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Medical Claims Clearinghouse Jobs (NOW HIRING)

Health Admins

Director Claims Management

Austin, TX · Remote

... clearinghouse, cost containment, medical review, staffing, and related functions. Own vendor ... Analyze claims data to identify trends, issues, and opportunities, and implement data-driven ...

MMC Group

Reimbursement Counselor

San Bruno, CA · On-site

$19.50/hr

Creating letters of medical necessity * Drafting appeal letters * Collects and reviews all patient ... Communicates effectively to payors and/or claims clearinghouse to ensure accurate and timely ...

Deloitte

Epic Denials Management Operator

San Jose, CA · Remote

$21 - $28.25/hr

Experience working in claims clearinghouse systems * Familiarity with Epic Analytics and Reporting applications * Ability to travel 10%, on average, based on the work you do and the clients and ...

Deloitte

Epic Denials Management Operator

Sacramento, CA · Remote

$19.25 - $25.50/hr

Experience working in claims clearinghouse systems * Familiarity with Epic Analytics and Reporting applications * Ability to travel 10%, on average, based on the work you do and the clients and ...

Deloitte

Epic Denials Management Operator

Atlanta, GA · Remote

$17.25 - $23/hr

Experience working in claims clearinghouse systems * Familiarity with Epic Analytics and Reporting applications * Ability to travel 10%, on average, based on the work you do and the clients and ...

Deloitte

Epic Denials Management Operator

Detroit, MI · Remote

$17.75 - $23.75/hr

Experience working in claims clearinghouse systems * Familiarity with Epic Analytics and Reporting applications * Ability to travel 10%, on average, based on the work you do and the clients and ...

Deloitte

Epic Denials Management Operator

Jacksonville, FL · Remote

$16.75 - $22.25/hr

Experience working in claims clearinghouse systems * Familiarity with Epic Analytics and Reporting applications * Ability to travel 10%, on average, based on the work you do and the clients and ...

Deloitte

Epic Denials Management Operator

Boise, ID · Remote

$17.25 - $22.75/hr

Experience working in claims clearinghouse systems * Familiarity with Epic Analytics and Reporting applications * Ability to travel 10%, on average, based on the work you do and the clients and ...

Deloitte

Epic Denials Management Operator

Hartford, CT · Remote

$18.25 - $24.25/hr

Experience working in claims clearinghouse systems * Familiarity with Epic Analytics and Reporting applications * Ability to travel 10%, on average, based on the work you do and the clients and ...

Deloitte

Epic Denials Management Operator

Wichita, KS · Remote

$16 - $21.50/hr

Experience working in claims clearinghouse systems * Familiarity with Epic Analytics and Reporting applications * Ability to travel 10%, on average, based on the work you do and the clients and ...

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Medical Claims Clearinghouse information

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How much do medical claims clearinghouse jobs pay per hour?

As of Aug 25, 2026, the average hourly pay for medical claims clearinghouse in the United States is $22.21, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $24.52 per hour, depending on experience, location, and employer.

What is a medical claims clearinghouse?

A medical claims clearinghouse is a third-party organization that acts as an intermediary between healthcare providers and insurance payers. Its main function is to receive medical claims from providers, check them for errors, and then forward them to the appropriate insurance companies. This process helps streamline billing, reduce claim rejections, and improve payment turnaround times. Clearinghouses also provide electronic data interchange (EDI) services, making the claims submission process more efficient and accurate for healthcare organizations.

What are the key skills and qualifications needed to thrive as a medical claims clearinghouse specialist?

To thrive as a Medical Claims Clearinghouse Specialist, you need a solid understanding of medical billing, insurance processes, and healthcare regulations, often supported by relevant experience or certification in medical billing and coding. Familiarity with electronic claims submission systems, clearinghouse software, and HIPAA compliance tools is essential. Attention to detail, problem-solving abilities, and effective communication skills help specialists resolve claim discrepancies and collaborate with providers and payers. These skills ensure accurate, timely claims processing, reduced denials, and efficient revenue cycles for healthcare organizations.

What are some common challenges faced by professionals working in a medical claims clearinghouse, and how can they be addressed?

Professionals in a Medical Claims Clearinghouse often encounter challenges such as managing high volumes of claims, ensuring data accuracy, and staying up to date with frequent changes in insurance regulations. These challenges can be addressed by leveraging advanced claims processing software, participating in regular training sessions, and maintaining clear communication with healthcare providers and payers. Team collaboration and attention to detail are essential to ensure timely and accurate claims submissions and to resolve any discrepancies efficiently.

What is the difference between Medical Claims Clearinghouse vs Medical Billing Specialist?

AspectMedical Claims ClearinghouseMedical Billing Specialist
CredentialsNone required, but familiarity with healthcare IT systems helpsCertification (e.g., CPC) often preferred
Work EnvironmentTypically works with healthcare providers' billing departments and insurance companiesWorks directly with patient accounts, insurance claims, and billing processes
Industry UsageUsed by healthcare providers to submit claims efficientlyHandles the billing process from patient data to claim submission

In summary, a Medical Claims Clearinghouse acts as an intermediary that processes and transmits claims between providers and insurers, while a Medical Billing Specialist manages the entire billing process, including data entry, claim submission, and follow-up with payers.

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What states have the most Medical Claims Clearinghouse jobs?

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Medical Claims Clearinghouse jobs near you
Infographic showing various Medical Claims Clearinghouse job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 14% Part Time, and 6% Contract. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution, with an average salary of $46,198 per year, or $22.2 per hour.

Medical Claims Clearinghouse Specialist

Westerville, OH

Orthopedic One
Health Care and Social Assistance • 501 - 1,000 employees

6.8

Company rating: 6.8 out of 10

Based on 15 frontline employees who took The Breakroom Quiz

People enjoy working here

Respectful managers

Uninterrupted breaks

Learn more about Orthopedic Oneexternal

Full-time

Re-posted 11 days ago

Job description

  • POSITION SUMMARY
    • Responsible for the accurate entry of physician and ancillary charges into Claims Clearinghouse module.
  • RESPONSIBILITIES AND ACCOUNTABILITIES
    • Claims:
      • Submits provider claims to clearinghouse on a daily basis. 
      • Correct claims errors for clean claim submission on day of submission.
      • Communicate to Supervisors and other team members to assist in claim error correction.
      • Document the number of claims received and rejected on the daily claim’s submission log
      • Correspond to Supervisors to improve workflows to prevent claim errors.
      • Create reports with Supervisor to track trends within the Clearinghouse.
      • Keeps up on changes in medical billing and coding
      • Assist with special accounts receivable projects
    • Customer Service and Communications:
      • Communicates with patients, insurance carriers and other outside entities in a professional manner.  Identifies solutions and responds professionally to patient concerns, i.e., pleasant tone of voice, courteous language, etc.  Uses appropriate grammar and demonstrates tact and diplomacy in patient interactions, by phone and in person.
      • Diffuses negative situations with patients and maintains a pleasant and professional tone during stressful circumstances and heavy workload.
      • Communicates with staff members in a professional, pleasant manner; Shares information relevant to work, no gossiping or disparaging remarks, accepts work without complaint or provides reasons why assignment is unmanageable, asks and answers questions related to improving department performance.
  • TEAMWORK
    • Teamwork: 
      • Willingly provides coverage, volunteers assistance, and maintains workflows within department as needed without direct instruction/supervision.
      • Works cooperatively and refrains from participating in negative conversations.
      • Shares knowledge and insights with co-workers in a constructive manner.
      • Works to solve problems and address conflicts with appropriate person directly before involving leadership or uninvolved peers.
      • Is considerate of others in the work environment with regard to taking breaks or meal periods, use of computer and phone, noise level in the department, etc.
  • POLICIES AND PROCEDURES
    • Policies and Procedures
      • Knows and complies with policies and procedures as enumerated in the Orthopedic One Employee Handbook and policies and procedures documents.
      • Provides assistance and support to leadership in implementing policies and procedures as necessary.
      • Actively participates in training, and conducting day to day work activity by adhering to all policies and procedures as enumerated in compliance and risk management programs.
  • QUALIFICATIONS
    • Education, Experience, Certification and Licensure Requirements:
      • A high school diploma/GED required. A minimum of five years of previous medical billing experience preferred. Ideal candidate will have experience in managing claims through clearinghouse.
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