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Weekend Medical Claims Processor Jobs in Romeoville, IL

Claritev

Medical Claims Investigator

Naperville, IL

$50/hr

This role reviews medical paid claims against provider contracts and policies to ensure medical payments have been processed accurately. The incumbent will employ data mining and coordination of ...

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Weekend Medical Claims Processor information

See Romeoville, IL salary details

$14

$19

$26

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

As of Aug 5, 2026, the average hourly pay for weekend medical claims processor in Romeoville, IL is $19.85, according to ZipRecruiter salary data. Most workers in this role earn between $17.64 and $22.07 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 job categories do people searching Weekend Medical Claims Processor jobs in Romeoville, IL look for? The top searched job categories for Weekend Medical Claims Processor jobs in Romeoville, IL are:
What cities near Romeoville, IL are hiring for Weekend Medical Claims Processor jobs? Cities near Romeoville, IL with the most Weekend Medical Claims Processor job openings:
Weekend Medical Claims Processor jobs near you

Medical Claims Investigator

Claritev

Naperville, IL

$50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 16 days ago

Job description

At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all of our stakeholders -- internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential.

Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and Upward!!!

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JOB SUMMARY:
This role reviews medical paid claims against provider contracts and policies to ensure medical payments have been processed accurately. The incumbent will employ data mining and coordination of benefit techniques to analyze and audit hospital and physician claims to identify errant claim payments.
JOB ROLES AND RESPONSIBILITIES:
1. Achieve measured production, quality, and growth results.
2. Utilize analytics and data mining and coordination of benefits techniques to client paid claims data.
3. Evaluate medical claims for coding and pricing errors using accurate HCPCS, ICD-10, and CPT codes.
4. Lookup and review medical claims in payer system to determine methods of payment and validate savings identified.
5. Promote a positive team environment that is based around critical thinking and sharing intelligence to help meet both individual and team goals.
6. Utilize official coding guidelines and resources as required, including CMS directives and bulletins.
7. Collaborate, coordinate, and communicate across disciplines and departments.
8. Ensure compliance with HIPAA regulations and requirements.
9. Demonstrate Company's Core Competencies and values held within.
10. Please note due to the exposure of PHI sensitive data, this role is considered to be a High Risk Role.
11. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.
JOB SCOPE:
This role keeps the needs of external and internal customers as a priority when making decisions and taking action. Will work under direct supervision to uncover actionable claims which facilitate savings for customers. Interacts with customers and internal staff in the organization.

COMPENSATION:
The salary range for this position is $50-55K. Specific offers take into account a candidate's education, experience and skills, as well as the candidate's work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity.

JOB REQUIREMENTS (Education, Experience, and Training):
* Minimum high school diploma or GED along with two (2) years of direct experience in medical claims investigation or data mining / coordination of benefits auditing. Attainment of relevant medical billing and coding certification along with a bachelors' degree in a relevant field are both highly preferred.
* Knowledge of coding type edits and medical claim reimbursement structures and methodologies
* Proficiency with medical terminology, medical procedures, medical conditions, and illness and treatment practices
* Experience in applying principles of coding guidelines; federal/state regulations and policies pertaining to coding and billing
* Knowledge in researching state and federal healthcare guidelines, i.e. Medicare and State Medicaid Programs
* Familiarity with automated medical claims payment systems and/or working knowledge of payer systems (i.e. Facets, QNXT, etc.)
* Advanced computer skills and proficiency with Microsoft Excel
* Must be able to prioritize, coordinate, multitask, think outside the box, and be energetic
* Must be able to work independently while maintaining close attention to detail
* Required licensures, professional certifications, and/or Board certifications as applicable
* Individual in this position must be able to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier and telephone

BENEFITS

We realize that our employees are instrumental to our success, and we reward them accordingly with very competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs. Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide range of live and web-based professional development and educational programs to prepare you for advancement opportunities.

Your benefits will include:

  • Medical, dental and vision coverage with low deductible & copay
  • Life insurance
  • Short and long-term disability
  • Paid Parental Leave
  • 401(k) + match
  • Employee Stock Purchase Plan
  • Generous Paid Time Off - accrued based on years of service
    • WA Candidates: the accrual rate is 4.61 hours every other week for the first two years of tenure before increasing with additional years of service
  • 10 paid company holidays
  • Tuition reimbursement
  • Flexible Spending Account
  • Employee Assistance Program
  • Sick time benefits - for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located provide for more generous sick time benefits.

EEO STATEMENT

Claritev is an Equal Opportunity Employerand complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status. If you would like more information on your EEO rights under the law, pleaseclick here.

APPLICATION DEADLINE

We will generally accept applications for at least 5 calendar days from the posting date or as long as the job remains posted.

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