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Insurance Claims Processing Jobs in Boca Raton, FL

ICBD

Claims Resolution Specialist

Fort Lauderdale, FL · On-site

With our proprietary billing process, EBS is the oil that brings life to the engines of its partner ... Maintain effective communication with third-party insurance carriers to resolve issues that impede ...

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ICBD

Claims Resolution Specialist

Deerfield Beach, FL

With our proprietary billing process, EBS is the oil that brings life to the engines of its partner ... Maintain effective communication with third-party insurance carriers to resolve issues that impede ...

Robert Half

Medical Billing & Collections

Lake Worth, FL · On-site

$21.85 - $25.30/hr

... and insurance claims processing. • Ability to interpret denials, investigate payment variances, and pursue resolution with payers effectively. • Experience handling medical appeals, claim ...

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All JobsInsurance Claims Processing JobsInsurance Claims Processing Jobs in Boca Raton, FL

Insurance Claims Processing information

See Boca Raton, FL salary details

$11

$21

$32

How much do insurance claims processing jobs pay per hour?

As of Jul 2, 2026, the average hourly pay for insurance claims processing in Boca Raton, FL is $21.20, according to ZipRecruiter salary data. Most workers in this role earn between $17.36 and $24.18 per hour, depending on experience, location, and employer.

Is claims processing a stressful job?

Insurance claims processing can be stressful due to tight deadlines, high workload, and the need for accuracy in evaluating claims. The role often requires strong attention to detail, communication skills, and the ability to handle difficult or emotional situations with claimants. However, workload and stress levels can vary depending on the employer and specific job environment.

What is insurance claims processing?

Insurance claims processing is the procedure by which insurance companies review, investigate, and settle claims made by policyholders. This process involves verifying the details of a claim, ensuring it meets the terms of the policy, and determining the appropriate payout or action. Claims processors handle documentation, communicate with claimants, and may work with other parties like adjusters or healthcare providers. The goal is to ensure claims are resolved efficiently, accurately, and fairly according to policy guidelines.

What are some common challenges faced in insurance claims processing, and how can new team members effectively manage them?

In insurance claims processing, new team members often encounter challenges such as handling high volumes of claims, interpreting complex policy language, and communicating effectively with policyholders and other stakeholders. To manage these challenges, it's important to develop strong organizational skills, stay detail-oriented, and proactively seek clarification when unsure about policy terms or procedures. Collaborating with experienced colleagues and taking advantage of ongoing training opportunities can also help new processors build confidence and efficiency in their daily tasks.

How to get a job as a claims adjuster with no experience?

To become a claims adjuster with no experience, focus on obtaining relevant certifications such as the Property and Casualty (P&C) license, which is often required. Gaining entry-level positions or internships in insurance companies can also help build industry knowledge and skills like communication and attention to detail, increasing your chances of starting a claims adjusting career.

What is the difference between Insurance Claims Processing vs Insurance Adjuster?

AspectInsurance Claims ProcessingInsurance Adjuster
CredentialsTypically requires a high school diploma or equivalent; certifications like CPCU or AIC are commonRequires a high school diploma; certifications like AIC or state licensing often needed
Work EnvironmentOffice-based, processing claims via computer systemsField and office work, inspecting damages and interviewing claimants
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Primary FocusReviewing and processing insurance claims efficientlyAssessing damages and determining claim validity and payout

While both roles are essential in the insurance industry, Insurance Claims Processing focuses on handling and managing claims paperwork, whereas Insurance Adjusters evaluate damages and determine claim settlements. Understanding these differences helps job seekers identify the right career path within the insurance sector.

What are the key skills and qualifications needed to thrive in Insurance Claims Processing, and why are they important?

To excel in Insurance Claims Processing, you need strong attention to detail, analytical abilities, and a foundational understanding of insurance policies or claims procedures, often supported by a high school diploma or associate degree. Familiarity with claims management software, databases, and sometimes industry certifications like AIC (Associate in Claims) is common. Effective communication, problem-solving skills, and the ability to manage stressful situations make someone stand out in this role. These competencies are critical for ensuring claims are processed accurately, efficiently, and in compliance with regulatory standards.

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.
What are popular job titles related to Insurance Claims Processing jobs in Boca Raton, FL? For Insurance Claims Processing jobs in Boca Raton, FL, the most frequently searched job titles are:
What job categories do people searching Insurance Claims Processing jobs in Boca Raton, FL look for? The top searched job categories for Insurance Claims Processing jobs in Boca Raton, FL are:
What cities near Boca Raton, FL are hiring for Insurance Claims Processing jobs? Cities near Boca Raton, FL with the most Insurance Claims Processing job openings:
Insurance Claims Processing jobs near you

Claims Resolution Specialist

ICBD

Fort Lauderdale, FL • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 23 days ago

Be an early applicant

Job description

Claims Resolution Specialist - Behavioral Health – Exact Billing Solutions (EBS)
Lauderdale Lakes, FL

Who We Are

Exact Billing Solutions is a unique team of revenue cycle management professionals specializing in the substance use disorder, mental health, and autism care fields of healthcare services. We have extensive industry knowledge, a deep understanding of the specific challenges of these markets, and a reputation for innovation. With our proprietary billing process, EBS is the oil that brings life to the engines of its partner healthcare companies.

EBS is poised for exponential growth, and we are building out our teams to support the expansion of global operations.

Part of the ICBD family office portfolio, Exact Billing Solutions combines entrepreneurial speed with the financial discipline of a self-funded, founder-led organization. Our growth reflects a proven ability to solve complex healthcare challenges with operational precision, scalable systems, and client-first innovation.

Our Origin Story

Exact Billing Solutions was launched to address one of healthcare’s most persistent challenges: the burden of billing and insurance administration on providers. With firsthand knowledge of how inefficiencies in revenue cycle management drain resources from patient care, our founder built a company dedicated to removing obstacles, accelerating cash flow, and delivering peace of mind to clients across specialties.

Recognition & Awards

Exact Billing Solutions contributes heavily to the success of the broader ICBD family office ecosystem and benefits from the recognition awarded to other portfolio companies, including:

  • Inc. 5000, 2024 – Top 5 Fastest-Growing Private Companies in America (ABA Centers of America)
  • EY Entrepreneur Of The Year® U.S. Overall
  • Florida Trend Magazine – 500 Most Influential Business Leaders

About the Role

Are you an experienced behavioral health collections professional ready to take your career to the next level with a growing, fast-moving company? You could be our Claims Resolution Specialist—Behavioral Health, responsible for effective communication and coordination with insurance companies and clients to obtain the maximum benefits for clients.

We work with multiple expanding clinic locations, so timely collections are critical to our operations. The work you will do can make a real difference in the lives of client families and kids by allowing our partners to open clinics where they are desperately needed.

Requirements

  • Review and manage assigned AR inventory to ensure timely follow-up on outstanding claims.
  • Investigate and resolve denials, rejections, and underpayments by working directly with payors, and internal teams.
  • Submit corrected claims, appeals, and additional documentation as required to secure reimbursement.
  • Document all collection activities clearly and accurately within our systems.
  • Monitor payor trends and escalate recurring issues to leadership.
  • Meet or exceed daily, weekly, and monthly productivity and quality standards.
  • Support special projects and process improvement initiatives as assigned.
  • Maintain effective communication with third-party insurance carriers to resolve issues that impede cash flow and detract from patient/member satisfaction
  • Monitor and create reports on key metrics such as cash collections, days outstanding, unbilled claims, denials, daily census, etc.
  • Status claims and add notes in the patient accounting system (CollaborateMD)
  • Escalate any payor or client claim issues to department leadership
  • Establish/maintain effective communications with the leadership team to ensure that all third-party guidelines are satisfied
  • Update patient demographics and insurance information as needed
  • Ability to meet KPI established metrics for productivity

Qualifications

  • Associate's degree (preferred)
  • Behavioral health out-of-network billing: 3 years of experience
  • Knowledge and experience with CollaborateMD EMR and billing software programs
  • Experience with ABA therapy preferred
  • Experience/knowledge with CPT and ICD10 codes preferred
  • Claims denial experience with follow up from payers including appeals

Benefits

  • 21 paid days off (15 days of PTO, which increases with tenure, plus 6 holidays). 
  • Flexible Spending Account (FSA) and Health Savings Account (HSA) options. 
  • Medical, dental, vision, long-term disability, and life insurance. 
  • Generous 401(k) with up to 6% employer match. 

Exact Billing Solutions (EBS) Culture

Integrity. Dependability. Attention to detail. All our team members exhibit these qualities when it comes to doing business. And when it comes to the business of supporting a team, as a company, we offer no less to our team members. We’re a fast-paced, growing company delivering services that allow our clients to spend more time helping people. At the end of the day, it’s people, not numbers, that drive our success.

Exact Billing Solutions participates in the U.S. Department of Homeland Security E-Verify program.