Claims Processing Professional
$53K - $72K/yr
As a Claims Processing Professional, you will: * Review and process healthcare claims within ... These efforts are leading to a better quality of life for people with Medicare and Medicaid ...
Claims Processing Professional
$53K - $72K/yr
As a Claims Processing Professional, you will: * Review and process healthcare claims within ... These efforts are leading to a better quality of life for people with Medicare and Medicaid ...
Claims Processing Professional
Miramar, FL · On-site
$53K - $72K/yr
As a Claims Processing Professional, you will: * Review and process healthcare claims within ... These efforts are leading to a better quality of life for people with Medicare and Medicaid ...
Claims Processing Professional
Miramar, FL · On-site
$53K - $72K/yr
As a Claims Processing Professional, you will: * Review and process healthcare claims within ... These efforts are leading to a better quality of life for people with Medicare and Medicaid ...
Medicaid Payment Integrity SME
Kapolei, HI · On-site +1
In-depth understanding of medical coding (ICD-10, CPT), claims processing, and Medicaid requirements. * Experience reviewing or auditing Medicaid medical, dental, behavioral health, pharmacy ...
New
Medicaid Payment Integrity SME
Kapolei, HI · On-site +1
In-depth understanding of medical coding (ICD-10, CPT), claims processing, and Medicaid requirements. * Experience reviewing or auditing Medicaid medical, dental, behavioral health, pharmacy ...
New
Manager I Claims
Miami, FL · On-site
Assure timely and accurate processing of Medicare claims and encounters, and respond to provider ... Minimum of 5 years of Medicare/Medicaid claims experience that demonstrates progressive growth ...
Manager I Claims
Miami, FL · On-site
Assure timely and accurate processing of Medicare claims and encounters, and respond to provider ... Minimum of 5 years of Medicare/Medicaid claims experience that demonstrates progressive growth ...
Examiner, Claims
Long Beach, CA · Remote
$14 - $26.42/hr
Required Qualifications Must have at least 2 years of experience processing Medicaid claims At least 1 year of experience in a clerical role in a claims, and/or customer service setting - preferably ...
Examiner, Claims
Long Beach, CA · Remote
$14 - $26.42/hr
Required Qualifications Must have at least 2 years of experience processing Medicaid claims At least 1 year of experience in a clerical role in a claims, and/or customer service setting - preferably ...
Claims Processing Professional
Miramar, FL · On-site
$53K - $72K/yr
As a Claims Processing Professional, you will: * Review and process healthcare claims within ... These efforts are leading to a better quality of life for people with Medicare and Medicaid ...
Claims Processing Professional
Miramar, FL · On-site
$53K - $72K/yr
As a Claims Processing Professional, you will: * Review and process healthcare claims within ... These efforts are leading to a better quality of life for people with Medicare and Medicaid ...
Senior Business Analyst - MMIS Claims Processing
Chesterfield, MO · Remote
$91K - $118K/yr
Senior Business Analyst - MMIS Claims Processing Location: Remote - U.S. About Us : Known for ... Other HIPAA-compliant X12 transactions supporting Medicaid operations * Collaborate with business ...
Senior Business Analyst - MMIS Claims Processing
Chesterfield, MO · Remote
$91K - $118K/yr
Senior Business Analyst - MMIS Claims Processing Location: Remote - U.S. About Us : Known for ... Other HIPAA-compliant X12 transactions supporting Medicaid operations * Collaborate with business ...
Senior Business Analyst - MMIS Claims Processing
Chesterfield, MO · On-site +1
$91K - $118K/yr
Senior Business Analyst - MMIS Claims Processing Location: Remote - U.S. About Us : Known for ... Other HIPAA-compliant X12 transactions supporting Medicaid operations * Collaborate with business ...
Senior Business Analyst - MMIS Claims Processing
Chesterfield, MO · On-site +1
$91K - $118K/yr
Senior Business Analyst - MMIS Claims Processing Location: Remote - U.S. About Us : Known for ... Other HIPAA-compliant X12 transactions supporting Medicaid operations * Collaborate with business ...
Medicaid Payment Integrity SME
Kapolei, HI · On-site +1
In-depth understanding of medical coding (ICD-10, CPT), claims processing, and Medicaid requirements. * Experience reviewing or auditing Medicaid medical, dental, behavioral health, pharmacy ...
Medicaid Payment Integrity SME
Kapolei, HI · On-site +1
In-depth understanding of medical coding (ICD-10, CPT), claims processing, and Medicaid requirements. * Experience reviewing or auditing Medicaid medical, dental, behavioral health, pharmacy ...
Medicaid Payment Integrity SME
Kapolei, HI · On-site +1
In-depth understanding of medical coding (ICD-10, CPT), claims processing, and Medicaid requirements. * Experience reviewing or auditing Medicaid medical, dental, behavioral health, pharmacy ...
Medicaid Payment Integrity SME
Kapolei, HI · On-site +1
In-depth understanding of medical coding (ICD-10, CPT), claims processing, and Medicaid requirements. * Experience reviewing or auditing Medicaid medical, dental, behavioral health, pharmacy ...
In-depth understanding of medical coding (ICD-10, CPT), claims processing, and Medicaid requirements. * Experience reviewing or auditing Medicaid medical, dental, behavioral health, pharmacy ...
In-depth understanding of medical coding (ICD-10, CPT), claims processing, and Medicaid requirements. * Experience reviewing or auditing Medicaid medical, dental, behavioral health, pharmacy ...
Experience with Medicaid Claims Processing. * Experience in business objectives, problem-solving, and identifying solutions. * Proficiency in reviewing, analyzing, and evaluating user requirements ...
Quick apply
Experience with Medicaid Claims Processing. * Experience in business objectives, problem-solving, and identifying solutions. * Proficiency in reviewing, analyzing, and evaluating user requirements ...
Prolim is hiring for a Systems Analyst (Medicaid Claims Process) for a leading client. Location ... Analyzes user requirements, procedures, and problems to automate processing or to improve existing ...
Prolim is hiring for a Systems Analyst (Medicaid Claims Process) for a leading client. Location ... Analyzes user requirements, procedures, and problems to automate processing or to improve existing ...
Prolim is hiring for a Systems Analyst (Medicaid Claims Process) for a leading client. Location ... Analyzes user requirements, procedures, and problems to automate processing or to improve existing ...
Quick apply
Prolim is hiring for a Systems Analyst (Medicaid Claims Process) for a leading client. Location ... Analyzes user requirements, procedures, and problems to automate processing or to improve existing ...
Knowledge of Medicare, Medicaid, commercial insurance, or the DME/HME industry is highly preferred ... Why Join Blackburn's? * Monday-Friday daytime schedule with evenings and weekends off.
Knowledge of Medicare, Medicaid, commercial insurance, or the DME/HME industry is highly preferred ... Why Join Blackburn's? * Monday-Friday daytime schedule with evenings and weekends off.
Knowledge of Medicare, Medicaid, commercial insurance, or the DME/HME industry is highly preferred ... Why Join Blackburn's? * Monday-Friday daytime schedule with evenings and weekends off.
Knowledge of Medicare, Medicaid, commercial insurance, or the DME/HME industry is highly preferred ... Why Join Blackburn's? * Monday-Friday daytime schedule with evenings and weekends off.
Medical Biller
Braintree, MA · On-site
$18.50 - $24/hr
Process payments, post insurance remittances, and reconcile accounts accurately. Monitor unpaid claims and perform timely follow-up with Medicaid payers. Research, analyze, and resolve claim denials ...
Medical Biller
Braintree, MA · On-site
$18.50 - $24/hr
Process payments, post insurance remittances, and reconcile accounts accurately. Monitor unpaid claims and perform timely follow-up with Medicaid payers. Research, analyze, and resolve claim denials ...
Techno Functional SME - Medicaid
NJ · On-site
Role Overview We are looking for a highly experienced Senior Techno-Functional Subject Matter Expert (SME) with 12+ years of experience in Medicaid systems, Medicaid claims processing and regulatory ...
Techno Functional SME - Medicaid
NJ · On-site
Role Overview We are looking for a highly experienced Senior Techno-Functional Subject Matter Expert (SME) with 12+ years of experience in Medicaid systems, Medicaid claims processing and regulatory ...
You will perform claims audits, document findings, and conduct forensic reviews and investigations ... standards, and process improvements to strengthen FWA detection and deterrence. * Support ...
You will perform claims audits, document findings, and conduct forensic reviews and investigations ... standards, and process improvements to strengthen FWA detection and deterrence. * Support ...
Claims Data Analyst
Kapolei, HI · On-site
Analyze Medicaid claims, provider, member, utilization, financial, program integrity, and FWA ... Collaborate with payment integrity, Program Integrity, audit, TPL, Integrated IT, Process & Policy ...
Claims Data Analyst
Kapolei, HI · On-site
Analyze Medicaid claims, provider, member, utilization, financial, program integrity, and FWA ... Collaborate with payment integrity, Program Integrity, audit, TPL, Integrated IT, Process & Policy ...
Weekend Medicaid 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 weekend medicaid claims processing jobs pay per hour?
As of Aug 19, 2026, the average hourly pay for weekend medicaid 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.
What cities are hiring for Weekend Medicaid Claims Processing jobs?
Cities with the most Weekend Medicaid Claims Processing job openings:
What are the most commonly searched types of Medicaid Claims Processing jobs?
The most popular types of Medicaid Claims Processing jobs are:
What states have the most Weekend Medicaid Claims Processing jobs?
States with the most job openings for Weekend Medicaid Claims Processing jobs include:
$53K - $72K/yr
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 4 days ago
Humana rating
8.0
Based on 266 frontline employees who took The Breakroom Quiz
166th of 310 rated insurance
Job description
Become a part of our caring community
As a Claims Processing Professional, you'll review healthcare claims to help ensure their accuracy. You'll review claim information, verify eligibility, authorizations, and provider contracts, and determine appropriate claim outcomes while following established policies and regulatory guidelines.
In this in-office position reporting to the Enterprise Transformation Director, you'll collaborate with other teams, navigate multiple systems, and help deliver claim resolutions that support a positive experience for providers and members. If you enjoy making an impact behind the scenes, we'd love to have you on our team.This is in office position requires you to be on site at our Miramar, FL branch location.
Use your skills to make an impact
About Us
About OneHome: OneHome coordinates a full range of post-acute care ranging from home health, infusion therapy and durable medical equipment services at patients' homes. OneHome's patient focused model creates one integrated point of accountability that coordinates with physicians, hospitals and health plans serving more than one million health plan members nationwide. OneHome was acquired by Humana in 2021 to advance value-based care. Our culture is inclusive, diverse, and above all, caring. It is important to us that our employees are engaged, supported and fairly treated. We offer a comprehensive benefits package to ensure the health and financial well-being of you and your family.About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.
As a Claims Processing Professional, you'll review healthcare claims to help ensure their accuracy. You'll review claim information, verify eligibility, authorizations, and provider contracts, and determine appropriate claim outcomes while following established policies and regulatory guidelines.
In this in-office position reporting to the Enterprise Transformation Director, you'll collaborate with other teams, navigate multiple systems, and help deliver claim resolutions that support a positive experience for providers and members. If you enjoy making an impact behind the scenes, we'd love to have you on our team.This is in office position requires you to be on site at our Miramar, FL branch location.
As a Claims Processing Professional, you will:
- Review and process healthcare claims within established turnaround times.
- Verify member eligibility, provider information, authorizations, and contractual requirements before processing claims.
- Determine whether you should approve, deny, adjust, or return claims for additional information.
- Resolve claim discrepancies by gathering and evaluating supporting documentation.
- Process both electronic and paper claims while maintaining productivity, quality, and accuracy standards.
- Use multiple internal systems to review claims, document findings, and complete claim processing.
- Maintain compliance with HIPAA regulations, organizational policies, and all applicable state and federal guidelines.
- Collaborate with internal departments to resolve claim issues and support claim adjudication.
- Adapt to evolving business processes, system enhancements and regulatory changes.
- Meet productivity, quality, and performance expectations.
Use your skills to make an impact
Required Qualifications
- Minimum of 1 year of healthcare claims processing experience.
- Knowledge of healthcare claims processing practices and medical insurance terminology.
- Work across multiple computer systems.
- Prioritize multiple tasks and work independently.
- Commitment to HIPAA compliance.
Preferred Qualifications
- Experience processing medical, home health, or managed care claims.
- Knowledge of CPT, ICD-10, and HCPCS coding.
- Experience working with provider contracts, authorizations, or eligibility verification.
- Bilingual (English/Spanish).
- Associate's degree or higher in Business, Healthcare Administration, or a related field.
Scheduled Weekly Hours
40Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.About Us
About OneHome: OneHome coordinates a full range of post-acute care ranging from home health, infusion therapy and durable medical equipment services at patients' homes. OneHome's patient focused model creates one integrated point of accountability that coordinates with physicians, hospitals and health plans serving more than one million health plan members nationwide. OneHome was acquired by Humana in 2021 to advance value-based care. Our culture is inclusive, diverse, and above all, caring. It is important to us that our employees are engaged, supported and fairly treated. We offer a comprehensive benefits package to ensure the health and financial well-being of you and your family.About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
About Humana
Sourced by ZipRecruiter
Humana Inc., headquartered in Louisville, KY., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Louisville, KY, US
Year founded
1961