GEN & Healthcare Claims) Location: Remote, USA Node.Digital is seeking a Technical Developer to ... The role focuses on claims processing, benefits configuration, and pricing functionality within the ...
GEN & Healthcare Claims) Location: Remote, USA Node.Digital is seeking a Technical Developer to ... The role focuses on claims processing, benefits configuration, and pricing functionality within the ...
HealthCare Claims Analyst
Manhattan, NY · On-site
$65K - $72K/yr
A little about us VillageCare is a community-based, not-for-profit organization serving people with ... This position involves identifying gaps in various aspects of claims processing, communicating ...
Quick apply
HealthCare Claims Analyst
Manhattan, NY · On-site
$65K - $72K/yr
A little about us VillageCare is a community-based, not-for-profit organization serving people with ... This position involves identifying gaps in various aspects of claims processing, communicating ...
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Claims Specialist
Denver, CO · On-site
$30 - $33/hr
Claims & Appeals Specialist (Healthcare Claims) Hire Connections is hiring a Claims & Appeals Specialist for a well-established healthcare organization. If you have experience with claims processing ...
New
Quick apply
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Claims Specialist
Denver, CO · On-site
$30 - $33/hr
Claims & Appeals Specialist (Healthcare Claims) Hire Connections is hiring a Claims & Appeals Specialist for a well-established healthcare organization. If you have experience with claims processing ...
New
Healthcare Claims Team Lead - Remote
Tampa, FL · On-site +1
Healthcare Claims Team Lead (Remote) Job Type: Full-time Location: Remote Reporting to: Claims ... Validate workflows for claims processing, including escalation paths and exception handling
Healthcare Claims Team Lead - Remote
Tampa, FL · On-site +1
Healthcare Claims Team Lead (Remote) Job Type: Full-time Location: Remote Reporting to: Claims ... Validate workflows for claims processing, including escalation paths and exception handling
Claims Examiner - Remote
Tampa, FL · Remote
Imagenet LLC is a premier healthcare technology company revolutionizing medical claims processing ... ClickApply Nowand tell us why youd be a great addition to the Imagenet team. About Imagenet, LLC ...
Quick apply
Claims Examiner - Remote
Tampa, FL · Remote
Imagenet LLC is a premier healthcare technology company revolutionizing medical claims processing ... ClickApply Nowand tell us why youd be a great addition to the Imagenet team. About Imagenet, LLC ...
Claims Examiner - Remote
Tampa, FL · On-site +1
Imagenet LLC is a premier healthcare technology company revolutionizing medical claims processing ... Click "Apply Now" and tell us why you'd be a great addition to the Imagenet team. About Imagenet ...
Claims Examiner - Remote
Tampa, FL · On-site +1
Imagenet LLC is a premier healthcare technology company revolutionizing medical claims processing ... Click "Apply Now" and tell us why you'd be a great addition to the Imagenet team. About Imagenet ...
... 3 years of healthcare claims processing experience Willingness to learn new skills Team ... Remote, US Work Environment: The physical demands described here are representative of those that ...
... 3 years of healthcare claims processing experience Willingness to learn new skills Team ... Remote, US Work Environment: The physical demands described here are representative of those that ...
Claims Examiner (Remote/Hybrid work available)
Pasadena, CA · Remote
$22 - $30/hr
... processes. Adheres to payroll policies and properly uses timekeeping system with minimal manual changes * Must have at least 2 years of applicable healthcare claims adjudication experience within the ...
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Claims Examiner (Remote/Hybrid work available)
Pasadena, CA · Remote
$22 - $30/hr
... processes. Adheres to payroll policies and properly uses timekeeping system with minimal manual changes * Must have at least 2 years of applicable healthcare claims adjudication experience within the ...
Claims Operations Specialist
Honolulu, HI · Hybrid
$30 - $32/hr
... healthcare claims operations * Strong understanding of claims workflows and adjudication processes ... us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on ...
Claims Operations Specialist
Honolulu, HI · Hybrid
$30 - $32/hr
... healthcare claims operations * Strong understanding of claims workflows and adjudication processes ... us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on ...
Applies claims processing and technical knowledge to appropriately define a path for short ... Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Applies claims processing and technical knowledge to appropriately define a path for short ... Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Senior EDI Developer
Indianapolis, IN · On-site
The selected candidate will be responsible for maintaining the complete lifecycle of healthcare claims processing, including EDI transaction management, claims adjudication, provider communications ...
Senior EDI Developer
Indianapolis, IN · On-site
The selected candidate will be responsible for maintaining the complete lifecycle of healthcare claims processing, including EDI transaction management, claims adjudication, provider communications ...
Claims Analyst II (On-Site)
Fairfield, CA · On-site
$33.29 - $40.44/hr
Oversees the refund process and the request of refunds/overpayments from providers. Maintains ... Interacts and communicates effectively inside and outside NorthBay Healthcare. * Oversees Managed ...
Claims Analyst II (On-Site)
Fairfield, CA · On-site
$33.29 - $40.44/hr
Oversees the refund process and the request of refunds/overpayments from providers. Maintains ... Interacts and communicates effectively inside and outside NorthBay Healthcare. * Oversees Managed ...
Claims Repricer
Philadelphia, PA · On-site
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 ...
New
Claims Repricer
Philadelphia, PA · On-site
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 ...
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Claims Adjudicator Sr
Redlands, CA · On-site
$26.03 - $32.51/hr
Extensive experience in health insurance claims processing, HMO claims or managed care environment ... About Us Our mission is to continue the teaching and healing ministry of Jesus Christ. Our core ...
Claims Adjudicator Sr
Redlands, CA · On-site
$26.03 - $32.51/hr
Extensive experience in health insurance claims processing, HMO claims or managed care environment ... About Us Our mission is to continue the teaching and healing ministry of Jesus Christ. Our core ...
Join us and play your part in something special! This position will be responsible for the ... the process from inception of the claim until conclusion, including settlement, trial, or appeal ...
Join us and play your part in something special! This position will be responsible for the ... the process from inception of the claim until conclusion, including settlement, trial, or appeal ...
You have hands-on experience supporting QNXT, healthcare claims processing, and EDI transaction ... be US citizens or Green Card holders. -No sponsorship is permitted as this is a temp-to-hire ...
Quick apply
You have hands-on experience supporting QNXT, healthcare claims processing, and EDI transaction ... be US citizens or Green Card holders. -No sponsorship is permitted as this is a temp-to-hire ...
The Director of Claims oversees all delegated claims operations to ensure accuracy, compliance, and ... of healthcare billing and reimbursement processes. Intermediate to advanced proficiency in ...
The Director of Claims oversees all delegated claims operations to ensure accuracy, compliance, and ... of healthcare billing and reimbursement processes. Intermediate to advanced proficiency in ...
You have hands-on experience supporting QNXT, healthcare claims processing, and EDI transaction ... be US citizens or Green Card holders. -No sponsorship is permitted as this is a temp-to-hire ...
You have hands-on experience supporting QNXT, healthcare claims processing, and EDI transaction ... be US citizens or Green Card holders. -No sponsorship is permitted as this is a temp-to-hire ...
Join us and play your part in something special! This position will be responsible for the ... the process from inception of the claim until conclusion, including settlement, trial, or appeal ...
Join us and play your part in something special! This position will be responsible for the ... the process from inception of the claim until conclusion, including settlement, trial, or appeal ...
Join us and play your part in something special! This position will be responsible for the ... the process from inception of the claim until conclusion, including settlement, trial, or appeal ...
Join us and play your part in something special! This position will be responsible for the ... the process from inception of the claim until conclusion, including settlement, trial, or appeal ...
Us Healthcare Claims Processing information
See salary details
$12.02 - $13.33
2% of jobs
$13.33 - $14.64
6% of jobs
$14.64 - $15.95
9% of jobs
$16.63 is the 25th percentile. Wages below this are outliers.
$15.95 - $17.26
14% of jobs
$17.26 - $18.58
18% of jobs
The median wage is $18.62 / hr.
$18.58 - $19.89
17% of jobs
$20.61 is the 75th percentile. Wages above this are outliers.
$19.89 - $21.20
16% of jobs
$21.20 - $22.51
7% of jobs
$22.51 - $23.82
4% of jobs
$23.82 - $25.13
4% of jobs
$25.13 - $26.44
2% of jobs
$12
$19
$26
How much do us healthcare claims processing jobs pay per hour?
How much do claims processors make in the US?
What is the difference between Us Healthcare Claims Processing vs Medical Billing Specialist?
| Aspect | Us Healthcare Claims Processing | Medical Billing Specialist |
|---|---|---|
| Certifications | CPHIMS, CPC, or similar | CPC, CCS, or similar |
| Work Environment | Healthcare providers, insurance companies | Medical offices, billing companies |
| Primary Focus | Submitting and managing insurance claims | Creating and sending patient bills |
Us Healthcare Claims Processing involves managing insurance claims submissions and follow-ups, while Medical Billing Specialists focus on generating patient bills and ensuring accurate invoicing. Both roles require similar certifications and often work in healthcare settings, but their core responsibilities differ in claim management versus billing creation.
How to become a health insurance claims processor?
Is a claims processor job in demand?
Do you need a degree to be a claims processor?

Job description
Location: Remote, USA
Node.Digital is seeking a Technical Developer to support enhancements and ongoing development of the MetaVance healthcare platform. The role focuses on claims processing, benefits configuration, and pricing functionality within the MetaVance application environment. The resource will contribute to system design, development, and technical analysis while ensuring alignment with healthcare claims business processes.
Responsibilities
Design, develop, and enhance MetaVance application components across Claims, Benefits, and Pricing areas.
Build and maintain application code using CA:GEN and related development tools.
Perform technical analysis and produce process and technical specifications.
Support MetaVance online and batch processing functionality.
Conduct data analysis within the MetaVance data structure using Oracle SQL tools and MetaVance configuration tools.
Maintain and enhance MetaVance BSI components.
Collaborate with business stakeholders and present solution impacts and enhancement recommendations.
Ensure solutions align with healthcare claims business requirements and technical standards.
Requirements
Mandatory Skills :
CA:GEN
C
Guardien
Report Composer
CA:GEN APIs
MetaVance
Oracle SQL
Healthcare Claims Processing
Mandatory Skills Description:
Strong hands-on experience with MetaVance application development, including Claims, Claims Payable, and Benefits modules. Proficiency in CA:GEN development, including APIs, Guardien, and Report Composer. Experience developing and enhancing MetaVance application code and supporting both online and batch processing. Ability to perform technical analysis and conduct data analytics within MetaVance using Oracle SQL Developer and MetaVance configuration tools. Solid understanding of healthcare claims processing and benefits configuration, with at least 5+ years of relevant experience.
Experience in business consulting or business design within healthcare systems. Familiarity with pricing modules within MetaVance. Strong stakeholder communication skills and experience presenting system impacts and enhancement recommendations to business and technical teams.
Nice to have
Good communication skills.
About Node.Digital
Sourced by ZipRecruiter
Industry
Software development
Company size
11 - 50 Employees
Headquarters location
Leesburg, VA, US
Year founded
2017