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Us Healthcare Claims Processing Jobs (NOW HIRING)

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 ...

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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 ...

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 ...

... 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 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 ...

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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Us Healthcare Claims Processing information

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$12

$19

$26

How much do us healthcare claims processing jobs pay per hour?

As of Jun 12, 2026, the average hourly pay for us healthcare claims processing 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.

How much do claims processors make in the US?

Claims processors in the US typically earn a median annual salary of around $40,000 to $45,000. Experienced claims processors with certifications or specialized skills can earn higher wages, often exceeding $50,000 annually. Salaries vary based on location, experience, and employer size.

What is the difference between Us Healthcare Claims Processing vs Medical Billing Specialist?

AspectUs Healthcare Claims ProcessingMedical Billing Specialist
CertificationsCPHIMS, CPC, or similarCPC, CCS, or similar
Work EnvironmentHealthcare providers, insurance companiesMedical offices, billing companies
Primary FocusSubmitting and managing insurance claimsCreating 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?

To become a health insurance claims processor, typically one needs a high school diploma or equivalent, along with training in medical billing and coding. Many employers prefer candidates with certification in medical billing or coding, and proficiency with claims processing software is beneficial. On-the-job training is common, and strong attention to detail and knowledge of healthcare regulations are important for success.

Is a claims processor job in demand?

Claims processor jobs in healthcare are in steady demand due to the ongoing need for insurance claims management and administrative support. The role often requires familiarity with claims processing software and knowledge of healthcare regulations, and employment is expected to grow as healthcare services expand.

Do you need a degree to be a claims processor?

For a healthcare claims processing role, a formal degree is not typically required, but employers often prefer candidates with a high school diploma or equivalent. Relevant skills include attention to detail, knowledge of medical billing and coding, and familiarity with claims processing software; certifications like CPC can enhance job prospects.
Infographic showing various Us Healthcare Claims Processing job openings in the United States as of June 2026, with employment types broken down into 1% Locum Tenens, 95% Full Time, 3% Part Time, and 1% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $39,863 per year, or $19.2 per hour.
Technical Developer (CA:GEN & Healthcare Claims)

Technical Developer (CA:GEN & Healthcare Claims)

Node.Digital

Remote

Full-time

Posted 2 days ago


Job description

Technical Developer (CA:GEN & Healthcare Claims)
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.