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Highmark Health
Highmark Health

70 Highmark Health Claims Processing Specialist Jobs Hiring Near You

Winsupply

Claims Processing Specialist

Moraine, OH

... claims * Vendor Claim Filings * Maintain accurate process document understanding of vendor claim ... Work with Dedicated Service Specialists and Distribution Center personnel to obtain supporting ...

Winsupply

Claims Processing Specialist

Moraine, OH · On-site

... claims * Vendor Claim Filings * Maintain accurate process document understanding of vendor claim ... Work with Dedicated Service Specialists and Distribution Center personnel to obtain supporting ...

Revecore Technologies

Health Claims Specialist

$17.50/hr

Health Claims Specialist As a Health Claims Specialist at Revecore, you will bill and investigate health insurance claims to ensure maximum payment from insurance companies on behalf of our clients ...

Revecore

Health Claims Specialist

Franklin, TN · Remote

$17.50/hr

Health Claims Specialist As a Health Claims Specialist at Revecore, you will bill and investigate health insurance claims to ensure maximum payment from insurance companies on behalf of our clients ...

Revecore

Health Claims Specialist

Franklin, TN · Remote

$17.50/hr

Health Claims Specialist As a Health Claims Specialist at Revecore, you will bill and investigate health insurance claims to ensure maximum payment from insurance companies on behalf of our clients ...

Revecore Technologies

Health Claims Specialist

$17.50/hr

Health Claims Specialist As a Health Claims Specialist at Revecore, you will bill and investigate health insurance claims to ensure maximum payment from insurance companies on behalf of our clients ...

TEEMA

Claims Reviewer

Phoenix, AZ · Remote

$26.40 - $27.88/hr

Familiarity with medical claims processing and terminology. * Preferred : * Coding experience. * Knowledge of behavioral health claims. Skills for Success * Strong technical skills in claims tools (e ...

True Behavioral Health LP

Claim Specialist

Irvine, CA · On-site

$27 - $30/hr

Looking for an experienced Behavioral Health Claims Follow-Up Specialist to join our Revenue Cycle ... Responsibilities: • Claims Processing: Review and process incoming claims for accuracy ...

TEEMA

Claims Reviewer

Phoenix, AZ · Remote

$25 - $29/hr

Conducts medical claims review using current claims processing guidelines and established clinical ... Knowledge of behavioral health claims review

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Highmark Health Jobs Information

What are the key skills and qualifications needed to thrive as a Claims Processing Specialist, and why are they important?

A Claims Processing Specialist needs strong analytical skills, attention to detail, and knowledge of insurance policies or medical billing, often supported by a high school diploma or associate degree. Familiarity with claims management software, databases, and basic office tools is typically required, and certifications like Certified Claims Professional (CCP) can be advantageous. Excellent communication, problem-solving, and organizational skills help specialists efficiently resolve discrepancies and interact with clients or providers. These abilities are crucial to ensure accurate, timely claims processing and maintain compliance with regulatory standards.

What are some common challenges Claims Processing Specialists face, and how can they effectively manage them?

Claims Processing Specialists often encounter challenges such as handling high volumes of claims, navigating complex policy details, and ensuring accuracy under tight deadlines. To manage these, it's important to develop strong organizational skills, pay close attention to detail, and stay current with policy updates and regulatory requirements. Leveraging available technology, communicating clearly with team members, and seeking clarification from supervisors when needed can also help maintain efficiency and reduce errors.

What does a Claims Processing Specialist do?

A Claims Processing Specialist is responsible for reviewing, evaluating, and processing insurance claims to determine their validity and accuracy. They verify information provided by claimants, ensure all necessary documentation is included, and follow company guidelines and regulatory requirements. Their role is crucial in ensuring that claims are processed efficiently, accurately, and in a timely manner, which helps both the insurer and the claimant. Additionally, they may communicate with policyholders, healthcare providers, or other parties to gather more information or resolve discrepancies.

What jobs in the US pay 300,000 a year?

Claims Processing Specialists typically do not earn $300,000 annually; such high salaries are usually associated with executive roles, specialized medical professionals, or senior-level positions in finance and technology. Achieving this income level often requires extensive experience, advanced certifications, or leadership responsibilities.

What is the difference between Claims Processing Specialist vs Claims Examiner?

AspectClaims Processing SpecialistClaims Examiner
CredentialsHigh school diploma or equivalent; some roles may require insurance certificationsHigh school diploma; insurance certifications often preferred
Work EnvironmentOffice setting, processing claims, data entryOffice setting, reviewing and evaluating claims for accuracy
Employer & IndustryInsurance companies, healthcare providersInsurance companies, third-party administrators
Search & Comparison IntentUnderstanding roles, job requirements, and career pathsEvaluating claims, assessing validity, and decision-making

While both roles involve working with insurance claims, Claims Processing Specialists focus on entering and managing claim data, whereas Claims Examiners review claims for accuracy and validity. The roles often overlap in skills and work environment, but their primary responsibilities differ, making them distinct career paths within the insurance industry.

What is it like to work at Highmark Health?

Highmark Health is a mission-driven organization that prioritizes collaboration, innovation, and community involvement, fostering a culture of teamwork and mutual respect among its employees. The company's work environment is dynamic, with various teams working together to improve healthcare outcomes and advance population health, often incorporating cutting-edge technology and data-driven insights. Working at Highmark Health may appeal to individuals who are passionate about making a positive impact on people's lives, as the company offers opportunities for professional growth, development, and contributions to a broader mission of improving healthcare for all.

Do workers at Highmark Health get paid breaks?

Yes. Most people get paid breaks.
78% of people say they get paid breaks.
Based on data from 18 people who took the Breakroom Quiz between November 2024 and December 2025.

Does Highmark Health pay people when they’re sick?

Yes. Most people get paid when they’re sick.
83% of people say they would get paid if they were sick but scheduled to work.
Based on data from 23 people who took the Breakroom Quiz between November 2024 and December 2025.

Is the health insurance from Highmark Health affordable enough for their workers?

Most people say the health insurance costs are okay.
94% of people say the health insurance costs are okay
Based on data from 16 people who took the Breakroom Quiz between March 2025 and December 2025.

How far ahead of time do people find out their work schedule?

Only some people find out their schedule four weeks ahead of time.
  • 40% of people with changing schedules find out their shifts one week or less ahead of time.
  • 20% of people with changing schedules find out their shifts two weeks ahead of time.
  • 0% of people with changing schedules find out their shifts three weeks ahead of time.
  • 40% of people with changing schedules find out their shifts four weeks or more ahead of time.

Based on data from 10 people who took the Breakroom Quiz between January 2025 and July 2025.

Do workers at Highmark Health worry about hours?

Most people don’t worry about getting enough hours.
91% of people report they don’t worry about getting enough hours.
Based on data from 23 people who took the Breakroom Quiz between November 2024 and July 2025.

Do Highmark Health workers get to choose the shifts they work?

Some people don’t get to choose which shifts they work.
41% report that they don’t have enough control over which shifts they work.
Based on data from 17 people who took the Breakroom Quiz between November 2024 and July 2025.

How easy is it for Highmark Health workers to change shifts?

Most people find it easy to change shifts.
75% of people report that it’s easy to change shifts if they need to.
Based on data from 16 people who took the Breakroom Quiz between November 2024 and July 2025.

How easy is it to get time off at Highmark Health?

Most people find it easy to get time off.
85% of people report it’s easy to get time off.
Based on data from 20 people who took the Breakroom Quiz between November 2024 and December 2025.

Do Highmark Health managers change schedules at the last minute?

Most managers don’t change people’s schedules at the last minute.
91% of people say their manager doesn’t change their shift schedule at the last minute.
Based on data from 23 people who took the Breakroom Quiz between November 2024 and July 2025.

Do workers at Highmark Health do extra work that they don't get paid for?

Rarely. Most people don’t do unpaid extra work.
92% of people report that they don’t do extra unpaid work.
Based on data from 24 people who took the Breakroom Quiz between November 2024 and July 2025.

How easy is it to take sick days at Highmark Health?

Most people find it easy to take sick days.
79% of people report that it’s easy to take time off if they are sick.
Based on data from 24 people who took the Breakroom Quiz between November 2024 and December 2025.

Do people at Highmark Health feel treated with respect by their managers?

Most people feel treated with respect by their managers.
87% of people say they’re treated with respect by their managers.
Based on data from 23 people who took the Breakroom Quiz between November 2024 and December 2025.

Do people at Highmark Health get to take their breaks without interruption?

Most people get breaks without interruption.
87% of people report that they get to take their breaks without interruption.
Based on data from 23 people who took the Breakroom Quiz between November 2024 and December 2025.

Is it stressful to work at Highmark Health?

Most people feel stressed out here.
83% of people say they often feel stressed out at work.
Based on data from 23 people who took the Breakroom Quiz between November 2024 and December 2025.

Do people at Highmark Health enjoy their jobs?

Only some people enjoy their job.
41% of people report they don’t enjoy their job.
Based on data from 17 people who took the Breakroom Quiz between November 2024 and December 2025.

Do people at Highmark Health recommend working with their team?

Only some people recommend working with their team.
46% of people report that they wouldn’t recommend working with their immediate team to a friend.
Based on data from 28 people who took the Breakroom Quiz between November 2024 and December 2025.

Do people get enough training when they start at Highmark Health?

Most people got enough training when they started.
72% of people report they got enough training when they started working here.
Based on data from 25 people who took the Breakroom Quiz between November 2024 and December 2025.

Do people get support to advance at Highmark Health?

Most people aren’t given support to advance their career here.
In the last year, 68% of people report not being given support to advance their career here.
Based on data from 19 people who took the Breakroom Quiz between November 2024 and December 2025.

Do people think Highmark Health’s headquarters understands what’s happening where they work?

Most people think headquarters doesn’t understand what’s happening where they work.
87% of people think that this employer’s headquarters or owners don’t have a good understanding of what’s really happening where they work.
Based on data from 23 people who took the Breakroom Quiz between November 2024 and December 2025.

Do workers feel well informed about how Highmark Health is doing?

Only some people feel well informed about how the company is doing.
37% of people feel that they aren’t kept well informed about how the company is doing as a whole.
Based on data from 27 people who took the Breakroom Quiz between November 2024 and December 2025.
What other companies are hiring for Claims Processing Specialist jobs?
What are the most popular jobs at Highmark Health?
What are the most popular categories at Highmark Health?
Infographic showing various Claims Processing Specialist job openings at Highmark Health in the United States as of May 2026, with employment types broken down into 81% Full Time, and 19% Part Time. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution.
Claims Processing Specialist

Claims Processing Specialist

BLACKBURN'S PHYSICIANS PHARMACY

Tarentum, PA • On-site

Full-time

Posted 20 days ago

Job description

Job Opening: Claims Processing Specialist at Blackburn's

Are you a detail-oriented professional with a passion for the healthcare industry? Blackburn’s is looking for a Claims Processing Specialist to join our Corporate Claims department and perform third-party medical billing functions. If you thrive in a fast-paced environment and possess excellent organizational and communication skills, this could be the perfect opportunity for you!

What You’ll Do:

  • Manage and verify third-party medical claims for accuracy and compliance.
  • Collaborate with cross-functional teams to resolve billing discrepancies and insurance denials.
  • Process claims efficiently while adhering to strict filing deadlines.
  • Contribute to the improvement of billing processes to reduce denials and increase efficiency.
  • Utilize your strong communication skills to work with internal teams and external clients.

 Why Join Us? At Blackburn’s, we’re committed to creating a positive impact in the healthcare industry by delivering quality products and services. As part of our team, you’ll have access to in-house training, opportunities for career growth, and a collaborative work environment. We offer competitive pay, benefits, and the chance to be part of a company that values its employees.

Work Hours: 8:00 a.m. – 4:30 p.m. or 8:30 a.m. – 5:00 p.m.

If you have a passion for medical billing and enjoy working in a dynamic, fast-paced environment, we’d love to hear from you!

Apply today and join us in making a difference at Blackburn’s!

What We’re Looking For:

  • Prior experience in healthcare-related industries, preferably with third-party medical billing.
  • Strong attention to detail, time management, and the ability to juggle multiple tasks.
  • Excellent interpersonal skills, with the ability to work both independently and as part of a team.
  • Proficiency in Microsoft Office, with knowledge of Word and Excel.
  • Ability to work independently, prioritize workload, and adapt to changing environments.

Apply