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Part Time Healthcare Claims Adjudication information

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$15

$21

$27

How much do part time healthcare claims adjudication jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for part time healthcare claims adjudication in the United States is $21.11, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $23.56 per hour, depending on experience, location, and employer.

What is the difference between Part Time Healthcare Claims Adjudication vs Part Time Healthcare Claims Processing?

AspectPart Time Healthcare Claims AdjudicationPart Time Healthcare Claims Processing
CertificationsKnowledge of insurance policies, claims systemsBasic understanding of claims data, documentation
Work EnvironmentInsurance companies, healthcare providersBilling departments, healthcare offices
Job FocusReviewing and approving claims based on policiesData entry, submitting claims for payment

While both roles involve handling healthcare claims, claims adjudication focuses on evaluating and approving or denying claims based on coverage policies, whereas claims processing involves preparing and submitting claims for reimbursement. Understanding these differences helps job seekers find the right fit in the healthcare claims industry.

What cities are hiring for Part Time Healthcare Claims Adjudication jobs?

Cities with the most Part Time Healthcare Claims Adjudication job openings:

What are the most commonly searched types of Healthcare Claims Adjudication jobs?

The most popular types of Healthcare Claims Adjudication jobs are:

Part Time Healthcare Claims Adjudication jobs near you

Claims System Conversion Consultant

Mount Carmel Health System

Columbus, OH • On-site

Part-time

Medical, Dental, Vision

Re-posted 27 days ago

Key responsibilities

  • Support the implementation of the new claims system and assist with daily activities and escalation requests.

  • Manage provider data and downstream processes, ensuring accuracy and proper processing of invoices.

  • Lead the development, documentation, and continuous improvement of claims adjudication system policies, standards, and processes.

Mount Carmel Health System rating

8.3

Company rating: 8.3 out of 10

Based on 20 frontline employees who took The Breakroom Quiz

Job description

Employment Type:Part timeShift:Day Shift Description:Support Director of Claims Operations and Manager of System Configuration during implementation of new claims system
  • Provider Data Management and related downstream processes
  • Manages System Configuration functional area purchases and ensures the proper processing of all invoices related to assigned activities.
  • Lead the definition, documentation, implementation and continuous improvement of claims adjudication system management policies, standards and processes.
  • Supports Claims Audit leadership with the analysis of claims processing metrics to ensure optimal performance.
  • Ensures compliance with all regulatory requirements impacting Support Services by collaborating with the Compliance Department and other key functional stakeholders within the organization responsible for execution of policies, standards and processes.
  • Establish partnerships and works closely with key operational and clinical staff to ensure claims system configuration accuracy; develop plans to address any potential system inaccuracies or configuration errors.
  • Investigate and recommend implementation of tools, techniques and processes with potential to improve management of system configuration.
  • Participate in compliance audits and remediate issues identified as required.
  • Provide Subject Matter Expertise throughout the implementation of the new claims system, HealthEdge Healthrules Payor (HRP)
  • Support Director, Claims Operations and Configuration with daily activities and escalation requests throughout the HRP implementation thus enabling Director to commit more resources to the HRP implementation.
  • Support Manager, System Configuration with daily activities and escalation requests throughout the HRP implementation thus enabling Director to commit more resources to the HRP implementation.
  • Education:  Bachelor of Science degree in health care, business administration, or related field preferred.  In lieu of a bachelor’s degree an combination of college course work and 7+ years of experience in managed care or a health plan organization demonstrating ascending roles of responsibility will be considered.
  • Advanced knowledge of health plan medical benefits, provider reimbursement methodologies, medical, dental and vision terminology, advanced knowledge of claim adjudication and benefit plan application for Medicare Advantage plans.
  • Advanced knowledge of CPT, ICD-9, ICD-10 and HCPS coding systems.
  • Uses standard office equipment and must be able to operate a motor vehicle and possess a valid driver's license.
  • Participates in all project related reporting and communication to the steering committee and other stakeholders.
  • Responsible for compliance with Organizational Integrity through raising questions and promptly reporting actual or potential wrongdoing.
  • Clearly articulates assignments and direction
  • Foster teamwork

Our Commitment to Diversity and Inclusion
 

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

What Mount Carmel Health System employees say

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