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Entry Level Medical Claims Processor Jobs in Texas

IQVIA

Medical Biller/Claims Processing

Houston, TX · Remote

$23/hr

Receive medical claims from healthcare providers (HCPs) or patients and ensure all required ... Experience in claim processing Required * Ability to interpret EOBs Required * Insurance ...

IQVIA

Medical Biller/Claims Processing

Houston, TX · Remote

$23/hr

Receive medical claims from healthcare providers (HCPs) or patients and ensure all required ... Experience in claim processing Required * Ability to interpret EOBs Required * Insurance ...

Guidewell

Claims Examiner I

Irving, TX · On-site

Responsible for processing of claims (medical, dental, vision, and mental health claims) * Claims processing and adjudication. * Claims research where applicable. * Reviews and processes insurance to ...

Guidewell

Claims Examiner I

Irving, TX · On-site

Responsible for processing of claims (medical, dental, vision, and mental health claims) * Claims processing and adjudication. * Claims research where applicable. * Reviews and processes insurance to ...

WebTPA

Claims Examiner I

Irving, TX

Responsible for processing of claims (medical, dental, vision, and mental health claims) * Claims processing and adjudication. * Claims research where applicable. * Reviews and processes insurance to ...

WebTPA

Claims Examiner I

Irving, TX

Responsible for processing of claims (medical, dental, vision, and mental health claims) * Claims processing and adjudication. * Claims research where applicable. * Reviews and processes insurance to ...

Guidewell

Claims Examiner I

Irving, TX · On-site

Responsible for processing of claims (medical, dental, vision, and mental health claims) * Claims processing and adjudication. * Claims research where applicable. * Reviews and processes insurance to ...

Guidewell

Claims Examiner I

Irving, TX · On-site

Responsible for processing of claims (medical, dental, vision, and mental health claims) * Claims processing and adjudication. * Claims research where applicable. * Reviews and processes insurance to ...

The Reny Company

Medical Claims Data Entry

Plano, TX · On-site

$17 - $20/hr

The Reny Company's healthcare claims data entry personnel is a professional who combines experience ... Uses Microsoft Word processing, spreadsheets, database or other software on a computer. * Can also ...

Quick Claimers Medical Billing

Medical Biller

El Paso, TX · On-site

$14 - $22/hr

Job Summary Responsible for the accurate medical claims processing, insurance verifications, and payment posting while ensuring maximum reimbursement through proper billing practices. · Submit clean ...

Guidewell

Claims Examiner I

San Antonio, TX · On-site

Responsible for processing of claims (medical, dental, vision, and mental health claims) * Claims processing and adjudication. * Claims research where applicable. * Reviews and processes insurance to ...

WebTPA

Claims Examiner I

San Antonio, TX

Responsible for processing of claims (medical, dental, vision, and mental health claims) * Claims processing and adjudication. * Claims research where applicable. * Reviews and processes insurance to ...

Guidewell

Claims Examiner I

San Antonio, TX · On-site

Responsible for processing of claims (medical, dental, vision, and mental health claims) * Claims processing and adjudication. * Claims research where applicable. * Reviews and processes insurance to ...

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Entry Level Medical Claims Processor information

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

As of Sep 8, 2026, the average hourly pay for entry level medical claims processor in Texas is $18.14, according to ZipRecruiter salary data. Most workers in this role earn between $16.11 and $20.14 per hour, depending on experience, location, and employer.

What is an entry level medical claims processor?

An Entry Level Medical Claims Processor is responsible for reviewing and processing medical insurance claims submitted by healthcare providers and patients. They verify accuracy, ensure claims meet policy requirements, and enter data into processing systems. Their role helps facilitate timely payments and resolves issues related to denied or incorrect claims. Strong attention to detail, knowledge of medical billing codes, and basic computer skills are essential for success in this role.

What does an entry level medical claims processor do?

A typical day for an Entry Level Medical Claims Processor involves reviewing medical claims for accuracy and completeness, inputting data into claims management systems, and communicating with healthcare providers or insurance companies to resolve discrepancies. You may also be responsible for verifying patient information, checking eligibility, and ensuring claims comply with current regulations and company policies. Collaboration with other claims processors, supervisors, or billing teams is common to resolve issues and meet processing deadlines. This role usually follows regular business hours in an office or remote work environment and provides structured training to help you learn the systems and processes. Over time, you may have the opportunity to advance to senior processor or specialist roles as you gain experience.

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

To thrive as an Entry Level Medical Claims Processor, you need attention to detail, basic knowledge of medical terminology or insurance procedures, and a high school diploma or equivalent. Familiarity with claims processing software, electronic health records (EHR) systems, and Microsoft Office tools is often required, while some employers may value a medical billing and coding certification. Strong organizational skills, problem-solving abilities, and clear communication are important soft skills in this position. These competencies ensure that claims are processed accurately and efficiently, which helps prevent errors, speeds up reimbursements, and supports overall workflow in healthcare administration.

What are the most commonly searched types of Medical Claims Processor jobs in Texas?

The most popular types of Medical Claims Processor jobs in Texas are:

What are popular job titles related to Entry Level Medical Claims Processor jobs in Texas?

For Entry Level Medical Claims Processor jobs in Texas, the most frequently searched job titles are:

What job categories do people searching Entry Level Medical Claims Processor jobs in Texas look for?

The top searched job categories for Entry Level Medical Claims Processor jobs in Texas are:

What cities in Texas are hiring for Entry Level Medical Claims Processor jobs?

Cities in Texas with the most Entry Level Medical Claims Processor job openings:

Entry Level Medical Claims Processor jobs near you
Infographic showing various Entry Level Medical Claims Processor job openings in Texas as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $37,725 per year, or $18.1 per hour.

Claims Denial Managment/AR Specialist

OMS MEDICAL BILLING LLC

Addison, TX • On-site

$17.50 - $23.25/hr

Full-time

Re-posted 18 days ago

Job description

Overview

A Healthcare Claims Denial Management Specialist is responsible for identifying, analyzing, and resolving denied or underpaid medical insurance claims. This role ensures accurate reimbursement by working with payers, internal billing teams, and healthcare providers while maintaining compliance with regulatory and payer-specific requirements.

Key Responsibilities

Denial Review & Resolution

  • Review and analyze denied, underpaid, and rejected medical claims to determine root causes.
  • Correct claim errors, update coding or documentation as needed, and resubmit claims to payers within required timeframes.
  • Follow up with insurance companies to resolve outstanding denials and secure payment.

Payer Communication & Documentation

  • Communicate directly with insurance representatives to verify claim status, obtain clarification, and resolve discrepancies.
  • Maintain detailed documentation of actions taken, correspondence, and outcomes in billing and practice management systems.

Root Cause Analysis & Prevention

  • Identify denial patterns or trends across payers, coding categories, or service lines.
  • Collaborate with coding, billing, and clinical teams to prevent future denials through process improvements, training, or documentation enhancements.

Appeals Management

  • Prepare and submit formal appeals with supporting medical records, coding references, and payer policy documentation.
  • Track appeal outcomes and ensure compliance with appeal deadlines and payer regulations.

Compliance & Quality Assurance

  • Ensure all claim corrections and submissions comply with federal, state, and payer-specific regulations.
  • Stay up to date on payer policy changes, coding guidelines (CPT, HCPCS, ICD-10), and industry best practices.

Reporting & Performance Tracking

  • Generate denial reports, analyze denial metrics, and provide insights to leadership.
  • Monitor key performance indicators (KPIs) such as denial rate, appeal success rate, and days in accounts receivable (A/R).

Required Skills & Qualifications

  • Experience: 2–4 years in medical billing, claims processing, or denial management (healthcare or payer environment).
  • Knowledge:
    • Revenue cycle processes
    • CPT/HCPCS and ICD-10 coding
    • Insurance payer rules (commercial, Medicare, Medicaid)
    • Medical terminology
  • Technical Skills: Proficiency with EMR/EHR systems, clearinghouses, and billing software.
  • Analytical Abilities: Strong attention to detail, ability to identify trends, solve problems, and interpret payer policies.
  • Communication: Excellent verbal and written communication skills for working with payers, providers, and internal teams.
  • Organizational Skills: Ability to manage multiple priorities, meet deadlines, and maintain thorough records.

Preferred Qualifications

  • CPC, CPB, or other AAPC/AHIMA certification.
  • Experience with high-volume claims environments.
  • Familiarity with appeals and audit processes.

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