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Insurance Payment Processor Jobs in Rosharon, TX

PFS Group

Remote Insurance Rep

Houston, TX · On-site +1

$53K - $67K/yr

Monitors accounts for updates on claims processing, taking care to resolve balances with single ... Interpret payment variances and payer guidelines to monitor for underpayment opportunities

Gunvor

Insurance Manager

Houston, TX

... payments. * Review service and competitiveness: obtain annual stewardship reports from brokers ... Train and raise awareness: educate staff on key insurance program features and claims processes ...

Gunvor

Insurance Manager

Houston, TX · On-site

... payments. * Review service and competitiveness: obtain annual stewardship reports from brokers ... Train and raise awareness: educate staff on key insurance program features and claims processes ...

Oshi Health

Accounts Receivable Specialist

Houston, TX · Remote

$19.25 - $25.50/hr

Knowledge of medical billing, insurance claims processing, and payer reimbursement. * Experience resolving claim denials, underpayments, and payment discrepancies. * Experience posting payments and ...

Ray Rosales Agency

Insurance Sales Agent

Richmond, TX · On-site

$30K - $80K/yr

Process customer policy change requests. * Immediately greet all customers, entering the office, in ... Take premium payments from customers. * Ask each customer for referrals and explain our referral ...

Ray Rosales Agency

Insurance Sales Agent

Richmond, TX

$30K - $80K/yr

Process customer policy change requests. * Immediately greet all customers, entering the office, in ... Take premium payments from customers. * Ask each customer for referrals and explain our referral ...

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All JobsInsurance Payment Processor JobsInsurance Payment Processor Jobs in Rosharon, TX

Insurance Payment Processor information

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How much do insurance payment processor jobs pay per hour?

As of Jul 14, 2026, the average hourly pay for insurance payment processor in Rosharon, TX is $16.10, according to ZipRecruiter salary data. Most workers in this role earn between $13.75 and $17.64 per hour, depending on experience, location, and employer.

What is the highest paying position in insurance?

In the insurance industry, executive roles such as Chief Underwriting Officer, Chief Risk Officer, or Chief Executive Officer tend to be the highest paying positions. These roles require extensive experience, leadership skills, and often advanced certifications, and they oversee strategic decision-making and company performance.

How to become an insurance processor?

To become an insurance payment processor, candidates typically need a high school diploma or equivalent, along with strong attention to detail and familiarity with insurance billing and coding systems. Relevant skills include data entry, knowledge of insurance policies, and proficiency with computer software such as Excel or specialized processing tools. Some employers may require certification or training in insurance billing or claims processing.

What does an insurance processor do?

An insurance payment processor reviews and verifies insurance claims, ensuring accuracy and compliance with policies. They input data into processing systems, communicate with healthcare providers or clients, and may use tools like claims management software to facilitate timely payments.

What is the difference between Insurance Payment Processor vs Insurance Claims Adjuster?

AspectInsurance Payment ProcessorInsurance Claims Adjuster
CredentialsBasic insurance or payment processing certificationsState licensing, adjuster certifications
Work EnvironmentOffice, call centers, online platformsOn-site inspections, fieldwork, office
Employer & IndustryInsurance companies, third-party payment firmsInsurance carriers, independent agencies
Primary FocusProcessing payments, verifying billing infoAssessing claims, determining coverage & payouts

While both roles operate within the insurance industry, Insurance Payment Processors focus on handling payments and billing, whereas Insurance Claims Adjusters evaluate claims to determine coverage and settlement amounts. Understanding these differences helps job seekers identify the right career path based on their skills and interests.

What does an Insurance Payment Processor do?

An Insurance Payment Processor is responsible for handling, verifying, and processing payments related to insurance claims or premiums. They review payment information, ensure that transactions are accurate, and update records accordingly. Their work helps ensure that policyholders and providers receive payments on time and that financial records are properly maintained. They may also communicate with clients, insurance agents, and financial institutions to resolve payment issues.

Is claims processing a stressful job?

Claims processing for an insurance payment processor can be stressful due to tight deadlines, high accuracy requirements, and the need to handle complex or disputed claims. The role often involves attention to detail, familiarity with insurance policies, and sometimes working under pressure to ensure timely payments.

What are the key skills and qualifications needed to thrive as an Insurance Payment Processor, and why are they important?

To thrive as an Insurance Payment Processor, you need strong mathematical skills, attention to detail, and a solid understanding of insurance billing and claims processes, often supported by a high school diploma or equivalent. Familiarity with claims management software, accounting systems, and electronic payment platforms is typically required. Excellent organizational abilities, problem-solving skills, and clear communication help individuals excel in this role. These skills and qualities ensure accurate payment processing, minimize errors, and support efficient financial operations within insurance organizations.

What are some common challenges faced by Insurance Payment Processors, and how can they be managed?

Insurance Payment Processors often encounter challenges such as handling high volumes of transactions, resolving discrepancies between payments and claims, and keeping up with frequently changing billing codes and regulations. Maintaining strong attention to detail and effective time management can help manage these demands. Additionally, collaborating closely with billing specialists and insurance representatives is crucial for resolving issues quickly and ensuring smooth workflow within the team.
What job categories do people searching Insurance Payment Processor jobs in Rosharon, TX look for? The top searched job categories for Insurance Payment Processor jobs in Rosharon, TX are:
What cities near Rosharon, TX are hiring for Insurance Payment Processor jobs? Cities near Rosharon, TX with the most Insurance Payment Processor job openings:
Insurance Payment Processor jobs near you
Remote Insurance Rep

Remote Insurance Rep

PFS Group

Houston, TX • On-site, Remote

$53K - $67K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted 6 days ago

Job description

Job Purpose:
The Insurance Representative at PFS Group, under the supervision of the Insurance Supervisor, manages insurance claims to ensure timely and accurate reimbursement. The role involves researching unpaid balances, correcting billing issues, submitting appeals, and communicating with insurers, patients, and internal teams to resolve discrepancies. Strong knowledge of insurance guidelines, billing systems, and effective accounts receivable management is essential, with responsibility for managing assigned inventories based on client needs.
Key Responsibilities:
  • Initiates contact with insurance payers to collect contracted rates on outstanding claims
  • Reviews, monitors and effectively reduces aged inventory
  • Successfully identifies root causes for denials or non-payment, prioritizing collection metrics in all work efforts
  • Ensures timely filing deadlines are achieved according to payer guidelines
  • Monitors accounts for updates on claims processing, taking care to resolve balances with single interventions whenever possible
  • Request appropriate claim corrections and rebill as needed
  • Informs supervisor of trends noticed when working insurance inventory
  • Interpret payment variances and payer guidelines to monitor for underpayment opportunities
  • Contacts guarantors as needed to resolve coverage discrepancies
  • Corrects adjustments as needed to ensure balances are accurately documented

Education and Experience:
  • High school diploma or equivalent is required
  • At least one year experience in revenue cycle, with emphasis on Insurance Follow-Up, Denials, Billing, or Cash Posting
  • Experience with EPIC HB or PB Resolute

Required Skills and Abilities:
  • Strong understanding of insurance policies, coverage, claims processes, and reimbursement, with the ability to research payer billing policies and medical bulletins to accurately troubleshoot denials and unpaid balances
  • Excellent communication skills, both verbal and written, with the ability to explain complex information clearly
  • Proficient in using insurance-related software and Microsoft Office Suite, including Word, Excel, and Outlook
  • Strong analytical and problem-solving skills, with attention to detail
  • Ability to work independently and manage time effectively in a fast-paced environment

PFS Group
Nationwide Patient Account Management Firm.
Based in Houston, Texas, we currently work with 32+ clients who operate more than 100 hospital facilities from small, rural community medical centers to metro population center health systems. Leaders in their respective markets and nationwide, our clients rely on our services to support their accounts receivable departments.
PFS Group offers a friendly, caring work environment, with competitive benefits and compensation, (medical, dental, vision, short and long-term disability, life insurance, hospital indemnity, critical illness, accident insurance and a matching 401(k) and Zayzoon!
If you are looking for a position in a dynamic, fast-paced organization with career growth opportunities, come grow with us! www.pfsgroup.org

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