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Senior Fsa Claims Processor Jobs in Boca Raton, FL

Cundy Insurance

Junior Account Manager

Fort Lauderdale, FL

$39K - $53K/yr

Process service requests including ID card requests, billing inquiries, and basic claims issues ... Senior Account Manager * Account Executive Training will be provided on group benefits, agency ...

Cundy Insurance

Junior Account Manager

Fort Lauderdale, FL

$39K - $53K/yr

Process service requests including ID card requests, billing inquiries, and basic claims issues ... Senior Account Manager * Account Executive Training will be provided on group benefits, agency ...

Cundy Insurance

Junior Account Manager

Fort Lauderdale, FL · On-site

$39K - $53K/yr

Process service requests including ID card requests, billing inquiries, and basic claims issues ... Senior Account Manager * Account Executive Training will be provided on group benefits, agency ...

DHL Group

Senior Staff Accountant

Weston, FL · Hybrid

$81K - $105K/yr

S. financial reporting process. This role is ideal for an experienced accounting professional who ... programs FSA/HSA options Tuition reimbursement Paid time off, including vacation and sick time ...

DHL Group

Senior Staff Accountant

Weston, FL · Hybrid

$81K - $105K/yr

S. financial reporting process. This role is ideal for an experienced accounting professional who ... programs FSA/HSA options Tuition reimbursement Paid time off, including vacation and sick time ...

Jazwares

Sr Benefits Specialist

Plantation, FL · On-site

Administer end-to-end employee benefits processes, including enrollments, qualifying life events ... claims, eligibility issues, and escalations * Analyze benefits and leave data to identify trends ...

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All JobsFsa Claims Processor JobsSenior Fsa Claims Processor JobsSenior Fsa Claims Processor Jobs in Boca Raton, FL

Senior Fsa Claims Processor information

See Boca Raton, FL salary details

$11

$18

$25

How much do senior fsa claims processor jobs pay per hour?

As of Jun 17, 2026, the average hourly pay for senior fsa claims processor in Boca Raton, FL is $18.19, according to ZipRecruiter salary data. Most workers in this role earn between $15.53 and $19.62 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Senior FSA Claims Processor, and why are they important?

To thrive as a Senior FSA Claims Processor, you need strong knowledge of flexible spending account regulations, attention to detail, and experience in claims adjudication, often supported by a background in healthcare administration or finance. Familiarity with claims processing software, HIPAA compliance, and electronic document management systems is essential. Exceptional organizational skills, analytical thinking, and effective communication help you resolve complex claims and provide outstanding service. Mastery of these skills ensures timely, accurate claims processing, compliance with regulations, and positive client experiences.

What are the main challenges faced by Senior FSA Claims Processors, and how can they be effectively managed?

Senior FSA Claims Processors often encounter complex claims that require thorough knowledge of regulations and plan specifics. Managing high volumes of claims while ensuring accuracy and compliance can be demanding, especially during peak periods. Effective time management, strong attention to detail, and ongoing communication with team members and clients are key to overcoming these challenges. Many organizations provide regular training and leverage updated claims processing software to help processors stay current and efficient.

What is the difference between Senior Fsa Claims Processor vs Fsa Claims Processor?

AspectSenior Fsa Claims ProcessorFsa Claims Processor
CredentialsTypically requires more experience, possibly advanced certificationsEntry to mid-level certifications, basic claims processing knowledge
Work EnvironmentMore complex claims, oversight responsibilitiesStandard claims processing tasks
Employer & Industry UsageUsed in healthcare, insurance companies, government agenciesCommon in similar settings, often entry to mid-level roles

The main difference between a Senior Fsa Claims Processor and an Fsa Claims Processor lies in experience, responsibilities, and complexity of claims handled. Senior roles typically involve overseeing complex claims and mentoring junior staff, while standard claims processors focus on routine tasks. Both roles are vital in healthcare and insurance industries, with senior positions requiring more expertise and experience.

What are Senior FSA Claims Processors?

Senior FSA Claims Processors are experienced professionals who review, process, and adjudicate claims submitted for reimbursement under Flexible Spending Accounts (FSAs). They ensure that claims comply with IRS regulations and company policies, verify supporting documentation, and resolve complex or escalated issues. In addition to processing claims, they may also provide training to junior staff, answer customer inquiries, and help improve claims processing procedures.
What are popular job titles related to Senior Fsa Claims Processor jobs in Boca Raton, FL? For Senior Fsa Claims Processor jobs in Boca Raton, FL, the most frequently searched job titles are:
What job categories do people searching Senior Fsa Claims Processor jobs in Boca Raton, FL look for? The top searched job categories for Senior Fsa Claims Processor jobs in Boca Raton, FL are:
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Senior Fsa Claims Processor jobs near you

Senior DME Operations & Revenue Integrity Specialist

Valgorithm

Fort Lauderdale, FL

Full-time

Posted 5 days ago

Job description

About Ease DME

Ease DME is a compliance-forward Durable Medical Equipment provider specializing in urology supplies. We are building a highly controlled, audit-ready Medicare DME operation and are seeking our first senior operations hire.

This role protects compliance, cash flow, and accreditation integrity.

Position Summary

The Senior DME Operations & Revenue Integrity Specialist owns front-end documentation compliance, insurance verification, and revenue readiness for Medicare and commercial claims. This individual ensures what ships is billable and what bills is defensible.

This is not a clerical intake role.
This is a high-accountability Medicare DME position.

Core Responsibilities

Documentation & Compliance

  • Review physician orders and supporting medical records
  • Validate medical necessity for straight, coude, and closed system catheters
  • Ensure frequency limits and diagnosis alignment meet Medicare standards
  • Maintain audit-ready patient files in NikoHealth
  • Escalate documentation risks before shipment

Insurance & Revenue Readiness

  • Verify Medicare, MA, and commercial eligibility
  • Confirm frequency limitations and coverage requirements
  • Ensure claims are documentation-complete prior to submission

Denial Prevention & Revenue Oversight

  • Analyze denial root causes
  • Improve clean-claim rate
  • Support appeals and recoupments
  • Monitor AR trends and timely filing limits

Process Development

  • Strengthen Order workflows
  • Build documentation checklists
  • Contribute to scalable team structure as volume grows
30-60-90 Day PlanFirst 30 Days - Foundation & Familiarization

Goal: Build a strong understanding of Ease DME's billing systems, payer requirements, and compliance standards.
Milestones:

  • Complete onboarding and training on NikoHealth, payer portals, and internal workflows.
  • Review 20+ recent claims and denials to identify common issues.
  • Learn Medicare and commercial payer rules for urology supplies (catheters, frequency limits, modifiers).
  • Shadow senior billing staff to understand claim submission and follow-up cadence.
  • Achieve 90% accuracy on supervised claim submissions.
Days 31-60 - Ownership & Efficiency

Goal: Take ownership of assigned billing queues and begin improving clean-claim rates.
Milestones:

  • Independently manage daily claim submissions and follow-ups.
  • Reduce preventable denials by 15-20% through proactive documentation checks.
  • Demonstrate consistent use of NikoHealth notes and task tracking.
  • Identify recurring documentation or intake issues and communicate with the intake team.
  • Maintain 93% clean-claim submission rate.
Days 61-90 - Optimization & Leadership

Goal: Drive measurable improvements in revenue cycle performance and compliance.
Milestones:

  • Fully own billing and AR management for assigned payers.
  • Maintain 95% clean-claim submission rate and reduce aging >60 days by measurable percentage.
  • Lead at least one process improvement initiative (e.g., denial prevention workflow).
  • Support audit readiness by ensuring documentation completeness.
  • Mentor intake staff on documentation best practices impacting billing.
Why This Role Matters

This hire directly protects:

  • Medicare billing privileges
  • ACHC accreditation
  • Revenue integrity
  • Audit exposure

We are seeking someone who thinks:
"Would this survive a Medicare audit?"

Compensation

Competitive base salary with performance bonuses tied to:

  • Clean-claim rate
  • Preventable denial reduction
  • Documentation audit score

Requirements

  • 3+ years Medicare Part B DME billing experience
  • Urology supply (catheter) billing or documentation experience
  • Hands-on denial correction and appeals experience
  • Experience using NikoHealth or similar DME system
  • Strong written and verbal English communication
  • Ability to think critically under compliance pressure

Preferred:

  • Diabetes / CGM billing experience
  • ACHC or audit exposure
  • Prior workflow or team-building experience

Apply