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Medical Insurance Claims Jobs (NOW HIRING)

Diedre Moire Corp.

Insurance Claims Environmental

Lee, NH · On-site +1

$110K - $160K/yr

Benefits include bonuses, stock options, 401(k), Major Med, Prescription, and more. We are prepared ... Insurance Claims Specialist Adjuster Examiner Analyst Attorney Environmental Toxic Tort Asbestos ...

SynergisticIT

Life Insurance Claims Specialist

$40 - $45/hr

Medical Information Bureau may request member firms to validate prior medical condition reports made on individual life insurance applicants. * Business Process: Claims and reinstatement inquiries ...

Bard Optical

Medical Insurance Biller

Peoria, IL

$16/hr

BARD OPTICAL Medical Insurance Biller How Will You Fit? Consider a career with Bard Optical, if you ... Completion of claims to payers in a timely fashion * Submit billing data to insurance providers

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How much do medical insurance claims jobs pay per hour?

As of Jun 14, 2026, the average hourly pay for medical insurance claims in the United States is $20.97, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $23.08 per hour, depending on experience, location, and employer.

What health insurance jobs pay the most?

Senior roles in medical insurance claims, such as Claims Director or Claims Manager, tend to have the highest salaries, often exceeding $100,000 annually. These positions require extensive experience, strong knowledge of insurance policies, and leadership skills, and they often involve overseeing claims processing teams and ensuring compliance with regulations.

How do I become a medical claims adjuster?

To become a medical claims adjuster, you typically need a high school diploma or equivalent, and some states require a license which involves completing pre-licensing courses and passing an exam. Relevant skills include attention to detail, knowledge of insurance policies, and familiarity with medical terminology; some employers prefer candidates with a bachelor's degree or experience in healthcare or insurance. Continuing education and certifications, such as the Certified Professional Coder (CPC), can enhance job prospects.

Which health insurance company pays the most claims?

In the context of medical insurance claims processing, large health insurance companies such as UnitedHealthcare, Anthem, and Cigna are known for handling high volumes of claims. The amount paid out varies based on policy coverage, claim complexity, and provider networks, but these companies are among the top in claim payments due to their extensive customer bases and coverage options.

What are the key skills and qualifications needed to thrive in the Medical Insurance Claims position, and why are they important?

To thrive in Medical Insurance Claims, a strong understanding of healthcare billing, insurance policies, and claims processing procedures is essential, typically supported by a diploma or relevant experience in medical administration. Familiarity with claims management software, medical coding systems (such as ICD-10 and CPT), and knowledge of HIPAA regulations is commonly required. Attention to detail, problem-solving skills, and effective written and verbal communication help individuals excel in this role. These competencies ensure timely, accurate claims processing and positive working relationships with providers, insurers, and patients.

What is a Medical Insurance Claims job?

A Medical Insurance Claims job involves processing and reviewing insurance claims submitted by healthcare providers or patients. Professionals in this role assess claims for accuracy, verify patient coverage, and determine the amount payable by the insurance company. They may also communicate with healthcare providers, policyholders, and adjusters to resolve discrepancies and ensure proper claim adjudication. Strong attention to detail and knowledge of medical billing codes and insurance policies are essential for success in this field.

What are the typical daily responsibilities of someone working in Medical Insurance Claims?

Professionals in Medical Insurance Claims are responsible for reviewing and processing insurance claims submitted by healthcare providers or patients, verifying the accuracy of billing information, and ensuring compliance with policy guidelines. They regularly communicate with insurance companies, medical offices, and occasionally patients to resolve discrepancies or request additional information. The role involves considerable attention to documentation, data entry, and adhering to deadlines to expedite claim decisions. Teamwork is often essential, as collaboration with billing specialists and other administrative staff helps streamline claim resolution and maintain efficient workflow.

What is the highest paid job in insurance?

In insurance, executive roles such as Chief Underwriting Officer or Chief Risk Officer tend to be the highest paid, often earning six-figure salaries plus bonuses. These positions require extensive experience, leadership skills, and industry knowledge, and they oversee large teams and strategic decision-making within insurance companies.
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Medical Insurance Claims jobs near you

Medical Insurance Collections Specialist

Nuview Telehealth

Boca Raton, FL • On-site

$17.25 - $21.50/hr

Full-time

Medical, PTO

Posted 13 days ago

Job description

Description:

Location: On-Site Boca Raton, FL
We are seeking an experienced Medical Insurance Collections Specialist to join our healthcare team. The ideal candidate will have strong knowledge of medical billing and insurance collections. This role is responsible for resolving outstanding insurance claims, following up on unpaid balances, and ensuring timely reimbursement from insurance carriers.


Responsibilities

  • Follow up on unpaid or denied medical insurance claims
  • Review and resolve claim rejections, denials, and underpayments
  • Communicate with insurance companies regarding claim status and appeals
  • Work aging reports and maintain collection goals
  • Verify patient insurance eligibility and benefits
  • Collaborate with billing, coding, and clinical staff to resolve account issues
  • Maintain compliance with HIPAA and payer regulations
  • Utilize telehealth billing knowledge to ensure proper claim submission and reimbursement
  • Work within eClinicalWorks for account review, documentation, and claim management
Requirements:

Qualifications

  • Minimum 2 years of medical insurance collections experience
  • Knowledge of CPT, ICD-10, and insurance guidelines
  • Familiarity with Medicare, Medicaid, and commercial payers
  • Strong attention to detail and problem-solving skills
  • Excellent communication and organizational abilities
  • Ability to work independently and meet productivity goals

Benefits

  • Competitive salary
  • Paid time off and holidays
  • Health insurance benefits
  • Supportive team environment

To Apply:
Please submit your resume and a brief summary of your medical collections and telehealth experience.


Apply