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Weekend Medical Claims Processor Jobs in Philadelphia, PA

Delaware Claims

Claims Analyst

Wilmington, DE · On-site

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

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 ...

NJM Insurance Group

Bill Processor

Trenton, NJ · On-site

$42K - $49K/yr

Our MCS (Medical Claims Services) Medical Bill Processing Department has an opening for a Bill Processor and is seeking a candidate who has excellent communication skills as well as strong ...

NJM Insurance Group

Bill Processor

Trenton, NJ

$42K - $49K/yr

Our MCS (Medical Claims Services) Medical Bill Processing Department has an opening for a Bill Processor and is seeking a candidate who has excellent communication skills as well as strong ...

The Jonus Group

Agency Claims Advocate

Mount Laurel, NJ · On-site

$72K - $103K/yr

Claims Advocate Job Summary Seeking a dedicated and detail-oriented Claims Advocate to support clients through the claims process. In this role, you will be responsible for reporting, monitoring, and ...

Mindlance

Prior Authorization Technician I

Philadelphia, PA · On-site

$17.75 - $21.50/hr

... and medical claims processors • Forwards prior authorization requests to a pharmacist when ... work weekends and holidays. Skills: • 1 to 3 Years required. • Previous PBM, managed care ...

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Weekend Medical Claims Processor information

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

As of Aug 30, 2026, the average hourly pay for weekend medical claims processor in Philadelphia, PA is $19.64, according to ZipRecruiter salary data. Most workers in this role earn between $17.45 and $21.83 per hour, depending on experience, location, and employer.

What is a weekend medical claims processor?

Weekend Medical Claims Processors are professionals responsible for reviewing, evaluating, and processing medical insurance claims during weekend shifts. Their duties include verifying patients' insurance information, ensuring claim forms are complete and accurate, and determining the eligibility of claims for payment. They play a key role in making sure that healthcare providers and patients receive timely reimbursement for medical services. Working weekends allows healthcare facilities and insurance companies to maintain efficient claims processing outside of standard business hours.

What skills and qualifications are needed to thrive as a weekend medical claims processor?

To thrive as a Weekend Medical Claims Processor, you need strong attention to detail, knowledge of medical billing codes, and familiarity with insurance policies, often supported by a high school diploma or relevant certification. Proficiency in claims management software, electronic health records (EHRs), and coding systems like ICD-10 and CPT is typically required. Excellent organizational skills, time management, and effective communication help you manage high volumes of claims accurately and interact with both patients and providers. These abilities are crucial for ensuring timely, error-free claims processing and maintaining compliance with insurance and healthcare regulations.

What unique challenges do weekend medical claims processors face compared to weekday shifts?

Weekend Medical Claims Processors often encounter challenges such as limited access to support staff and supervisors, since fewer team members may be available. This can require more independent problem-solving and familiarity with claims processing systems. Additionally, weekend shifts may involve managing urgent or time-sensitive claims that accumulated over the week. Despite these challenges, weekend roles can offer greater autonomy and the opportunity to develop strong troubleshooting skills in a quieter work environment.

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

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

What are popular job titles related to Weekend Medical Claims Processor jobs in Philadelphia, PA?

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

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

The top searched job categories for Weekend Medical Claims Processor jobs in Philadelphia, PA are:

What cities near Philadelphia, PA are hiring for Weekend Medical Claims Processor jobs?

Cities near Philadelphia, PA with the most Weekend Medical Claims Processor job openings:

Weekend Medical Claims Processor jobs near you
Infographic showing various Weekend Medical Claims Processor job openings in Philadelphia, PA as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 15% Part Time, and 5% Contract. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution, with an average salary of $40,861 per year, or $19.6 per hour.

Claims Repricer

Philadelphia, PA • On-site

Independence Blue Cross
Insurance Services • 1 - 5K employees

8.8

Company rating: 8.8 out of 10

Based on 26 frontline employees who took The Breakroom Quiz

58th of 315 rated insurance

Good employer

Recommended by parents

Respectful managers

Learn more about Independence Blue Crossexternal

Full-time

Re-posted 20 days ago

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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