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Senior Fsa Claims Processor Jobs (NOW HIRING)

Moda Health

Dental Claims Processor I

Milwaukie, OR · Remote

$17.34 - $18.36/hr

Make corrections as necessary and process claims according to processing policies and contract ... FSA * Employee Assistance Program * PTO and Company Paid Holidays Required Skills, Experience ...

PharMerica

Pharmacy Claims Processor / Remote

Louisville, KY · On-site +1

$15.50 - $19.75/hr

... and senior living clients receive the pharmaceutical support they need. We offer a non-retail ... claims, billing and insurance processing. Pharmacy Technician experience and/or knowledge of ...

Connection

Sr Field Solution Architect- AWS

$122K - $159K/yr

The Sr. FSA acts as a project team leader providing direction, facilitating information, and validating decision processes. The Sr. FSA requires an acute understanding of both the technology and ...

Connection

$122K - $159K/yr

The Sr. FSA acts as a project team leader providing direction, facilitating information, and validating decision processes. The Sr. FSA requires an acute understanding of both the technology and ...

Moda Health

Medical Claims COB Processor I

Milwaukie, OR · Remote

$18.39 - $20.58/hr

FSA * Employee Assistance Program * PTO and Company Paid Holidays Required Skills, Experience ... Proficiency in claims processing systems; Facets, Word, and Excel. * Knowledge and understanding of ...

CorVel Enterprise Claims, Inc.

Claims Assistant

Dallas, TX · Remote

$13.08 - $22.89/hr

Process payments, as needed * Process form letters, state forms and reports * Assist claims ... For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level ...

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Senior Fsa Claims Processor information

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

As of Aug 9, 2026, the average hourly pay for senior fsa claims processor in the United States is $19.16, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $20.67 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 is a Senior FSA Claims Processor?

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 cities are hiring for Senior Fsa Claims Processor jobs? Cities with the most Senior Fsa Claims Processor job openings:
What are the most commonly searched types of Fsa Claims Processor jobs? The most popular types of Fsa Claims Processor jobs are:
What states have the most Senior Fsa Claims Processor jobs? States with the most job openings for Senior Fsa Claims Processor jobs include:
Senior Fsa Claims Processor jobs near you
Infographic showing various Senior Fsa Claims Processor job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 82% Full Time, 16% Part Time, and 1% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $39,863 per year, or $19.2 per hour.

Pharmacy Claims Processor / Remote

BrightSpring

Louisville, KY • Remote

$15.50 - $19.75/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 22 days ago

Job description

Our Company
PharMerica
Overview
Step Into a Rewarding Role as an LTC Pharmacy Claims Specialist with PharMerica!
Are you ready to make a real impact in a growing organization? Join our PharMerica team as a Claims Specialist, where you'll play a key role in ensuring our long-term care and senior living clients receive the pharmaceutical support they need. We offer a non-retail, closed-door pharmacy environment, allowing you to focus on what truly matters-delivering exceptional care and service.
Why Join PharMerica?
  • Focused on Service Excellence: Our mission is to provide top-quality care and outstanding customer service to hospitals, rehabilitation centers, long-term acute care hospitals, and specialized care centers across the nation.
  • Career Growth: We're in high growth mode, offering plenty of opportunities for those looking to advance their careers.
  • Remote Flexibility: This position is 100% remote, giving you the freedom to work from anywhere!

What You'll Do: As a dynamic Claims Specialist, you will:
  • Leverage your Pharmacy Claims Experience to manage and resolve claims efficiently, ensuring our clients get the support they need.
  • Be a vital part of a team that's dedicated to enhancing patient care through meticulous claims management and customer service.
Shift: Varying shifts available from 4:30am-12:00am. Overnight & Weekend shifts required.
Must have pharmacy claims or adjudication background.
What We Offer:
  • DailyPay
  • Flexible Schedules
  • Competitive Pay with Shift Differentials
  • Health, Dental, Vision, and Life Insurance
  • Company-Paid Disability Insurance
  • Tuition Assistance & Reimbursement
  • Employee Discount Program
  • 401k Plan
  • Paid Time Off
  • Non-Retail, Closed-Door Environment

Responsibilities
The Claims Specialist - 3rd Party:
  • Manages and identifies a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks
  • Researches, analyzes and appropriately resolves rejected claims by working with national Medicare D plans, third party insurance companies and all state Medicaid plans to ensure maximum payer reimbursement adhering to critical deadlines
  • Ensures approval of claims by performing appropriate edits and/or reversals to ensure maximum payer reimbursement
  • Monitors and resolves at risk revenue associated with payer set up, billing, rebilling and reversal processes
  • Works as a team to identify, document, communicate and resolve payer/billing trends and issues
  • Reviews and works to convert billing exception reports to ensure claims are billed to accurate financial plans
  • Prepares and maintains reports and records for processing
  • Performs other tasks as assigned

Qualifications
Education/Learning Experience:
  • Required: High School Diploma or GED
  • Desired: Associate's or Bachelor's Degree
Work Experience:
  • Required: Customer Service
  • Desired: Up to one year of related experience. Pharmacy Technician experience
Skills/Knowledge:
  • Required: Ability to retain a large amount of information and apply that knowledge to related situations. Ability to work in a fast-paced environment. Basic math aptitude. Microsoft Office Suite
  • Desired: Knowledge of the insurance industry's trends, directions, major issues, regulatory considerations and trendsetters
Licenses/Certifications:
  • Desired: Pharmacy technician, but not required

About our Line of Business
PharMerica, an affiliate of BrightSpring Health Services, delivers personalized pharmacy care through dedicated local teams, serving health care providers such as skilled nursing facilities, senior living communities, and hospitals. We also cater to individuals with behavioral needs, infusion therapy needs, seniors receiving in-home care, and patients with cancer. Operating long-term care, home infusion, and specialty pharmacies across the nation, we combine the personal touch of a neighborhood pharmacy with the resources of a national network. Our comprehensive solutions, backed by industry-leading technology and regulatory expertise, ensure accurate medication access, cost control, and compliance with best-in-class clinical standards. We are committed to enhancing resident health, reducing staff burdens, and supporting our clients' success. For more information, visit www.pharmerica.com. Follow us on Facebook, Twitter, and LinkedIn.
Additional Job Information
This is an excellent opportunity to move from a retail to office environment for those who are willing to learn claims, billing and insurance processing.
Pharmacy Technician experience and/or knowledge of pharmaceuticals is a strong preference.