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Trainee Medical Claims Processor Jobs in Springfield, PA

Corvel

Medical Only Claims Specialist

Norristown, PA · Hybrid

$16.74 - $26.92/hr

The Workers' Compensation Medical Only Claims Specialist manages non-complex and non-problematic ... process taking into consideration experience, qualifications, and overall fit for the role. The ...

New

Delaware Claims

Claims Analyst

Wilmington, DE · On-site

$52K/yr

Delaware Claims Processing Facility, a leader in mass tort litigation claims processing with over ... package includes medical, dental, vision, disability, parking stipend, 401-K, generous PTO ...

Delaware Claims

Claims Analyst

Wilmington, DE · On-site

$52K/yr

Delaware Claims Processing Facility, a leader in mass tort litigation claims processing with over ... package includes medical, dental, vision, disability, parking stipend, 401-K, generous PTO ...

Medix

Medical Biller

Merchantville, NJ · On-site

$22 - $25/hr

Monday-Friday, 8:00 AM-4:30 PM or 8:30 AM-5:00 PM Position Overview We are seeking a detail-oriented Medical Billing & Claims Specialist to support medical billing, claims processing, collections ...

Medix

Medical Biller

Merchantville, NJ · On-site

$22 - $25/hr

Monday-Friday, 8:00 AM-4:30 PM or 8:30 AM-5:00 PM Position Overview We are seeking a detail-oriented Medical Billing & Claims Specialist to support medical billing, claims processing, collections ...

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Trainee Medical Claims Processor information

See Springfield, PA salary details

$13

$18

$24

How much do trainee medical claims processor jobs pay per hour?

As of Aug 20, 2026, the average hourly pay for trainee medical claims processor in Springfield, PA is $18.36, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $20.38 per hour, depending on experience, location, and employer.

What is a trainee medical claims processor?

A Trainee Medical Claims Processor is an entry-level professional responsible for learning and assisting with the review, evaluation, and processing of medical insurance claims. They verify patient and treatment information, ensure claims are accurate and complete, and follow established guidelines to determine payment eligibility. Trainees typically work under the supervision of experienced processors and receive on-the-job training to understand insurance policies, medical terminology, and relevant regulations. Their role is crucial in helping healthcare providers and patients receive timely payments and resolve any discrepancies in claims.

What are the key skills and qualifications needed to thrive as a trainee medical claims processor?

To thrive as a Trainee Medical Claims Processor, you need a basic understanding of medical terminology, attention to detail, and at least a high school diploma or equivalent. Familiarity with claims management software, health insurance platforms, and basic office applications is typically required. Strong organizational skills, effective communication, and the ability to handle confidential information with integrity help you excel in this role. These skills ensure accurate claims processing, minimize errors, and contribute to efficient and reliable healthcare reimbursement.

What are some common challenges faced by trainee medical claims processors during their initial months on the job?

Trainee Medical Claims Processors often find it challenging to quickly learn the various medical terminologies, insurance codes, and company-specific software required for accurate claims assessment. Adapting to a fast-paced environment, where attention to detail is critical to avoid errors or delays in claim processing, can also be demanding. However, most organizations provide structured training, mentorship from experienced team members, and regular feedback to help new hires build competence and confidence. Collaborating closely with other processors and supervisors is key to overcoming these challenges and ensuring a smooth transition.

What is the difference between Trainee Medical Claims Processor vs Medical Claims Processor?

AspectTrainee Medical Claims ProcessorMedical Claims Processor
CredentialsOn-the-job training, no formal certification required initiallyTypically requires certification or experience in claims processing
Work EnvironmentTraining environment, supervised tasksIndependent processing, more responsibility
Job ResponsibilitiesAssisting with claims, learning proceduresReviewing, processing, and approving claims

The main difference is that a Trainee Medical Claims Processor is in training and gaining skills, while a Medical Claims Processor has more experience and handles claims independently. Trainees focus on learning procedures, whereas experienced processors manage full claim processing tasks.

What are the most commonly searched types of Medical Claims Processor jobs in Springfield, PA?

The most popular types of Medical Claims Processor jobs in Springfield, PA are:

What are popular job titles related to Trainee Medical Claims Processor jobs in Springfield, PA?

For Trainee Medical Claims Processor jobs in Springfield, PA, the most frequently searched job titles are:

What job categories do people searching Trainee Medical Claims Processor jobs in Springfield, PA look for?

The top searched job categories for Trainee Medical Claims Processor jobs in Springfield, PA are:

What cities near Springfield, PA are hiring for Trainee Medical Claims Processor jobs?

Cities near Springfield, PA with the most Trainee Medical Claims Processor job openings:

Trainee Medical Claims Processor jobs near you
Infographic showing various Trainee Medical Claims Processor job openings in Springfield, PA as of June 2026, with employment types broken down into 100% Full Time. Highlights an 98% Physical, 1% Hybrid, and 1% Remote job distribution, with an average salary of $38,199 per year, or $18.4 per hour.

Claims Repricer

Independence Blue Cross

Philadelphia, PA • On-site

Full-time

Re-posted 11 days ago

Independence Blue Cross rating

8.8

Company rating: 8.8 out of 10

Based on 26 frontline employees who took The Breakroom Quiz

56th of 310 rated insurance

Job description

Position Summary
The Claims Repricer is responsible for the accurate review, adjustment, and application of pricing methodologies to medical claims. This role ensures claims are priced in accordance with provider contracts, fee schedules, and benefit structures. The position plays a critical role in maintaining pricing integrity, minimizing rework, and supporting operational efficiency in a high-volume claims environment.
Key Responsibilities
  • Review and reprice medical claims to ensure accurate application of provider contracts, fee schedules, and reimbursement methodologies
  • Analyze pricing discrepancies and perform adjustments to align with contractual and system guidelines
  • Research complex claims scenarios, including escalations from Provider Services and Claims Processing
  • Partner with Configuration, Network Management, and Claims teams to resolve pricing issues and system defects
  • Validate contract terms and ensure proper interpretation within claims adjudication systems
  • Maintain productivity, quality, and turnaround time standards in a high-volume environment
  • Document findings and maintain audit-ready records of adjustments and issue resolution
  • Identify pricing trends, root causes, and recommend process improvements to reduce errors and rework

Required Qualifications
  • High school diploma or equivalent required; Associate's or Bachelor's degree preferred
  • 2-4 years of experience in healthcare claims processing, pricing, or repricing
  • Strong knowledge of claims adjudication and reimbursement methodologies (e.g., fee schedules, contract pricing)
  • Experience interpreting provider contracts and pricing logic preferred
  • Strong analytical and problem-solving skills with attention to detail
  • Ability to manage fluctuating workloads and prioritize effectively
  • Proficiency in Microsoft Office (Excel, Word) and claims systems

IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.

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