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Medical Insurance Claims Processor Jobs in Florida

Medix

Claims Processor

Tampa, FL · On-site

$24 - $30/hr

Expansive knowledge of medical terminology. * Computer skills in MS Word, Excel, PowerPoint ... Term Life Insurance Plan. Required Employment / Compliance Language Medix is an Equal Opportunity ...

Humana, Inc.

Claims Processing Professional

Miramar, FL · On-site

$53K - $72K/yr

Knowledge of healthcare claims processing practices and medical insurance terminology. * Work across multiple computer systems. * Prioritize multiple tasks and work independently. * Commitment to ...

Humana

Claims Processing Professional

Miramar, FL

$53K - $72K/yr

Knowledge of healthcare claims processing practices and medical insurance terminology. * Work across multiple computer systems. * Prioritize multiple tasks and work independently. * Commitment to ...

Humana

Claims Processing Professional

Miramar, FL · On-site

$53K - $72K/yr

Knowledge of healthcare claims processing practices and medical insurance terminology. * Work across multiple computer systems. * Prioritize multiple tasks and work independently. * Commitment to ...

Humana

Claims Processing Professional

Miramar, FL · On-site

$53K - $72K/yr

Knowledge of healthcare claims processing practices and medical insurance terminology. * Work across multiple computer systems. * Prioritize multiple tasks and work independently. * Commitment to ...

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Medical Insurance Claims Processor information

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How much do medical insurance claims processor jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for medical insurance claims processor in Florida is $15.72, according to ZipRecruiter salary data. Most workers in this role earn between $12.21 and $17.79 per hour, depending on experience, location, and employer.

What does a medical insurance claims processor do?

A Medical Insurance Claims Processor reviews and processes insurance claims submitted by healthcare providers or patients. They verify the accuracy of claim information, ensure services are covered by the patient’s insurance policy, and calculate the payment amounts. Claims processors also communicate with providers and policyholders to resolve discrepancies or request additional information when necessary. Their work helps ensure timely and accurate reimbursement for medical services.

What are the key skills and qualifications needed to thrive as a medical insurance claims processor?

To thrive as a Medical Insurance Claims Processor, you need a solid understanding of medical terminology, health insurance policies, and claims processing procedures, typically supported by a high school diploma or associate degree. Familiarity with claims management software, coding systems like ICD-10 and CPT, and electronic health record (EHR) platforms is essential. Attention to detail, analytical thinking, and strong communication skills help ensure accuracy and efficiency when handling sensitive information and resolving claim issues. These skills are crucial for minimizing errors, expediting claims resolution, and maintaining compliance with industry regulations.

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

Medical Insurance Claims Processors often encounter challenges such as navigating complex insurance policies, dealing with frequent policy changes, and communicating with both providers and patients to resolve discrepancies. Staying organized and detail-oriented is crucial, as missing documentation or incorrect coding can delay claim approvals. Regularly attending training sessions on insurance regulations and collaborating closely with billing teams can help manage these challenges and ensure accurate, timely claim processing.

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

AspectMedical Insurance Claims ProcessorMedical Billing Specialist
CredentialsHigh school diploma; certifications like CPC or CPC-HHigh school diploma; certifications like CPC or CPC-H
Work EnvironmentHealthcare offices, insurance companiesHealthcare offices, billing departments
Primary ResponsibilitiesReview and process insurance claims, ensure accuracyGenerate bills, follow up on payments, manage accounts

While both roles involve healthcare billing and insurance, Medical Insurance Claims Processors focus on reviewing and submitting insurance claims, ensuring they are correctly processed. Medical Billing Specialists handle the entire billing cycle, including generating invoices and managing payments. Both roles require similar certifications and often work in healthcare or insurance settings, but their core functions differ in scope and daily tasks.

How to become a medical insurance claims processor?

To become a medical insurance claims processor, typically one needs a high school diploma or equivalent, along with training in healthcare billing and coding. Many employers prefer candidates with knowledge of medical terminology, insurance policies, and experience with claims processing software; certifications such as Certified Professional Coder (CPC) can also enhance job prospects.

Is a medical insurance claims processor job in demand?

The demand for medical insurance claims processors remains steady due to ongoing healthcare industry needs and the increasing complexity of insurance claims. Employment in this field is expected to grow as healthcare providers and insurers seek skilled workers familiar with claims processing software and regulations. Certification and experience can enhance job prospects in this role.

What are popular job titles related to Medical Insurance Claims Processor jobs in Florida?

For Medical Insurance Claims Processor jobs in Florida, the most frequently searched job titles are:

What job categories do people searching Medical Insurance Claims Processor jobs in Florida look for?

The top searched job categories for Medical Insurance Claims Processor jobs in Florida are:

What are popular job titles related to Medical Insurance Claims Processor jobs in FL?

For Medical Insurance Claims Processor jobs in FL, the most frequently searched job titles are:

Medical Insurance Claims Processor jobs near you
Infographic showing various Medical Insurance Claims Processor job openings in Florida as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $32,704 per year, or $15.7 per hour.

Claims Processor

Medix

Tampa, FL • On-site

$24 - $30/hr

Full-time

Medical, Dental, Vision, Retirement

Re-posted 8 days ago

Job description

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.
Job Summary
The Claims Processor is responsible for reviewing and processing healthcare claims, including medical, dental, and vision, to ensure accuracy, completeness, and compliance with applicable plan provisions and organizational guidelines. This role involves evaluating claim information, determining eligibility and benefit coverage, maintaining processing quality standards, and meeting established productivity goals in a fast-paced environment.
Key Responsibilities
  • Review and process healthcare claims for accuracy, completeness, and eligibility.
  • Enter and update claim information within claims processing systems.
  • Analyze claim documentation and apply benefit provisions according to plan guidelines and established procedures.
  • Verify that all required information is complete and identify discrepancies or missing documentation as needed.
  • Maintain assigned claim inventory and prioritize workload to meet turnaround expectations and service standards.
  • Ensure compliance with applicable policies, procedures, and regulatory requirements.
  • Track daily work activity and complete required productivity or operational reporting.
  • Consistently meet quality, accuracy, productivity, and attendance expectations.
  • Adapt to changing priorities, workflow demands, and process improvements.
  • Demonstrate professionalism, sound judgment, and attention to detail while working under deadlines.
  • Support team objectives by assisting with special projects, cross-functional initiatives, and other duties as assigned.
  • Be available to work additional hours, including overtime, when business needs require.

Qualifications
  • 2-5 years claims processing in self-funded claims
  • Expansive knowledge of medical terminology.
  • Computer skills in MS Word, Excel, PowerPoint, & Outlook at the intermediate or higher level.
  • Associates degree preferred
  • WLT MediClaims experience preferred

Skills
  • Proficiency in MS Word, Excel, PowerPoint, & Outlook
  • Strong communication and teamwork skills

Additional Requirements
  • Remote position
  • Be available to work M-F, 9:00 am - 5:00 pm (East Coast Hours)

Benefits
  • Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
  • Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
  • 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
  • Short Term Disability Insurance.
  • Term Life Insurance Plan.

Required Employment / Compliance Language
Medix is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.
* We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
Medix Overview:
With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we're dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.
* As a job position within our Insurance division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing medical and confidential records, verifying financial information, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients
Medix Staffing Solutions logo

About Medix Staffing Solutions

Sourced by ZipRecruiter

Since 2001, we’ve been dedicated to helping you achieve your goals. Medix was created to become a leading provider of workforce solutions for clients and candidates across the healthcare and life sciences industries. Today, we are that leader. Headquartered in Chicago, we have 23 offices across the United States, and staff talent around the world. Medix is committed to fulfilling our core purpose as an organization: to positively impact the lives of our talent, clients, and teammates through employment, philanthropy, and opportunity. The combination of purpose and values has nurtured our thriving culture that encourages our internal team to excel at work and in everyday life.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Chicago, IL, US

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