This position is responsible for processing and adjusting medical claims, researching claim issues, determining Coordination of Benefits (COB), recovering overpayments, and ensuring claims are ...
This position is responsible for processing and adjusting medical claims, researching claim issues, determining Coordination of Benefits (COB), recovering overpayments, and ensuring claims are ...
May process low-level lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.
May process low-level lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.
May process low-level lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.
May process low-level lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.
May process low-level lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.
May process low-level lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.
May process low-level lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.
May process low-level lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.
Billing Specialist
Baton Rouge, LA · On-site
$16.75 - $22.50/hr
Requires at least 2 years in working medical billing claims. Responsibilities * Process and manage medical billing for various payers (Medicare, Commercial and Medicaid). * Resolving outstanding ...
Billing Specialist
Baton Rouge, LA · On-site
$16.75 - $22.50/hr
Requires at least 2 years in working medical billing claims. Responsibilities * Process and manage medical billing for various payers (Medicare, Commercial and Medicaid). * Resolving outstanding ...
Manages an inventory of claims to evaluate compensability/liability. * Conducts claim ... process. Learn more at *Excludes seasonal employees and interns.
Manages an inventory of claims to evaluate compensability/liability. * Conducts claim ... process. Learn more at *Excludes seasonal employees and interns.
Manages an inventory of claims to evaluate compensability/liability. * Conducts claim ... process. Learn more at *Excludes seasonal employees and interns.
Manages an inventory of claims to evaluate compensability/liability. * Conducts claim ... process. Learn more at *Excludes seasonal employees and interns.
Manages an inventory of claims to evaluate compensability/liability. * Conducts claim ... process. Learn more at *Excludes seasonal employees and interns.
Manages an inventory of claims to evaluate compensability/liability. * Conducts claim ... process. Learn more at *Excludes seasonal employees and interns.
Manages an inventory of claims to evaluate compensability/liability. * Conducts claim ... process. Learn more at *Excludes seasonal employees and interns.
Manages an inventory of claims to evaluate compensability/liability. * Conducts claim ... process. Learn more at *Excludes seasonal employees and interns.
Manages an inventory of claims to evaluate compensability/liability. * Conducts claim ... process. Learn more at *Excludes seasonal employees and interns.
New
Manages an inventory of claims to evaluate compensability/liability. * Conducts claim ... process. Learn more at *Excludes seasonal employees and interns.
New
Manages an inventory of claims to evaluate compensability/liability. * Conducts claim ... process. Learn more at *Excludes seasonal employees and interns.
Manages an inventory of claims to evaluate compensability/liability. * Conducts claim ... process. Learn more at *Excludes seasonal employees and interns.
Medical Biller
Baton Rouge, LA · Remote
$16 - $20.50/hr
The Medical Biller will be responsible for completing complex Medicare and Medicaid claims to ... guidelines, and claims processing * Knowledge of ICD-10, CPT, HCPCS codes, and claim form ...
Medical Biller
Baton Rouge, LA · Remote
$16 - $20.50/hr
The Medical Biller will be responsible for completing complex Medicare and Medicaid claims to ... guidelines, and claims processing * Knowledge of ICD-10, CPT, HCPCS codes, and claim form ...
Associate VB Claims Specialist
Baton Rouge, LA · Remote
$25/hr
... medical documentation, when appropriate. * Ensure a timely and well communicated transfer process when transitioning integrated claims across lines of business, ensuring a coordinated and continuous ...
Associate VB Claims Specialist
Baton Rouge, LA · Remote
$25/hr
... medical documentation, when appropriate. * Ensure a timely and well communicated transfer process when transitioning integrated claims across lines of business, ensuring a coordinated and continuous ...
Associate VB Claims Specialist
Baton Rouge, LA · On-site
$25/hr
... medical documentation, when appropriate. * Ensure a timely and well communicated transfer process when transitioning integrated claims across lines of business, ensuring a coordinated and continuous ...
Associate VB Claims Specialist
Baton Rouge, LA · On-site
$25/hr
... medical documentation, when appropriate. * Ensure a timely and well communicated transfer process when transitioning integrated claims across lines of business, ensuring a coordinated and continuous ...
Claims Advocate
Baton Rouge, LA · On-site
Medical/dental/vision insurance and voluntary insurance options * Health Savings Account funding ... handling process as well as the overall agency loss financials. Essential Duties And ...
Claims Advocate
Baton Rouge, LA · On-site
Medical/dental/vision insurance and voluntary insurance options * Health Savings Account funding ... handling process as well as the overall agency loss financials. Essential Duties And ...
Claims Advocate
Baton Rouge, LA · On-site
Medical/dental/vision insurance and voluntary insurance options * Health Savings Account funding ... handling process as well as the overall agency loss financials. ESSENTIAL DUTIES AND ...
Claims Advocate
Baton Rouge, LA · On-site
Medical/dental/vision insurance and voluntary insurance options * Health Savings Account funding ... handling process as well as the overall agency loss financials. ESSENTIAL DUTIES AND ...
Claims Advisor, Professional Liability | E&O, D&O
Baton Rouge, LA · On-site
$115K - $130K/yr
Analyzes and processes complex or technically difficult liability claims by investigating to ... In-depth knowledge of appropriate medical malpractice insurance principles and laws for line-of ...
New
Claims Advisor, Professional Liability | E&O, D&O
Baton Rouge, LA · On-site
$115K - $130K/yr
Analyzes and processes complex or technically difficult liability claims by investigating to ... In-depth knowledge of appropriate medical malpractice insurance principles and laws for line-of ...
New
Claims Advocate
Baton Rouge, LA · On-site
Medical/dental/vision insurance and voluntary insurance options * Health Savings Account funding ... handling process as well as the overall agency loss financials. ESSENTIAL DUTIES AND ...
Claims Advocate
Baton Rouge, LA · On-site
Medical/dental/vision insurance and voluntary insurance options * Health Savings Account funding ... handling process as well as the overall agency loss financials. ESSENTIAL DUTIES AND ...
Divisional/Subsidiary Assistant Vice President - Claims
Baton Rouge, LA · On-site
$18 - $22.75/hr
Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental ... process. Learn more at *Excludes seasonal employees and interns.
Divisional/Subsidiary Assistant Vice President - Claims
Baton Rouge, LA · On-site
$18 - $22.75/hr
Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental ... process. Learn more at *Excludes seasonal employees and interns.
Overnight Medical Claims Processor information
See Baton Rouge, LA salary details
$13.39 - $14.42
6% of jobs
$14.42 - $15.44
6% of jobs
$15.44 - $16.47
11% of jobs
$16.58 is the 25th percentile. Wages below this are outliers.
$16.47 - $17.50
15% of jobs
The median wage is $18.25 / hr.
$17.50 - $18.53
16% of jobs
$18.53 - $19.56
11% of jobs
$20.53 is the 75th percentile. Wages above this are outliers.
$19.56 - $20.59
11% of jobs
$20.59 - $21.61
11% of jobs
$21.61 - $22.64
6% of jobs
$22.64 - $23.67
5% of jobs
$23.67 - $24.70
2% of jobs
$13
$18
$24
How much do overnight medical claims processor jobs pay per hour?
What are the typical challenges faced by overnight medical claims processors, and how are they addressed?
Overnight Medical Claims Processors often work in quieter office environments, which allows for increased focus but can also present challenges such as limited immediate access to supervisors or support staff. Navigating complex medical coding and understanding claim denials require careful attention and perseverance, especially during shifts with fewer colleagues present. Many organizations provide comprehensive training, detailed guidelines, and digital resources to help address these challenges. Team leads or supervisors are usually available remotely to assist with urgent questions, ensuring you have the support needed to resolve issues efficiently and maintain accuracy in claim processing.
What are the key skills and qualifications needed to thrive as an overnight medical claims processor?
To thrive as an Overnight Medical Claims Processor, you need a keen attention to detail, understanding of medical terminology and coding, and a high school diploma or equivalent, with some employers preferring postsecondary education in health administration or a related field. Proficiency with claims management software (such as Epic, Trizetto, or Meditech) and familiarity with HIPAA regulations are important assets. Outstanding time management, reliability, and the ability to work independently during non-traditional hours are valued soft skills in this position. These competencies are crucial to ensure accurate and timely claims processing, minimizing errors and supporting smooth insurance operations overnight.
What does an overnight medical claims processor do?
An Overnight Medical Claims Processor reviews and processes medical insurance claims during nighttime hours to ensure accuracy and compliance with company policies and regulations. They verify patient information, check for coding errors, and determine coverage eligibility. This role requires attention to detail, familiarity with medical terminology, and knowledge of insurance guidelines. Working overnight helps ensure timely claim processing and minimizes delays in provider payments.

Claims Specialist II (Medical Claims / Coordination of Benefits)
Baton Rouge, LA • Remote
$19/hr
Other
Medical
Posted 9 days ago
Job description
Job Description Claims Specialist II (Medical Claims / Coordination of Benefits) Location: Remote (Louisiana Preferred) Contract Length: 5 Months Pay Rate: Up to $19/hour (W2) Industry: Health Insurance / Medical Claims Position Summary We are seeking an experienced Claims Specialist II with medical claims processing experience to support a high-volume health insurance claims operation. This position is responsible for processing and adjusting medical claims, researching claim issues, determining Coordination of Benefits (COB), recovering overpayments, and ensuring claims are processed accurately while maintaining compliance with HIPAA and company policies. Louisiana candidates are preferred.
This is a remote opportunity. Required Qualifications High School Diploma or equivalent Minimum 2 years of medical claims processing experience Claims processing experience is required Coordination of Benefits (COB) experience strongly preferred Experience determining primary vs. secondary insurance coverage Knowledge of medical claims adjudication and claims edits Strong analytical, problem-solving, and investigative skills Excellent verbal and written communication skills Working knowledge of Microsoft Office and claims processing systems Ability to prioritize multiple workstreams in a fast-paced environment Preferred Experience Hands-on Coordination of Benefits (COB) processing Medicare coordination and primacy determination Provider reimbursement and overpayment recovery Health insurance or managed care environment Key Responsibilities Process medical claims, claims edits, and claims adjustments accurately.
Research and determine the correct Coordination of Benefits (COB) for members with multiple insurance plans. Identify primary and secondary coverage using subscriber status, plan type, Medicare coordination, and effective dates. Review and update claims to ensure proper payment and reimbursement.
Investigate and resolve complex claims issues and discrepancies. Process refunds and recover overpayments from providers or members. Communicate with providers, members, Medicare, and other insurance carriers regarding claim status and coverage.
Maintain accurate claims records while ensuring compliance with HIPAA and regulatory requirements. Review quality audits and complete corrections within departmental guidelines. Support special projects, training initiatives, and departmental process improvements.
Preferred Knowledge Medical claims adjudication Coordination of Benefits (COB) Medicare primacy rules Provider reimbursement Claims adjustments and overpayment recovery HIPAA compliance Medical terminology Health insurance operations Ideal Background Candidates with experience in organizations such as: Blue Cross Blue Shield UnitedHealthcare / Optum Humana Elevance Health (Anthem) Aetna / CVS Health Cigna Centene Molina Healthcare Kaiser Permanente Highmark GuideWell / Florida Blue CareFirst HealthPartners AmeriHealth This opportunity is ideal for candidates with strong medical claims processing and Coordination of Benefits (COB) experience who thrive in a detail-oriented, production-focused healthcare environment.
About Strategystaff
Sourced by ZipRecruiter
Company size
201 - 500 Employees
Headquarters location
Sparta, NJ, US
Year founded
2008