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Providence Medical Claims Processing Jobs (NOW HIRING)

NTT DATA

Medical Claims Processor

$17 - $18/hr

... processing of professional and hospital claim forms files by provider. Reviewing the policies and ... Required skills for this role include 2+ year(s) of medical claims experience and 2+ year(s) using ...

Next Step Systems

Medical Claims Examiner

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 Examiner Responsibilities: - Submit claims ...

Next Step Systems

Medical Claims Examiner

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 Examiner Responsibilities: - Submit claims ...

Next Step Systems

Medical Claims Examiner

Tucson, AZ · On-site

Medical Claims Examiner, Tucson, AZ The responsibilities of the Medical Claims Examiner consist of processing claims data and adjudicating medical and inpatient claims received from all provider ...

RemX

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Medical Claims Eligibility Specialist - Billing & Collections

Houston, TX · On-site

$22/hr

Process billing for in-network and out-of-network medical claims . * Review and resubmit claims under the No Surprises Act when applicable. * Maintain accurate electronic and physical claim files.

Adecco

Medical Claims Examiner

San Antonio, TX

$22.50/hr

... processing health plan claims and supporting provider inquiries. Key Requirements Recent medical ... claims experience REQUIRED Experience with medical claims adjudication Knowledge of Medicaid and ...

NTT Data Americas, Inc.

Medical Claims Processor

$17 - $18/hr

Processing of Professional and Hospital claim forms files by provider * Reviewing the policies and ... s) of Medical Claims experience * 2+ year(s) using a computer with Windows applications that ...

Company Name Withheld

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Medical Claims Examiner-Entry Level

Kalamazoo, MI · On-site

Prior medical claims processing experience is not required. We provide extensive training and are interested in candidates with experience in medical billing, medical offices, patient accounts ...

Insperity

Medical Claims Examiner

Los Angeles, CA · On-site +1

$24 - $30/hr

Solid knowledge of Medicare and Medi-Cal managed care claims processing and compliance guidelines ... medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or ...

NTT DATA

Medical Claims Processor - Remote

$18/hr

Remote Claims Processing Associate NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team. Medical Claims Processing Specialist Location: Remote ...

RemX

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$19/hr. REMOTE Medical Claims & Billing Specialist

Irving, TX · Remote

$19/hr

Join our remote team as a Healthcare Benefits & Claims Specialist and help ensure claims are processed accurately and efficiently. If you're driven, organized, and knowledgeable in medical billing ...

Insperity

Medical Claims Examiner

CA · Remote

$24 - $30/hr

Solid knowledge of Medicare and Medi-Cal managed care claims processing and compliance guidelines ... medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or ...

MedPOINT Management

Claims Examiner

Sherman Oaks, CA · Remote

$20 - $25/hr

Review, analyze, and process medical claims in accordance with plan benefits and company guidelines * Verify member eligibility, provider information, and coverage details prior to claims ...

Judi Health

Claims Adjudication Associate

Charlotte, NC · Hybrid

$17.25 - $23.50/hr

... medical claims processing. Position Responsibilities: * Review, assess, and make decisions on ... medical claims submitted by networks, claimants, or other parties. * Provide support to Customer ...

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Providence Medical Claims Processing information

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$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?

AspectProvidence Medical Claims ProcessingProvidence Medical Billing Specialist
Primary RoleReviewing and submitting insurance claims for reimbursementManaging entire billing cycle, including invoicing and payment follow-up
Required SkillsClaims submission, insurance policies, data entryBilling software, customer service, detailed record keeping
Work EnvironmentHealthcare facilities, insurance companiesMedical offices, billing companies
CertificationsNone typically required, knowledge of insurance policies preferredMedical 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:

Infographic showing various Providence Medical Claims Processing job openings in the United States as of July 2026, with employment types broken down into 90% Full Time, 8% Part Time, and 2% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $40,493 per year, or $19.5 per hour.

Medical Claims Processor

Remote

NTT DATA
IT Services • 10K+ employees
Learn more about NTT DATAexternal

$17 - $18/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 19 days ago

NTT Data rating

7.5

Company rating: 7.5 out of 10

Based on 93 frontline employees who took The Breakroom Quiz

Job description

Medial Claims Processor

In this role the candidate will be responsible for processing of professional and hospital claim forms files by provider. Reviewing the policies and benefits. Comply with company regulations regarding HIPAA, confidentiality, and PHI. Abide with the timelines to complete compliance training of NTT Data/Client. Work independently to research, review and act on the claims. Prioritize work and adjudicate claims as per turnaround time/SLAs. Ensure claims are adjudicated as per clients defined workflows, guidelines. Sustaining and meeting the client productivity/quality targets to avoid penalties. Maintaining and sustaining quality scores above 98.5% PA and 99.75% FA. Timely response and resolution of claims received via emails as priority work. Correctly calculate claims payable amount using applicable methodology/fee schedule.

Required skills for this role include 2+ year(s) of medical claims experience and 2+ year(s) using a computer with Windows applications that required you to use a keyboard, navigate multiple screens and computer systems, and learn new software tools.

Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly range for this remote role is $17.00-18.00. This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications. This position may also be eligible for incentive compensation based on individual and/or company performance. This position is eligible for company benefits that will depend on the nature of the role offered. Company benefits may include medical, dental, and vision insurance, flexible spending or health savings account, life, and AD&D insurance, short-and long-term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally required benefits.

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About NTT DATA

Sourced by ZipRecruiter

NTT DATA Services is a global business and IT services provider specializing in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services. We are part of the NTT family of companies, a partner to 85 % of the Fortune 100.

Industry

It services

Company size

10,000+ Employees

Headquarters location

Plano, TX, US

Year founded

1967

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