for success in this role.
What are the key skills and qualifications needed to thrive as an Insurance Claim Processor, and why are they important?
To excel as an Insurance Claim Processor, you need strong attention to detail, analytical abilities, and familiarity with insurance policies, often supported by a high school diploma or associate degree. Proficiency with claims management software, databases, and sometimes certification like the Associate in Claims (AIC) is commonly required. Excellent organizational skills, clear communication, and customer service orientation are crucial soft skills for managing case loads and client interactions. These competencies ensure accurate claim handling, efficient workflow, and positive customer experiences, which are vital to maintaining trust and operational success in the insurance industry.
What does an Insurance Claim Processor do?
An Insurance Claim Processor is responsible for reviewing, evaluating, and processing insurance claims submitted by policyholders. They verify the accuracy of claim information, check for policy coverage, and ensure that all required documentation is complete. Additionally, they may communicate with claimants, healthcare providers, or adjusters to resolve discrepancies and approve or deny claims based on company guidelines. Their work is essential in making sure that claims are handled efficiently and customers receive the appropriate benefits.
Is claims processing a stressful job?
Insurance claim processing can be stressful due to tight deadlines, high accuracy requirements, and dealing with sensitive customer information. The role often involves detailed review of claims, which requires attention to detail and strong organizational skills. However, workload and stress levels can vary depending on the employer and individual workload management.
What are some common challenges faced by Insurance Claim Processors, and how can they be managed?
Insurance Claim Processors often encounter challenges such as handling high volumes of claims, ensuring the accuracy of documentation, and meeting tight deadlines. To manage these challenges effectively, strong organizational skills and attention to detail are essential, as well as the ability to prioritize tasks and communicate clearly with both clients and internal teams. Many organizations provide ongoing training and supportive team structures to help processors stay updated on changing policies and procedures, making it easier to adapt and perform efficiently.
Which claim adjusters make the most money?
Senior claim adjusters, especially those with specialized expertise in complex or high-value claims, tend to earn the highest salaries in the field. Adjusters working for large insurance companies or in regions with a high cost of living often have higher compensation, and certifications like the Chartered Property Casualty Underwriter (CPCU) can also lead to increased earnings.
What are popular job titles related to Insurance Claim Processor jobs in Virginia? For Insurance Claim Processor jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Insurance Claim Processor jobs in Virginia look for? The top searched job categories for Insurance Claim Processor jobs in Virginia are:
What cities in Virginia are hiring for Insurance Claim Processor jobs? Cities in Virginia with the most Insurance Claim Processor job openings:
Other
Posted 19 days ago
Job description
About Richmond Aesthetic Surgery
At Richmond Aesthetic Surgery and Dermlounge we enhance lives through personalized aesthetic and surgical care, delivering exceptional results with compassion and expertise. Our values of excellence, service, and respect reverberate through all we do! As the premier aesthetic surgery practice in Central Virginia, we are renowned for transformative results, exceptional patient experiences, and pioneering advancements in the field.
About the role:
As the Insurance Specialist you play a pivotal role as your expertise directly contributes to the success of our busy plastic surgery practice and ensures a positive financial experience for our patients. Your responsibilities include checking eligibility for our weight loss patients, obtaining authorizations for surgery and office visits, and sending claim forms through our clearinghouse. You are a proactive problem-solver and a key liaison between patients, our clinical team, and insurance carriers. Your day is dynamic: from meticulously understanding eligibility, securing pre-authorizations, to expertly navigating the complexities of claim submissions.
What you'll do:
At Richmond Aesthetic Surgery and Dermlounge we enhance lives through personalized aesthetic and surgical care, delivering exceptional results with compassion and expertise. Our values of excellence, service, and respect reverberate through all we do! As the premier aesthetic surgery practice in Central Virginia, we are renowned for transformative results, exceptional patient experiences, and pioneering advancements in the field.
About the role:
As the Insurance Specialist you play a pivotal role as your expertise directly contributes to the success of our busy plastic surgery practice and ensures a positive financial experience for our patients. Your responsibilities include checking eligibility for our weight loss patients, obtaining authorizations for surgery and office visits, and sending claim forms through our clearinghouse. You are a proactive problem-solver and a key liaison between patients, our clinical team, and insurance carriers. Your day is dynamic: from meticulously understanding eligibility, securing pre-authorizations, to expertly navigating the complexities of claim submissions.
What you'll do:
- Verify eligibility for services for our weight loss clinic patients.
- Ensure a smooth patient experience by meticulously verifying and submitting the pre-authorization requirements.
- Champion accurate and timely reimbursement by expertly preparing and submitting medical claims for specialized plastic surgery procedures and our weight loss clinic visits.
- Ensure all claims have been submitted and accepted by the clearinghouse.
- Serve as back up and partner to our accounts receivable and billing specialist.
- Empower patients by working alongside our Patient Care Insurance and Surgery Coordinator to clarify insurance coverage, financial responsibilities, and payment options.
- Stay at the forefront of your field by maintaining up-to-date knowledge of CPT, ICD-10, and HCPCS coding guidelines specific to plastic surgery.
- Navigate the evolving healthcare landscape by staying informed about changes in insurance regulations and payer policies, especially the No Surprises Act.
- Contribute to continuous improvement by generating and analyzing eligibility and claims reports to identify trends, resolve issues, and uncover opportunities for enhancement.
- Foster accuracy and compliance by collaborating with our clinical staff to ensure documentation robustly supports all billing.
- Uphold the highest ethical standards by maintaining strict confidentiality of all patient information.
- Deliver service excellence daily, meeting and exceeding the expectations of both our team members and our valued patients.
- Shape our operational success by contributing to and adhering to best practices in office and insurance administration.
- Embrace growth and teamwork by supporting organizational changes with a positive outlook, all while championing our core practice values of excellence, service, and respect.
- Be an integral team player by performing other administrative duties as assigned to support the overall success of the practice.
- High school diploma or equivalent is required. Associate's degree in medical billing, healthcare administration, or a related field preferred.
- Minimum of three years of experience as an insurance specialist with a demonstrated understanding of the in and out of network insurance eligibility and claim submission processes. A bachelor's degree may substitute for some experience.
- At least 1 year in a plastic surgery, dermatology, or similar surgical specialty practice is highly preferred.
- Proficiency with practice management software, electronic health records (EHR) systems, TriZetto and Availity or similar insurance clearinghouses . Experience using NexTech is preferred.
- Excellent written and verbal communication skills and strong attention to detail and accuracy are required.
- Strong problem-solving and analytical abilities are essential.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook) is required.
- Knowledge of HIPAA regulations is required.
- Be part of a renowned aesthetic surgery practice.
- Work alongside a team of dedicated professionals.
- Enjoy competitive compensation and benefits.
- Grow your career in a supportive environment.