Medical Claims Processor
Paramus, NJ · On-site
About the job Medical Claims Processor Medical Claims Processor needs 3+ years related work experience Medical Claims Processor requires: * Experience working in multiple doctor practices * Medical ...
Medical Claims Processor
Paramus, NJ · On-site
About the job Medical Claims Processor Medical Claims Processor needs 3+ years related work experience Medical Claims Processor requires: * Experience working in multiple doctor practices * Medical ...
... processing, and adjudicating complex medical claims in accordance with company policies, client ... guidelines, and regulatory requirements. This role serves as a subject matter expert, supports ...
... processing, and adjudicating complex medical claims in accordance with company policies, client ... guidelines, and regulatory requirements. This role serves as a subject matter expert, supports ...
Claims Processing Specialist
Chicago, IL · On-site
$19 - $20/hr
Process up to 200 medical claims daily after training * Review and verify insurance benefits eligibility, particularly for Blue Cross * Submit and audit CMS 1500 claim forms * Maintain prompt ...
Claims Processing Specialist
Chicago, IL · On-site
$19 - $20/hr
Process up to 200 medical claims daily after training * Review and verify insurance benefits eligibility, particularly for Blue Cross * Submit and audit CMS 1500 claim forms * Maintain prompt ...
Medical Claims Processor
El Paso, TX · On-site
$16.50/hr
Team as a Medical Claims Processor! Are you looking for an exciting opportunity where your ... and accurate prescription processing. This is a back-office position that requires strong ...
Medical Claims Processor
El Paso, TX · On-site
$16.50/hr
Team as a Medical Claims Processor! Are you looking for an exciting opportunity where your ... and accurate prescription processing. This is a back-office position that requires strong ...
Medical Claims Processor
El Paso, TX · On-site
$16.50/hr
Team as a Medical Claims Processor! Are you looking for an exciting opportunity where your ... and accurate prescription processing. This is a back-office position that requires strong ...
Medical Claims Processor
El Paso, TX · On-site
$16.50/hr
Team as a Medical Claims Processor! Are you looking for an exciting opportunity where your ... and accurate prescription processing. This is a back-office position that requires strong ...
Medical Claims Processor
El Paso, TX · On-site
$16.50/hr
Team as a Medical Claims Processor! Are you looking for an exciting opportunity where your ... and accurate prescription processing. This is a back-office position that requires strong ...
Medical Claims Processor
El Paso, TX · On-site
$16.50/hr
Team as a Medical Claims Processor! Are you looking for an exciting opportunity where your ... and accurate prescription processing. This is a back-office position that requires strong ...
Medical Claims Supervisor
Gastonia, NC · On-site
The Medical Claims Supervisor manages the Medical Authorization team and is responsible for overseeing medical claims processing activities, monitoring pending and aged claims inventories ...
Medical Claims Supervisor
Gastonia, NC · On-site
The Medical Claims Supervisor manages the Medical Authorization team and is responsible for overseeing medical claims processing activities, monitoring pending and aged claims inventories ...
Senior Medical Claims Processor (Hybrid)
Phoenix, AZ · On-site
$50K - $55K/yr
Claims Processing & Adjudication: * Review and process medical claims with a high degree of accuracy and efficiency * Handle manual claims and complex reprocessing (routine and advanced) * Analyze ...
Senior Medical Claims Processor (Hybrid)
Phoenix, AZ · On-site
$50K - $55K/yr
Claims Processing & Adjudication: * Review and process medical claims with a high degree of accuracy and efficiency * Handle manual claims and complex reprocessing (routine and advanced) * Analyze ...
Medical Claims Supervisor
Gastonia, NC · On-site
The Medical Claims Supervisor manages the Medical Authorization team and is responsible for overseeing medical claims processing activities, monitoring pending and aged claims inventories ...
Medical Claims Supervisor
Gastonia, NC · On-site
The Medical Claims Supervisor manages the Medical Authorization team and is responsible for overseeing medical claims processing activities, monitoring pending and aged claims inventories ...
Medical Claims Supervisor
Gastonia, NC · On-site
The Medical Claims Supervisor manages the Medical Authorization team and is responsible for overseeing medical claims processing activities, monitoring pending and aged claims inventories ...
Medical Claims Supervisor
Gastonia, NC · On-site
The Medical Claims Supervisor manages the Medical Authorization team and is responsible for overseeing medical claims processing activities, monitoring pending and aged claims inventories ...
Medical Claims Processor
El Paso, TX · On-site
$16.50/hr
Team as a Medical Claims Processor! Are you looking for an exciting opportunity where your ... and accurate prescription processing. This is a back-office position that requires strong ...
Quick apply
Medical Claims Processor
El Paso, TX · On-site
$16.50/hr
Team as a Medical Claims Processor! Are you looking for an exciting opportunity where your ... and accurate prescription processing. This is a back-office position that requires strong ...
Medical Claims Supervisor
Gastonia, NC · On-site
The Medical Claims Supervisor manages the Medical Authorization team and is responsible for overseeing medical claims processing activities, monitoring pending and aged claims inventories ...
Quick apply
Medical Claims Supervisor
Gastonia, NC · On-site
The Medical Claims Supervisor manages the Medical Authorization team and is responsible for overseeing medical claims processing activities, monitoring pending and aged claims inventories ...
Medical Claims Processor
Doral, FL · On-site
$22 - $23/hr
Medical Claims Processor Location: Doral, FL on-site Schedule: Full-Time | 40 hours per week ... managed care claims processing experience. * Strong knowledge of Medicare and DSNP claims.
Quick apply
Medical Claims Processor
Doral, FL · On-site
$22 - $23/hr
Medical Claims Processor Location: Doral, FL on-site Schedule: Full-Time | 40 hours per week ... managed care claims processing experience. * Strong knowledge of Medicare and DSNP claims.
Medical Claims Coder
Tucson, AZ · On-site
Maximize reimbursement and develop effective policies for billing and claim processing. This position is 100% Onsite and NOT open for Remote. Medical Claims Coder Responsibilities: - Submit claims ...
Medical Claims Coder
Tucson, AZ · On-site
Maximize reimbursement and develop effective policies for billing and claim processing. This position is 100% Onsite and NOT open for Remote. Medical Claims Coder Responsibilities: - Submit claims ...
Review incoming medical claims on the QNXT platform and validate member details provider information and policy coverage to ensure accurate claim setup and processing * Process claims for medical ...
Review incoming medical claims on the QNXT platform and validate member details provider information and policy coverage to ensure accurate claim setup and processing * Process claims for medical ...
Claims Processing Specialist
Chicago, IL · On-site
$19 - $20/hr
Process up to 200 medical claims daily after training * Review and verify insurance benefits eligibility, particularly for Blue Cross * Submit and audit CMS 1500 claim forms * Maintain prompt ...
Claims Processing Specialist
Chicago, IL · On-site
$19 - $20/hr
Process up to 200 medical claims daily after training * Review and verify insurance benefits eligibility, particularly for Blue Cross * Submit and audit CMS 1500 claim forms * Maintain prompt ...
Medical Claims Coder
Tucson, AZ · On-site
Maximize reimbursement and develop effective policies for billing and claim processing. This position is 100% Onsite and NOT open for Remote. Medical Claims Coder Responsibilities: - Submit claims ...
Medical Claims Coder
Tucson, AZ · On-site
Maximize reimbursement and develop effective policies for billing and claim processing. This position is 100% Onsite and NOT open for Remote. Medical Claims Coder Responsibilities: - Submit claims ...
Claims Processing Specialist
Chicago, IL · On-site
$17 - $20/hr
Process up to 200 medical claims daily after training * Review and verify insurance benefits eligibility, particularly for Blue Cross * Submit and audit CMS 1500 claim forms * Maintain prompt ...
Claims Processing Specialist
Chicago, IL · On-site
$17 - $20/hr
Process up to 200 medical claims daily after training * Review and verify insurance benefits eligibility, particularly for Blue Cross * Submit and audit CMS 1500 claim forms * Maintain prompt ...
Medical Claims Processor (Hybrid)
Phoenix, AZ · On-site
$19.26 - $24.99/hr
No surprise medical bills Most team members avoid tens of thousands of dollars in healthcare costs ... Accurate, high-quality claims processing that minimizes rework and delays * Consistently meeting ...
Medical Claims Processor (Hybrid)
Phoenix, AZ · On-site
$19.26 - $24.99/hr
No surprise medical bills Most team members avoid tens of thousands of dollars in healthcare costs ... Accurate, high-quality claims processing that minimizes rework and delays * Consistently meeting ...
Medical Claims Processor (Hybrid)
Phoenix, AZ · On-site
$19.26 - $24.99/hr
No surprise medical bills Most team members avoid tens of thousands of dollars in healthcare costs ... Accurate, high-quality claims processing that minimizes rework and delays * Consistently meeting ...
Medical Claims Processor (Hybrid)
Phoenix, AZ · On-site
$19.26 - $24.99/hr
No surprise medical bills Most team members avoid tens of thousands of dollars in healthcare costs ... Accurate, high-quality claims processing that minimizes rework and delays * Consistently meeting ...
Providence Medical Claims Processing information
See salary details
$13.94 - $15.01
6% of jobs
$15.01 - $16.08
6% of jobs
$16.08 - $17.15
11% of jobs
$17.27 is the 25th percentile. Wages below this are outliers.
$17.15 - $18.23
15% of jobs
The median wage is $19.01 / hr.
$18.23 - $19.30
16% of jobs
$19.30 - $20.37
11% of jobs
$21.38 is the 75th percentile. Wages above this are outliers.
$20.37 - $21.44
11% of jobs
$21.44 - $22.51
11% of jobs
$22.51 - $23.58
6% of jobs
$23.58 - $24.65
5% of jobs
$24.65 - $25.72
2% of jobs
$13
$19
$25
How much do providence medical claims processing jobs pay per hour?
As of Sep 10, 2026, the average hourly pay for providence medical claims processing in the United States is $19.47, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $21.63 per hour, depending on experience, location, and employer.
What is Providence medical claims processing?
Providence Medical Claims Processing refers to the system and procedures used by Providence Health & Services to manage, review, and resolve medical insurance claims. This process involves verifying patient information, ensuring services are covered under the patient's policy, coding and billing for medical procedures, and communicating with insurance providers for payment. Efficient claims processing helps ensure that healthcare providers are reimbursed promptly and patients are billed accurately. It is a critical function in healthcare administration that reduces errors and accelerates the revenue cycle.
What are the key skills and qualifications needed to thrive as a medical claims processor at Providence?
To thrive as a Medical Claims Processor at Providence, you need strong attention to detail, knowledge of insurance policies, and familiarity with medical billing codes, usually supported by a high school diploma or associate degree. Proficiency in claims management software, electronic health records (EHR) systems, and possibly certifications like Certified Professional Coder (CPC) are commonly required. Excellent organizational skills, problem-solving abilities, and clear communication help you resolve discrepancies and work efficiently with patients and providers. These skills are crucial for ensuring accurate claim processing, timely reimbursements, and compliance with healthcare regulations.
What are some common challenges faced by professionals in Providence medical claims processing, and how can they be managed?
Professionals in Providence medical claims processing often encounter challenges such as navigating complex insurance policies, ensuring accuracy in coding, and meeting tight deadlines. These challenges can be managed by staying updated on coding regulations, utilizing efficient workflow tools, and maintaining clear communication with both healthcare providers and insurance representatives. Team collaboration and regular training sessions also play a key role in helping staff stay current and reduce errors, leading to more efficient and accurate claims processing.
What is the difference between Providence Medical Claims Processing vs Providence Medical Billing Specialist?
| Aspect | Providence Medical Claims Processing | Providence Medical Billing Specialist |
|---|---|---|
| Primary Role | Reviewing and submitting insurance claims for reimbursement | Managing entire billing cycle, including invoicing and payment follow-up |
| Required Skills | Claims submission, insurance policies, data entry | Billing software, customer service, detailed record keeping |
| Work Environment | Healthcare facilities, insurance companies | Medical offices, billing companies |
| Certifications | None typically required, knowledge of insurance policies preferred | Medical billing certification often preferred |
While both roles involve handling medical financial processes, Providence Medical Claims Processing focuses on submitting and managing insurance claims, whereas Providence Medical Billing Specialist manages the entire billing process, including invoicing and collections. Understanding these differences helps job seekers identify the right position based on their skills and career goals.
What are popular job titles related to Providence Medical Claims Processing jobs?
For Providence Medical Claims Processing jobs, the most frequently searched job titles are:
Medical Claims Processor
Paramus, NJ • On-site
Global Channel Management •
Recruiting and Staffing Services • 11 - 50 employees11 - 50 employees
Other
Re-posted 22 hours ago
Job description
About the job Medical Claims Processor
Medical Claims Processor needs 3+ years related work experience
Medical Claims Processor requires:
- Experience working in multiple doctor practices
- Medical billing. coding
- Experience working with multiple insurance carriers and an understanding of their claim requirements
- Proven ability to identify issues and solve problems
- High School diploma
- Review medical claims and transmit to the insurance carrier using the practice electronic health records (EHR) system and clearing house.
- Monitor rejected claim reports and adjust claims for resubmission to the insurance carrier.
- Download insurance carrier explanation of payments (EOPs) to post claim payments and denials in the EHR system.
- Determine if denied claims can be corrected and re-submitted to the carrier.
- Review aging reports to research open balances and resubmit within insurance carrier filing limits.
- Utilize insurance carrier websites and contact carriers as needed to investigate denials and claim status.
- Partner with the clearing house to distribute patient billing statements and monitor the patient portal to post payments in the EHR system.
- Initiate overpayment refunds to patients and repayments to insurance carriers when required. Serve as the point of contact for the practice regarding all vision and medical claims.
- Support the corporate manager in maximizing claim collection rate
About Global Channel Management
Sourced by ZipRecruiter
Global Channel Management is a technology company that specializes in various types of recruiting and staff augmentation. Global Channel Management understands the challenges companies face when it comes to the skills and experience needed to fill the void of the day to day function. Organizations need to reduce training and labor costs but at the same time requiring the best talent for the job. GCM's Ownership and Management teams have extensive Staffing, Recruiting, HR and Executive Leadership knowledge, Experience and Expertise. Our Understanding and Commitment to our Client's Satisfaction are key reasons GCM has been successful in establishing long term relationships.
Industry
Recruiting and staffing services
Company size
11 - 50 Employees
Headquarters location
Austell, GA, US