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Insurance Data Processing Jobs in Springfield, IL

CVS Health

Data Engineer

Springfield, IL · On-site

$64K - $173K/yr

Willingness to identify and implement process improvements, and best practices as well as ability ... Familiarity with healthcare data and healthcare insurance feeds is a plus Education * Bachelor ...

New

Cresco Labs

Processing Technician - 2nd Shift

Lincoln, IL · On-site

$18.75/hr

... data, skills, experience, and other relevant factors. For questions about this please discuss with ... insurance, a 401(K)-match program, FSA/HSA programs, LTD/STD options, life insurance and AD&D. We ...

Promoted2

Remote Insurance Agent

Springfield, IL · Remote

$60K - $110K/yr

Apply today to start your interview process this week and join one of the fastest-growing teams in ... with applicable data protection laws. (US only) 1099=independent contractor, not employee.

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Insurance Data Processing information

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$34

How much do insurance data processing jobs pay per hour?

As of Sep 15, 2026, the average hourly pay for insurance data processing in Springfield, IL is $20.09, according to ZipRecruiter salary data. Most workers in this role earn between $15.96 and $22.16 per hour, depending on experience, location, and employer.

What is insurance data processing?

Insurance Data Processing refers to the collection, entry, management, and analysis of data related to insurance policies, claims, customers, and transactions. Professionals in this field use specialized software and systems to ensure that insurance information is accurate, up-to-date, and secure. Their work supports the smooth operation of insurance companies by helping to process claims, issue policies, and generate reports for decision-making. Accuracy and attention to detail are crucial in this role due to the sensitive nature of insurance data.

What are the key skills and qualifications needed to thrive as an insurance data processing specialist?

To thrive as an Insurance Data Processing Specialist, you need strong attention to detail, proficiency in data entry, and a solid understanding of insurance terminology, typically supported by a high school diploma or relevant associate degree. Familiarity with insurance management software, claims processing systems, and database tools such as Microsoft Excel is commonly required. Excellent organizational skills, problem-solving abilities, and effective communication help you excel in managing large volumes of sensitive information. These skills ensure accuracy, minimize errors, and support efficient operations within insurance organizations.

What are some common challenges faced in an insurance data processing role and how can they be addressed?

One of the main challenges in Insurance Data Processing is managing large volumes of sensitive data accurately and efficiently, especially when dealing with tight deadlines and evolving regulatory requirements. Errors in data entry or processing can impact claims or policy management, making attention to detail and strong organizational skills essential. To address these challenges, many teams rely on robust data management software, regular training, and collaborative workflows to ensure accuracy and compliance. Proactively seeking feedback and staying updated on industry best practices can also help professionals excel in this role.

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

AspectInsurance Data ProcessingInsurance Claims Processing
Required CredentialsTypically high school diploma or equivalent; some roles may require certifications in data managementHigh school diploma or equivalent; often requires knowledge of claims procedures and insurance policies
Work EnvironmentOffice setting, working with databases and data entry systemsOffice environment, interacting with claim documents and insurance systems
Employer & Industry UsageInsurance companies, third-party administrators, data service providersInsurance companies, claims adjusters, third-party claims processors

Insurance Data Processing involves managing and organizing insurance-related data, focusing on data accuracy and database management. Insurance Claims Processing centers on evaluating and processing insurance claims submitted by policyholders, ensuring proper documentation and compliance. While both roles support insurance operations, Data Processing emphasizes data management, whereas Claims Processing focuses on claim evaluation and settlement.

What are popular job titles related to Insurance Data Processing jobs in Springfield, IL?

For Insurance Data Processing jobs in Springfield, IL, the most frequently searched job titles are:

What job categories do people searching Insurance Data Processing jobs in Springfield, IL look for?

The top searched job categories for Insurance Data Processing jobs in Springfield, IL are:

What cities near Springfield, IL are hiring for Insurance Data Processing jobs?

Cities near Springfield, IL with the most Insurance Data Processing job openings:

Insurance Data Processing jobs near you
Infographic showing various Insurance Data Processing job openings in Springfield, IL as of September 2026, with employment types broken down into 1% As Needed, 71% Full Time, 24% Part Time, and 4% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $41,778 per year, or $20.1 per hour.

Medical Insurance Specialist (Extra Help/Temporary) (5572)

Springfield, IL • On-site

SIU Medicine
See more jobs at SIU Medicineexternal

$17.75 - $23.75/hr

Other

Posted 4 days ago

Job description

Description

To help manage epic transition- including tasks such as claim corrections, Medicaid DDE entries, TES edits, and appeals - additional support is necessary to maintain operational efficiency, meet performance standards, and reduce the risk of errors or backlogs.

*This position is ON SITE only*

Examples of Duties
  • Analyze patient accounts to ensure insurance billing is accurate and complete.
  • Enter and verify patient demographic and insurance data in the practice management system (PMS).
  • Collect and confirm patient insurance eligibility using online tools, payer websites, and direct communication with insurance companies, guarantors, or patients.
  • Assist with patient refunds and handle patient account credits in accordance with policy.
  • Review and process basic insurance denials, including pulling related medical records and performing manual charge entry as needed.
  • Review Explanation of Benefits (EOBs) for accuracy and follow up on denied claims.
  • Document actions taken in billing systems and update relevant modules accordingly.
  • Review medical records and assign appropriate diagnosis and procedure codes using ICD-10-CM, CPT, and HCPCS coding systems.
  • Ensure proper use and assignment of evaluation and management (E/M) modifiers and procedure-specific modifiers.
  • Respond to inquiries from Patient Business Services (PBS) regarding claim corrections, including coding, service dates, place of service, and provider information.
  • Draft and submit appeal letters to insurance payers for reconsideration of denied claims based on coding or documentation review.
  • Self-Pay Credits (Credit Balance ETM)
  • Self- pay credits go well, we could add insurance credits (Credit Balance ETM)
  • Scanning Paper Documents in the office
  • Correspondence denial posting
  • Work no-activity claims views
  • Work claims in Medicaid DDE (direct data entry) system
  • Work eligibility denial views
  • Eligibility ETM
  • Ins follow up ETM
  • Patient Correspondence
  • CLS accounts (Bad Debt)
  • Self-set up payment plans-needing set up in IDX
  • Assist with gathering medical records
  • Manually create visits for patients in order to post charges
  • Work TES edits
Qualifications
  1. Any one or combination totaling two (2) years (24 months), from the categories below:
    1. College coursework in a health-related field, business administration/management, human resource management, or closely related fields, as measured by the following conversion table or its proportional equivalent:
      • 30 semester hours equals one (1) year (12 months)
      • Associate's Degree (60 semester hours) equals eighteen months (18 months)
      • 90 semester hours equals two (2) years (24 months)
    2. Work experience in a healthcare environment working independently with medical claims, denials, rejections, referrals, and prior authorizations.
Supplemental Information

If you require assistance, please contact the Office of Human Resources at hrrecruitment@siumed.edu or call 217-545-0223 Monday through Friday, 8:00am-4:30pm.

The mission of Southern Illinois University School of Medicine is to optimize the health of the people of central and southern Illinois through education, patient care, research and service to the community.

The SIU School of Medicine Annual Security Report is available online at https://www.siumed.edu/police-security. This report contains policy statements and crime statistics for Southern Illinois University School of Medicine in Springfield, IL. This report is published in compliance with Federal Law titled the "Jeanne Clery Disclosure of Campus Security Policy and Crime Statistics Act."

Southern Illinois University School of Medicine is an affirmative Action/Equal Opportunity employer who provides equal employment and educational opportunities for all qualified persons without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, protected veteran status or marital status in accordance with local, state and federal law.

Pre-employment background screenings required.

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