Business system Analyst
Newark, NJ · On-site
Acts as a representative of IT to the Enterprise regarding Enterprise Initiatives. We need the ... ANSI 837 P - with COB/ADJ VA and medicare claim experience EDIFECS editing - SNIP levels 1-7 ...
Business system Analyst
Newark, NJ · On-site
Acts as a representative of IT to the Enterprise regarding Enterprise Initiatives. We need the ... ANSI 837 P - with COB/ADJ VA and medicare claim experience EDIFECS editing - SNIP levels 1-7 ...
LTC MEDICARE BILLING SPECIALIST (54121)
Dallas, TX · On-site
$19 - $25.75/hr
Verify insurance coverage as needed to confirm accurate claim submission. * Identify secondary and ... Work with representatives of insurance companies (including Medicare and Medicaid) to resolve ...
LTC MEDICARE BILLING SPECIALIST (54121)
Dallas, TX · On-site
$19 - $25.75/hr
Verify insurance coverage as needed to confirm accurate claim submission. * Identify secondary and ... Work with representatives of insurance companies (including Medicare and Medicaid) to resolve ...
Claims Rep II - GHA Redetermination Rep At Broadway Ventures, we transform challenges into ... Correspond with Medicare customers to clarify information for claim determination and explain claim ...
Claims Rep II - GHA Redetermination Rep At Broadway Ventures, we transform challenges into ... Correspond with Medicare customers to clarify information for claim determination and explain claim ...
Medicare Advantage Member Services Representative Reports To: Manager, MytruAdvantage Customer ... benefits, solving claim concerns, finding a doctor nearby or being their healthcare advocate
Medicare Advantage Member Services Representative Reports To: Manager, MytruAdvantage Customer ... benefits, solving claim concerns, finding a doctor nearby or being their healthcare advocate
Medicare Advantage Member Services Representative Reports To: Manager, MytruAdvantage Customer ... benefits, solving claim concerns, finding a doctor nearby or being their healthcare advocate
Medicare Advantage Member Services Representative Reports To: Manager, MytruAdvantage Customer ... benefits, solving claim concerns, finding a doctor nearby or being their healthcare advocate
Be Seen First
Medicare Advantage Member Services Representative (Columbus location) Reports To: Manager ... benefits, solving claim concerns, finding a doctor nearby or being their healthcare advocate
Quick apply
Be Seen First
Medicare Advantage Member Services Representative (Columbus location) Reports To: Manager ... benefits, solving claim concerns, finding a doctor nearby or being their healthcare advocate
Medicare Advantage Member Services Representative Reports To: Manager, MytruAdvantage Customer ... benefits, solving claim concerns, finding a doctor nearby or being their healthcare advocate
Medicare Advantage Member Services Representative Reports To: Manager, MytruAdvantage Customer ... benefits, solving claim concerns, finding a doctor nearby or being their healthcare advocate
Certified Medical Coder (Medicare)
Virginia Beach, VA · On-site
$58K - $78K/yr
They compare paid claim information against the provider's clinical documentation - verifying the ... representative of those that must be met by an employee to successfully perform the essential ...
Certified Medical Coder (Medicare)
Virginia Beach, VA · On-site
$58K - $78K/yr
They compare paid claim information against the provider's clinical documentation - verifying the ... representative of those that must be met by an employee to successfully perform the essential ...
Familiarity with Medicare Part D payment integrity requirements and self-funded/ASO pharmacy ... Represent Cotiviti at pharmacy related conferences, industry forums, and executive briefings
Familiarity with Medicare Part D payment integrity requirements and self-funded/ASO pharmacy ... Represent Cotiviti at pharmacy related conferences, industry forums, and executive briefings
Familiarity with Medicare Part D payment integrity requirements and self-funded/ASO pharmacy ... Represent Cotiviti at pharmacy related conferences, industry forums, and executive briefings
Familiarity with Medicare Part D payment integrity requirements and self-funded/ASO pharmacy ... Represent Cotiviti at pharmacy related conferences, industry forums, and executive briefings
Medicare D Billing Representative
Louisville, KY · Remote
$15.75 - $20.25/hr
The Medicare D Biller serves as a primary liaison for the Clinical Hub, maintaining proactive ... Familiar with the claim adjudication process * Develop a strong understanding of the insurance ...
Medicare D Billing Representative
Louisville, KY · Remote
$15.75 - $20.25/hr
The Medicare D Biller serves as a primary liaison for the Clinical Hub, maintaining proactive ... Familiar with the claim adjudication process * Develop a strong understanding of the insurance ...
Medicare D Billing Representative
Louisville, KY · On-site +1
$15.75 - $20.25/hr
The Medicare D Biller serves as a primary liaison for the Clinical Hub, maintaining proactive ... Familiar with the claim adjudication process * Develop a strong understanding of the insurance ...
Medicare D Billing Representative
Louisville, KY · On-site +1
$15.75 - $20.25/hr
The Medicare D Biller serves as a primary liaison for the Clinical Hub, maintaining proactive ... Familiar with the claim adjudication process * Develop a strong understanding of the insurance ...
Medicare D Billing Representative
Louisville, KY · On-site +1
$15.75 - $20.25/hr
The Medicare D Biller serves as a primary liaison for the Clinical Hub, maintaining proactive ... Familiar with the claim adjudication process * Develop a strong understanding of the insurance ...
Medicare D Billing Representative
Louisville, KY · On-site +1
$15.75 - $20.25/hr
The Medicare D Biller serves as a primary liaison for the Clinical Hub, maintaining proactive ... Familiar with the claim adjudication process * Develop a strong understanding of the insurance ...
Medicare D Billing Representative
Louisville, KY · Remote
$15.75 - $20.25/hr
The Medicare D Biller serves as a primary liaison for the Clinical Hub, maintaining proactive ... Familiar with the claim adjudication process * Develop a strong understanding of the insurance ...
Quick apply
Medicare D Billing Representative
Louisville, KY · Remote
$15.75 - $20.25/hr
The Medicare D Biller serves as a primary liaison for the Clinical Hub, maintaining proactive ... Familiar with the claim adjudication process * Develop a strong understanding of the insurance ...
Medicare Advantage Member Services Representative Reports To: Manager, MytruAdvantage Customer ... benefits, solving claim concerns, finding a doctor nearby or being their healthcare advocate
Quick apply
Medicare Advantage Member Services Representative Reports To: Manager, MytruAdvantage Customer ... benefits, solving claim concerns, finding a doctor nearby or being their healthcare advocate
Medicare Advantage Member Services Representative Reports To: Manager, MytruAdvantage Customer ... benefits, solving claim concerns, finding a doctor nearby or being their healthcare advocate
Quick apply
Medicare Advantage Member Services Representative Reports To: Manager, MytruAdvantage Customer ... benefits, solving claim concerns, finding a doctor nearby or being their healthcare advocate
Nursing Home Medicare Biller
Melville, NY · On-site
$24 - $27/hr
The actual posting represents a position at one of our clients. Job Summary Our client is seeking a ... Monitor claim status and resolve claim edits, clearinghouse rejections, denials, and underpayments.
Nursing Home Medicare Biller
Melville, NY · On-site
$24 - $27/hr
The actual posting represents a position at one of our clients. Job Summary Our client is seeking a ... Monitor claim status and resolve claim edits, clearinghouse rejections, denials, and underpayments.
Workers Compensation Claims Specialist, Sr
Pittsburgh, PA · On-site
$79K/yr
Represent WC Claim in on-site capabilities meetings to onboard new policyholders in Western and/or ... Knowledge of and/or experience working with liens and Medicare Set-Asides to secure full and final ...
Workers Compensation Claims Specialist, Sr
Pittsburgh, PA · On-site
$79K/yr
Represent WC Claim in on-site capabilities meetings to onboard new policyholders in Western and/or ... Knowledge of and/or experience working with liens and Medicare Set-Asides to secure full and final ...
Sr. Workers Compensation Claims Specialist
Parsippany, NJ · On-site +1
$81K - $94K/yr
Represent WC Claim in on-site capabilities meetings to onboard new policyholders in CT ... Knowledge of and/or experience working with liens and Medicare Set-Asides to secure full and final ...
Sr. Workers Compensation Claims Specialist
Parsippany, NJ · On-site +1
$81K - $94K/yr
Represent WC Claim in on-site capabilities meetings to onboard new policyholders in CT ... Knowledge of and/or experience working with liens and Medicare Set-Asides to secure full and final ...
Workers Compensation Claims Specialist, Sr
Pittsburgh, PA · On-site +1
$79K/yr
Represent WC Claim in on-site capabilities meetings to onboard new policyholders in Western and/or ... Knowledge of and/or experience working with liens and Medicare Set-Asides to secure full and final ...
Workers Compensation Claims Specialist, Sr
Pittsburgh, PA · On-site +1
$79K/yr
Represent WC Claim in on-site capabilities meetings to onboard new policyholders in Western and/or ... Knowledge of and/or experience working with liens and Medicare Set-Asides to secure full and final ...
Medicare Claim Representative information
See salary details
$12.02 - $13.61
4% of jobs
$13.61 - $15.21
7% of jobs
$15.21 - $16.81
13% of jobs
$16.84 is the 25th percentile. Wages below this are outliers.
$16.81 - $18.40
26% of jobs
$18.40 - $20
22% of jobs
$20.57 is the 75th percentile. Wages above this are outliers.
$20 - $21.59
7% of jobs
$21.59 - $23.19
4% of jobs
$23.19 - $24.78
9% of jobs
$24.78 - $26.38
3% of jobs
$26.38 - $27.97
2% of jobs
$27.97 - $29.57
2% of jobs
$12
$19
$29
How much do medicare claim representative jobs pay per hour?
As of Sep 12, 2026, the average hourly pay for medicare claim representative in the United States is $19.85, according to ZipRecruiter salary data. Most workers in this role earn between $16.83 and $21.63 per hour, depending on experience, location, and employer.
What are popular job titles related to Medicare Claim Representative jobs?
For Medicare Claim Representative jobs, the most frequently searched job titles are:
Business system Analyst
Newark, NJ • On-site
Integrated Resources INC
• Recruiting and Staffing Services • 51 - 200 employees51 - 200 employees
Full-time
Medical, Life
Re-posted 19 days ago
Job description
Company Description
At Mindlance, we strive to deliver value through the combination of right people, processes, technologies and program management solutions. Our methods include- applying domain expertise in specific industry segments, utilizing a highly-skilled workforce, leveraging a proven global delivery model, implementing structured and scalable quality processes and methodologies and yet, staying cost-effective
All in all, our expertise lies in providing trained and committed minds to help meet your business objectives, irrespective of the stage your business is in.
Job Description
Position: Business System Analyst Level 3
Location: Newark NJ
Duration: 6 Months
Direct client: Immediate interview
This position has oversight for the analysis and translation of business needs into business/technical requirements. Leads teams and other resources to ensure alignment of technical solutions with business requirements for complex issues (quantity and magnitude). Acts as a representative of IT to the Enterprise regarding Enterprise Initiatives.
We need the following Specific Skill Sets:
The person we would be interested in would need to have experience working with:
ANSI 837 P - with COB/ADJ VA and medicare claim experience
EDIFECS editing - SNIP levels 1-7
Interpretation of the 999; 277 and TA1 transactions
Communication skills - to be able to communicate with our trading partner community
ICD10 industry knowledge
Familiar with TextPad and/or Ultraedit editors
Leads and owns the analysis of complex issues and Coordinates the documentation of Business needs
Oversees the creation of technical documents and high level solution designs
Oversees the development, testing and implementation of system specifications.
Recommends best practices for delivering Business solutions
Acts as Subject Matter Expert in systems and technologies
Education:
Bachelor's Degree required (equivalent work experience may be considered)
Work Experience:
8+ years of related IT work experience preferably in the health insurance industry
Demonstrated experience in a key lead role in major company initiatives and demonstrated leadership experience
Special Licensing or certifications:
Professional Certification preferred
Knowledge:
Requires knowledge of system development life cycle and implementation methodologies
Requires strong ability to apply structure to loosely defined complex problems
Demonstrates understanding of core business functions
Skills:
Requires skillful project execution experience and knowledge
Requires excellent verbal and written communication skills
Requires knowledge of programming, development, and technical architecture
Additional Information
Nagesh
Sr.Technical Recruiter
Integrated Resources, Inc.
IT Life Sciences Allied Healthcare CRO
Certified MBE |GSA - Schedule 66 I GSA - Schedule 621I
DIRECT # - 732 - 429 -1641 | (W) # 732-549-2030 - Ext - 305 | (F) 732-549-5549
Gold Seal JCAHO Certified for Health Care Staffing
"INC 5000's FASTEST GROWING, PRIVATELY HELD COMPANIES" (8th Year in a Row)
About Integrated Resources
Sourced by ZipRecruiter
Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.
Industry
Recruiting and staffing services
Company size
51 - 200 Employees
Headquarters location
Edison, NJ, US
Year founded
1996