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Entry Level Medical Claims Processor Jobs in Virginia

Medical Billing Specialist

Fairfax, VA ยท On-site +1

$18.50 - $24/hr

CMCI is seeking a detail-oriented and experienced Medical Billing Specialist to oversee claims processing, revenue cycle management, and contribute valuable insights to develop AI-powered tools that ...

Claims Specialist-WC

Fairfax, VA ยท On-site

$16.10 - $29.44/hr

Works closely with claimants, witnesses and members of the medical profession and other persons pertinent to the investigation and processing of claims. * Verifies policy coverage for submitted ...

Claims Examiner

Richmond, VA ยท On-site

$73K - $90K/yr

Conduct and coordinate investigations across all phases of the claims process * Evaluate liability ... Ability to analyze medical records, contracts (including risk transfer provisions), property damage ...

Conduct and coordinate investigations across all phases of the claims process * Evaluate liability ... Ability to analyze medical records, contracts (including risk transfer provisions), property damage ...

Claims Examiner

Richmond, VA ยท On-site

$73K - $90K/yr

Conduct and coordinate investigations across all phases of the claims process * Evaluate liability ... Ability to analyze medical records, contracts (including risk transfer provisions), property damage ...

Claims Assistant

Chesapeake, VA ยท On-site

$23 - $25.25/hr

This role partners with internal and external stakeholders to keep the processes flowing. The ... * Entry level position * Excellent written and verbal communications skills; ability to handle ...

Claims Assistant

Chesapeake, VA ยท On-site

$23 - $25.25/hr

This role partners with internal and external stakeholders to keep the processes flowing. The ... * Entry level position * Excellent written and verbal communications skills; ability to handle ...

Coding Payment Resolution Spec

Richmond, VA ยท On-site

$18.50 - $23.75/hr

... claims, or other coding reasons and processing charge corrections based on medical record reviews, contracts, regulations as directed by the Supervisor Clinical / Coding Payment Resolution.

Act as the primary point of contact for injured workers, employers, medical providers, and other stakeholders, delivering clear and professional communication throughout the claims process.

Accident & Claims Coordinator

Gainesville, VA ยท On-site

$20 - $21.75/hr

Communicate breakdown of repair services and costs to clients and process incoming vendor invoices ... Whether you're an entry-level worker or a senior executive, an HR Manager or a front line ...

Claims Adjuster Trainee

Stafford, VA ยท On-site

$59K - $63K/yr

... the claims process from start to finish. You'll have the support of a collaborative team and ... Medical, dental & vision, including free preventative care * Wellness & mental health programs

Claims Technician

Richmond, VA ยท On-site

$19.69 - $27.08/hr

... process in accordance with the Markel Service Standards. The Claims Technician may be called upon ... medical condition; citizenship status; pregnancy, childbirth, or related medical conditions ...

Claims Adjuster Trainee

Charlottesville, VA ยท On-site

$54K - $57K/yr

... the claims process from start to finish. You'll have the support of a collaborative team and ... Medical, dental & vision, including free preventative care * Wellness & mental health programs

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Entry Level Medical Claims Processor information

See Virginia salary details

$13

$19

$25

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

As of Aug 22, 2026, the average hourly pay for entry level medical claims processor in Virginia is $19.30, according to ZipRecruiter salary data. Most workers in this role earn between $17.16 and $21.44 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 Virginia?

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

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

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

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

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

Infographic showing various Entry Level Medical Claims Processor job openings in Virginia as of August 2026, with employment types broken down into 100% Full Time. Highlights an 50% In-person, and 50% Remote job distribution, with an average salary of $40,146 per year, or $19.3 per hour.

Medical Billing Specialist

C-MCI

Fairfax, VA โ€ข On-site, Remote

$18.50 - $24/hr

Full-time

Re-posted 18 days ago


Job description


Position: Medical Billing Specialist
Location: Remote / On-site
Department: Revenue Cycle Management
Overview:
CMCI is seeking a detail-oriented and experienced Medical Billing Specialist to oversee claims processing, revenue cycle management, and contribute valuable insights to develop AI-powered tools that enhance medical billing workflows. The ideal candidate will have expertise in medical coding, claims submission, payer interactions, and denial management, ensuring optimized billing practices for maximum reimbursement and minimal claim rejections.
Why Join CMCI?
  • Opportunityto work with cutting-edge AI-driven billing solutions that optimizeRCM efficiency.
  • Work in acollaborative environment with healthcare and AI professionals.
  • Competitivesalary, benefits, and professional development opportunities.

Key Responsibilities:
  • ClaimsProcessing & Submission:
    • Accuratelyprocess, review, and submit medical claims.
    • Verify CPT,ICD-10, and HCPCS codes to ensure claims compliance withpayer-specific policies.
    • Work withclearinghouses and insurance payers to track claims and resolve denials,rejections, and underpayments efficiently.
  • Revenue CycleManagement (RCM):
    • Oversee theentire claims lifecycle, from eligibility verification to final paymentreconciliation.
    • Monitoraccounts receivable (A/R) aging reports and ensure timely follow-upon outstanding claims.
    • Optimizepayer reimbursement rates by leveraging contractual agreements andcoding best practices.
  • Payer &Compliance Coordination:
    • Utilize thepayer lookup database to retrieve Payer IDs and transactiontypes for accurate claim submission.
    • Ensurecompliance with Medicare, Medicaid, and private insuranceguidelines to prevent fraud and billing errors.
    • Stay updatedon coding changes, regulatory requirements, and payer policies tomaintain accuracy in claims processing.
  • Technology& AI Development Support:
    • Provideinsights into billing workflows, common claim errors, and automationopportunities to improve AI-driven billing tools.
    • Assist intesting and refining AI-powered RCM solutions, including automated claimsscrubbing and predictive denial management.
    • Collaboratewith the engineering and data science teams to train AI models forenhanced claims accuracy.

Requirements
Required Qualifications:
  • Education& Certification:
    • Associate'sor Bachelor's degree in Health Information Management, Business, or arelated field (preferred).
    • CertifiedProfessional Biller (CPB) or Certified Professional Coder(CPC) (preferred).
  • Experience:
    • 2+ years ofexperience in medical billing, claims processing, or revenue cyclemanagement.
    • Strongknowledge of CPT, ICD-10, and HCPCS coding systems.
    • Experienceworking with Medicare, Medicaid, and commercial insurance payers.
  • TechnicalSkills:
    • Proficiencywith billing and practice management software such as:
      • ElectronicHealth Records Systems: Epic, Cerner, Athenahealth
      • Clearinghouseplatforms: Emdeon, Availity, Change Healthcare, Waystar, Kareo
    • Experiencewith ANSI X12 837 EDI claims processing.
    • Strong Exceland data analysis skills for tracking claim performance.
    • Familiaritywith AI-based RCM tools is a plus.
  • Soft Skills:
    • Stronganalytical and problem-solving skills for identifying claimdiscrepancies.
    • Excellentcommunication and collaboration skills to liaise with providers andpayers.
    • Ability towork independently and in a team environment in a fast-pacedsetting.

Join CMCI to help revolutionize the future of AI-powered medical billing!
All qualified applicants will receive consideration for employment without regard to any characteristic protected by local, state, or federal laws, rules, or regulations