Claims Specialist
Baton Rouge, LA · Remote
Required Qualifications High school diploma or equivalent At least 2 years of medical claims-processing experience Strong analytical ability, including logical, systemic, and investigative thinking ...
Baton Rouge, LA · Remote
Required Qualifications High school diploma or equivalent At least 2 years of medical claims-processing experience Strong analytical ability, including logical, systemic, and investigative thinking ...
Baton Rouge, LA · Remote
Required Qualifications High school diploma or equivalent At least 2 years of medical claims-processing experience Strong analytical ability, including logical, systemic, and investigative thinking ...
Experience with medical claims processing OR provider/member services . * Working knowledge of healthcare claims, benefits, or insurance operations. * Experience with Microsoft Word, Excel, and ...
Quick apply
Experience with medical claims processing OR provider/member services . * Working knowledge of healthcare claims, benefits, or insurance operations. * Experience with Microsoft Word, Excel, and ...
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 ...
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.
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.
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
Baton Rouge, LA · On-site
$29K - $41K/yr
Familiarity with medical claims processing or review preferred The pay range for this position is $29,100.00 - $41,600.00 per year, however, the base pay offered may vary depending on geographic ...
Baton Rouge, LA · On-site
$29K - $41K/yr
Familiarity with medical claims processing or review preferred The pay range for this position is $29,100.00 - $41,600.00 per year, however, the base pay offered may vary depending on geographic ...
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.
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.
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.
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.
Baton Rouge, LA · Hybrid
$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.
Baton Rouge, LA · Hybrid
$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.
Baton Rouge, LA · Hybrid
$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.
Baton Rouge, LA · Hybrid
$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.
Baton Rouge, LA · On-site
$25.65/hr
... medical, dental, vision & 401k. PRIMARY PURPOSE OF THE ROLE: To be oriented and trained as a new ... Processing and responding to incoming mail, emails and other claim related documents according to ...
Baton Rouge, LA · On-site
$25.65/hr
... medical, dental, vision & 401k. PRIMARY PURPOSE OF THE ROLE: To be oriented and trained as a new ... Processing and responding to incoming mail, emails and other claim related documents according to ...
$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
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.
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.
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.
The most popular types of Medical Claims Processor jobs in Baton Rouge, LA are:
For Overnight Medical Claims Processor jobs in Baton Rouge, LA, the most frequently searched job titles are:
The top searched job categories for Overnight Medical Claims Processor jobs in Baton Rouge, LA are:

Job Description STRATEGIC STAFFING SOLUTIONS HAS AN OPENING. This is a Contract Opportunity with our company that MUST be worked on a W2 Only. No C2C eligibility for this position.
Visa Sponsorship is Available. The details are below. "Beware of scams.
S3 never asks for money during its onboarding process." Job Title: Claims Specialist Remote Work Contract Length: 5 Months Job Ref #: 247717 The Claims Specialist will support claims operations by accurately processing claims edits, determining primacy for Coordination of Benefits, adjusting previously paid claims, and initiating procedures to recover funds on overpaid claims. This position will analyze, investigate, and resolve problem cases, execute recovery processes, and complete special projects while complying with applicable laws and regulations. Required Qualifications High school diploma or equivalent At least 2 years of medical claims-processing experience Strong analytical ability, including logical, systemic, and investigative thinking Strong oral and written communication skills Strong human-relations skills Working knowledge of relevant PC software Ability to prioritize multiple streams of work effectively Preferred Qualifications Coordination of Benefits processing experience Hands-on experience determining which insurance plan pays first when a member has multiple sources of coverage Experience identifying primary and secondary coverage Experience reviewing and updating claims based on COB rules Experience applying COB primacy rules, including subscriber status, effective dates, plan type, and Medicare coordination Experience communicating with members, providers, and other insurers to verify coverage information Experience correcting overpayments, initiating refunds or reprocessing claims, and maintaining accurate claim records Experience working within claims systems and following regulatory and compliance requirements, including HIPAA Responsibilities Review, research, and update claims, including recalculating benefits on previously processed claims Process claims edits according to contractual benefits and provider-reimbursement rules Initiate refund requests when necessary Identify denial codes, edits, and processing codes associated with coordinated and non-coordinated claims Request medical records when required Communicate orally and in writing with internal and external contacts to establish accurate claims records Review quality audits for correction or routing within 48 hours of receipt Research and determine the correct order of benefits for payment by applicable plans Make necessary corrections to COB records Notify the appropriate departments when Medicare has determined primacy incorrectly Analyze, investigate, and resolve problem cases involving COB records, adjusted claims, and overpayments Review previously processed claims to ensure payment consistency and maximize overpayment recovery Execute procedures to recover funds from providers, subscribers, or beneficiaries when overpayments occur Support training, implementations, documentation, and special projects Assist with matters involving internal-audit findings, provider-status changes, and system errors Perform other job-related duties within the scope of the position
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Professional, scientific, and technical services
201 - 500 Employees
Sparta, NJ, US