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Entry Level Medical Claims Analyst Jobs (NOW HIRING)

SIHO HOLDING INC

Claims Analyst

Columbus, IN · On-site

Review incoming medical, pharmacy vision and dental claims * Determine and apply appropriate health plan benefits and update claims for payment * Ensure timely and accurate claims adjudication

SIHO HOLDING INC

Claims Analyst

Columbus, IN · On-site

Review incoming medical, pharmacy vision and dental claims * Determine and apply appropriate health plan benefits and update claims for payment * Ensure timely and accurate claims adjudication

SIHO Insurance Services, Inc.

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Claims Analyst

Columbus, IN · On-site

Review incoming medical, pharmacy vision and dental claims * Determine and apply appropriate health plan benefits and update claims for payment * Ensure timely and accurate claims adjudication

Moda Health

Medical Claims Processor I

Milwaukie, OR · Hybrid

$17.34 - $19.41/hr

... medical claims in accordance with policies, procedures, and guidelines as outlined by the company ... Analytical reasoning and flexibility * Professional and effective written and verbal communication ...

UnitedHealth Group

Medical Claim Analyst

Dallas, TX · Remote

$18 - $32/hr

A Medical Claims Analyst (MCA) i s responsible for the intake processing and triage of all initial claim documents in a high-volume environment. This includes but is not limited to referral ...

Datamark, Inc.

Medical Claims Processor

El Paso, TX · On-site

$16.50/hr

Team as a Medical Claims Processor! Are you looking for an exciting opportunity where your ... This is a back-office position that requires strong analytical skills, efficiency, and comfort with ...

Datamark, Inc.

Medical Claims Processor

El Paso, TX

$16.50/hr

Team as a Medical Claims Processor! Are you looking for an exciting opportunity where your ... This is a back-office position that requires strong analytical skills, efficiency, and comfort with ...

Healthcare Support Staffing

Claims Analyst

Austin, TX

$22 - $24/hr

Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories ... Are you an experienced Claims Analyst/Examiner looking for a new opportunity with a prestigious ...

Integrated Resources INC

Claims analyst

Omaha, NE

Job Title: Claims analyst Location: Omaha NE 68154 Duration: 12 months Family Summary/Mission ... medical cost, and resource management meeting and/or exceeding member, plan sponsor, and provider ...

DATAMARK (Texas)

Medical Claims Processor

El Paso, TX · On-site

$16.50/hr

Team as a Medical Claims Processor! Are you looking for an exciting opportunity where your ... This is a back-office position that requires strong analytical skills, efficiency, and comfort with ...

Datamark, Inc.

Medical Claims Processor

El Paso, TX · On-site

$16.50/hr

Team as a Medical Claims Processor! Are you looking for an exciting opportunity where your ... This is a back-office position that requires strong analytical skills, efficiency, and comfort with ...

Insperity

Medical Claims Examiner

CA · On-site +1

$24 - $30/hr

Description & Requirements Medical Claims Examiner- Chatsworth Local Remote or In-Office Join a ... review and analysis involving NCCI rules. * Extensive working knowledge of reimbursement ...

Insperity

Medical Claims Examiner

Los Angeles, CA · On-site +1

$24 - $30/hr

General information Client / Corporate Client Work Mode Hybrid Name Medical Claims Examiner Job ID ... review and analysis involving NCCI rules. * Extensive working knowledge of reimbursement ...

Accurate Staffing

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Medical Claims Examiner

Uniontown, OH · On-site

$18/hr

Claims Examiner - Medical Claims Processing Uniontown, Ohio $18/hour Monday - Friday | 7:00 a.m ... Review and analyze claims information for accuracy and completeness * Maintain production and ...

Insperity

Medical Claims Examiner

CA · Remote

$24 - $30/hr

Description & Requirements Medical Claims Examiner- Chatsworth Local Remote or In-Office Join a ... review and analysis involving NCCI rules. * Extensive working knowledge of reimbursement ...

Adecco

Medical Claims Examiner

San Antonio, TX

$22.50/hr

Review, analyze, and adjudicate medical claims for accuracy and compliance * Ensure claims are processed accurately and within required timelines * Investigate and resolve provider inquiries and ...

McLane Company

Claims Analyst

Temple, TX · On-site

Day 1 Benefits: medical, dental, and vision insurance, FSA/HSA, and company-paid life insurance ... What you'll do as a Claims Analyst: * Investigate, evaluate and negotiate structural property ...

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All JobsMedical Claims Analyst JobsEntry Level Medical Claims Analyst Jobs

Entry Level Medical Claims Analyst information

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$41

How much do entry level medical claims analyst jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for entry level medical claims analyst in the United States is $25.11, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $25.24 per hour, depending on experience, location, and employer.

What does an entry level medical claims analyst do?

An Entry Level Medical Claims Analyst is responsible for reviewing, processing, and evaluating medical insurance claims to ensure accuracy and compliance with policy and regulatory requirements. They verify patient and billing information, determine coverage, and communicate with healthcare providers or policyholders to resolve discrepancies. This role involves data entry, attention to detail, and learning about medical codes and insurance procedures. Entry level analysts often work under supervision and receive training to develop their expertise.

What are some common challenges faced by entry level medical claims analysts, and how can they be managed effectively?

Entry level medical claims analysts often encounter challenges such as interpreting complex insurance policies, keeping up with frequent regulatory changes, and accurately processing a high volume of claims within tight deadlines. To manage these effectively, it's important to develop strong organizational skills, familiarize yourself with industry-specific terminology, and proactively seek guidance from experienced colleagues. Many organizations provide on-the-job training and encourage collaboration, which can help new analysts build confidence and accuracy in their role.

What are the key skills and qualifications needed to thrive as an entry level medical claims analyst?

To thrive as an Entry Level Medical Claims Analyst, you need a basic understanding of healthcare terminology, insurance guidelines, and claims processing, often supported by a high school diploma or associate degree. Familiarity with claims management software, Microsoft Office Suite, and sometimes ICD-10/CPT coding systems is typically required. Attention to detail, analytical thinking, and effective communication are valuable soft skills for this position. These skills ensure accurate claims review, minimize errors, and facilitate timely processing, which are essential for organizational efficiency and customer satisfaction.
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Entry Level Medical Claims Analyst jobs near you
Infographic showing various Entry Level Medical Claims Analyst job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $52,237 per year, or $25.1 per hour.

Medical Claims Examiner

Cornerstone Staffing Solutions Inc

Fremont, CA

$41.85/hr

Full-time, Contractor

Posted 21 days ago

Job description

Work Location: Fremont, California
Employment Type: Full-Time
Hourly Pay Rate: $41.85 per hour
Schedule: Monday through Friday | 8 hour shifts - 8:30 am to 5:00 pm.
Contract to hire

Position Overview
Cornerstone Staffing Solutions is seeking an experienced Medical Claims Examiner for a full-time opportunity with an established healthcare benefits administration organization in Fremont, California.
The Medical Claims Examiner will review, analyze, and adjudicate healthcare claims in accordance with applicable benefit plans, policies, contracts, regulatory requirements, and internal processing guidelines. This position requires a strong understanding of medical claims, benefit interpretation, healthcare coding, coordination of benefits, and claims payment methodologies.
The successful candidate will be highly accurate, organized, and comfortable working in a structured, production-oriented environment. This individual must be capable of balancing claim-processing productivity with quality, compliance, and professional service to members, providers, and internal departments.

Primary Responsibilities
  • Review and adjudicate professional and institutional medical claims accurately and within established turnaround times.
  • Verify member eligibility, effective dates, benefit coverage, and applicable plan provisions.
  • Review claims for completeness, accuracy, coding consistency, and required supporting documentation.
  • Interpret medical benefits, exclusions, limitations, deductibles, copayments, coinsurance, out-of-pocket maximums, and other cost-sharing requirements.
  • Examine CPT, HCPCS, ICD-10-CM, revenue, place-of-service, and modifier information as applicable to the claim.
  • Determine appropriate payment, denial, pend, or request-for-information actions.
  • Apply coordination-of-benefits guidelines and determine primary and secondary payer responsibilities.
  • Identify duplicate claims, billing discrepancies, possible overpayments, and other processing concerns.
  • Review claims involving prior authorization, medical necessity, timely filing, eligibility, and benefit limitations.
  • Research complex claims using benefit documents, internal procedures, provider contracts, and available claim history.
  • Request medical records, corrected claims, itemized bills, or other supporting documentation when necessary.
  • Document all research, claim decisions, adjustments, and communications clearly within the claims-processing system.
  • Process corrected claims, reconsiderations, adjustments, and reprocessed claims according to established procedures.
  • Communicate professionally with healthcare providers, members, and internal teams to resolve claim-related questions.
  • Assist with appeals, escalated claims, and complex benefit inquiries as assigned.
  • Meet established productivity, accuracy, quality, and attendance expectations.
  • Protect confidential member and health information in accordance with HIPAA and organizational policies.
  • Participate in training, quality reviews, departmental meetings, and process-improvement initiatives.
  • Perform additional claims-related duties as assigned.

Common Claims and Services Reviewed
The Medical Claims Examiner may review claims involving:
  • Physician and specialist services
  • Primary and preventive care
  • Urgent care and emergency services
  • Inpatient and outpatient hospital care
  • Surgical and procedural services
  • Diagnostic imaging
  • Laboratory and pathology services
  • Durable medical equipment
  • Rehabilitation and therapy services
  • Behavioral and mental health services
  • Ambulance and transportation services
  • Anesthesia services
  • Facility and professional billing
  • Coordination of benefits
  • Corrected and adjusted claims
  • Claim reconsiderations and appeals

Required Qualifications
  • At least two years of medical claims examination, adjudication, or healthcare claims-processing experience.
  • Demonstrated experience reviewing and processing medical claims in a payer, third-party administrator, benefits administrator, or related healthcare environment.
  • Working knowledge of medical terminology.
  • Familiarity with CPT, HCPCS, ICD-10-CM, revenue codes, modifiers, and place-of-service codes.
  • Understanding of deductibles, copayments, coinsurance, exclusions, benefit maximums, and other healthcare benefit provisions.
  • Knowledge of coordination-of-benefits principles.
  • Ability to interpret benefit summaries, plan documents, claims procedures, and payment guidelines.
  • Strong analytical, investigative, and problem-solving abilities.
  • Exceptional accuracy and attention to detail.
  • Ability to meet productivity expectations without compromising quality.
  • Strong written and verbal communication skills.
  • Ability to handle confidential information professionally.
  • Proficiency with claims-processing systems, Microsoft Office, and electronic documentation.
  • Ability to work independently while contributing effectively within a team environment.

Preferred Qualifications
  • Three or more years of medical claims examination experience.
  • Experience processing both professional and institutional claims.
  • Experience working with self-funded health plans or third-party claims administration.
  • Familiarity with provider contracts, fee schedules, allowed-amount calculations, or network pricing.
  • Experience reviewing coordination-of-benefits claims, corrected claims, adjustments, appeals, or complex claim scenarios.
  • Previous claims auditing, quality assurance, or claims-training experience.
  • Experience working in a regulated, production-driven healthcare environment.
  • Bilingual communication abilities are beneficial but not required.

Skills and Competencies
The strongest candidates will demonstrate:
  • Medical claims adjudication expertise