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Medical Claims Processor Jobs in Florida (NOW HIRING)

Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories ... Minimum 2 year medical claims processing experience Knowledge of health benefit plans and health ...

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Claims Processor

Miami, FL · On-site

$24 - $27/hr

The Claims Processor is responsible for the accurate and timely processing, submission, monitoring, and follow-up of healthcare claims to Medicare, Medicaid, and other third-party payers. This ...

As a Claims Examiner, you will be responsible for accurately reviewing, investigating, and processing medical claims and provider dispute requests in accordance with payer guidelines, contractual ...

As a Claims Examiner, you will be responsible for accurately reviewing, investigating, and processing medical claims and provider dispute requests in accordance with payer guidelines, contractual ...

Experience processing medical, home health, or managed care claims. * Knowledge of CPT, ICD-10, and HCPCS coding. * Experience working with provider contracts, authorizations, or eligibility ...

Experience processing medical, home health, or managed care claims. * Knowledge of CPT, ICD-10, and HCPCS coding. * Experience working with provider contracts, authorizations, or eligibility ...

Experience processing medical, home health, or managed care claims. * Knowledge of CPT, ICD-10, and HCPCS coding. * Experience working with provider contracts, authorizations, or eligibility ...

Experience processing medical, home health, or managed care claims. * Knowledge of CPT, ICD-10, and HCPCS coding. * Experience working with provider contracts, authorizations, or eligibility ...

Claims Examiners are responsible for timely processing and/or adjudicating medical claims according to the insurance policy provisions * Read and interpret insurance policy language and adjudicate ...

Claims Examiners are responsible for timely processing and/or adjudicating medical claims according to the insurance policy provisions * Read and interpret insurance policy language and adjudicate ...

From assisting with emergency medical claims to guiding customers through trip disruptions or ID ... Process all claims assigned in a timely, efficient, and accurate manner ensuring that all ...

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Medical Claims Processor information

See Florida salary details

$10

$14

$19

How much do medical claims processor jobs pay per hour?

As of Aug 25, 2026, the average hourly pay for medical claims processor in Florida is $14.55, according to ZipRecruiter salary data. Most workers in this role earn between $12.93 and $16.15 per hour, depending on experience, location, and employer.

What is a medical claims processor?

Medical claims processors work for a health care office or insurance company. Their job is to check medical insurance claims for proper billing codes, update the doctor or insurer about changes to the claim, and clarify concerns about patient benefits. It is essential that the billing codes match the medical services provided. As a medical claims processor, you also follow up with the insurer to discuss discrepancies and find out the status of claims. Current procedural terminology (CPT) and data entry are central parts of a medical claims processor’s job, as they often use Microsoft Office applications or a secure database to enter billing codes for services rendered.

What does a medical claims processor do?

A Medical Claims Processor is responsible for reviewing, evaluating, and processing health insurance claims submitted by policyholders or healthcare providers. Their main tasks include verifying patient and insurance information, examining medical codes, ensuring compliance with insurance policies, and determining the amount payable for each claim. They play a crucial role in making sure that claims are handled efficiently and accurately, helping both providers and patients navigate insurance benefits. Attention to detail, knowledge of medical terminology, and understanding insurance guidelines are essential skills for this role.

What are the key skills and qualifications needed to thrive as a medical claims processor, and why are they important?

To thrive as a Medical Claims Processor, you need a solid understanding of medical terminology, health insurance policies, and claims adjudication processes, often supported by a high school diploma or associate degree. Proficiency with claims management software, ICD and CPT coding systems, and electronic health record systems is typically required. Attention to detail, organizational skills, and the ability to communicate clearly with providers and patients are essential soft skills. These competencies ensure accurate claim processing, minimize errors, and help maintain efficient workflow within healthcare administration.

What are some common challenges faced by medical claims processors, and how can they be managed?

Medical Claims Processors often encounter challenges such as handling complex insurance policies, keeping up with changing regulations, and resolving claim discrepancies. To manage these issues, strong attention to detail, continuous learning, and effective communication with providers and insurance representatives are essential. Many processors also rely on updated software and regular training to stay current with industry standards and maintain accuracy in claim adjudication.

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

AspectMedical Claims ProcessorMedical Billing Specialist
CredentialsHigh school diploma; certification optionalHigh school diploma; certification often preferred
Work EnvironmentHealthcare offices, insurance companiesMedical offices, billing companies
Primary FocusReviewing and processing insurance claimsCreating and sending bills to patients and insurers
Common TasksVerifying claim accuracy, data entryCoding procedures, invoicing patients

While both roles involve handling healthcare financial data, Medical Claims Processors focus on reviewing and submitting insurance claims, whereas Medical Billing Specialists handle invoicing and billing patients. Both roles require attention to detail and knowledge of healthcare billing processes, but their daily tasks and focus areas differ.

Do you need a degree to be a medical claims processor?

A degree is not typically required to become a medical claims processor, but employers often prefer candidates with a high school diploma or equivalent. Relevant skills include knowledge of medical billing, coding, and claims processing software, and some positions may offer on-the-job training or certification programs.

What are the most commonly searched types of Medical Claims Processor jobs in Florida?

The most popular types of Medical Claims Processor jobs in Florida are:

What cities in Florida are hiring for Medical Claims Processor jobs?

Cities in Florida with the most Medical Claims Processor job openings:

Infographic showing various Medical Claims Processor job openings in Florida as of August 2026, with employment types broken down into 68% Full Time, 16% Temporary, and 16% Contract. Highlights an 68% In-person, 16% Hybrid, and 16% Remote job distribution, with an average salary of $30,260 per year, or $14.5 per hour.

$14 - $17/hr

Full-time

Medical, Dental, Vision

Re-posted 6 days ago


Job description

Company Description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Minimum 2 year medical claims processing experience

Knowledge of health benefit plans and health benefit terminology

Knowledge of medical terminology

Understand CPT, IDC9 and HCPCS coding

Experience with dental and vision claims preferred, but not necessary

Ability to utilize a claims processing system (Aldera)

Ability to read an Explanation of Benefit and apply Coordination of Benefits

Proficiency in Microsoft Excel and Word

Good communication skills, both written and oral


Qualifications

Working knowledge of CPT-4, ICD-9 & medical terminology required. (Dental & Vision highly preferred!)

Working knowledge of commercial insurance primary & secondary payors.

Strong data entry skills.  

Additional Information

Hours:

Monday - Friday 8:30am to 5:00pm


Compensation:

$14-$17/hr.


Start Date:

ASAP


Interested in being considered? 

If you are interested in applying to this position, please contact Tyler Adler  and click the Green I'm Interested Button to email your resume. 



Healthcare Support logo

About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

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