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Entry Level Medical Claims Processor Jobs in Chicago, IL

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Entry Level Medical Sales

Elmhurst, IL · On-site

$36K - $49K/yr

Explain the process and get the patient to commit to the process. * Ensure intake is completed ... Medical will not pay fees associated with resumes presented through unsolicited means. Equal ...

Powers & Moon, llc

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Account Manager - Medical COB (Coordination of Benefits)

Deerfield, IL · On-site

$21.63 - $29/hr

... resolve medical claims. We are seeking an experienced and proactive Coordination of Benefits ... Knowledge of Coordination of Benefit rules, terminology, and processes * Excellent communication ...

AppleOne

Medical Billing

Chicago, IL · On-site

$60K/yr

The Medical Billing position supports accurate claims processing, payment posting, insurance follow-up, and revenue cycle operations. Candidates who are organized, reliable, and comfortable working ...

Allied

Stop Loss Claims Specialist II-Specific

Chicago, IL · On-site +1

$24 - $26/hr

Medical claims experience required. * Accounting or Finance background a plus. * Proficient with ... and process. It is at the Company's discretion to determine what pay is provided to a candidate ...

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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 Aug 14, 2026, the average hourly pay for entry level medical claims processor in Chicago, IL is $20.05, according to ZipRecruiter salary data. Most workers in this role earn between $17.84 and $22.31 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.

How to get a job as an entry level medical claims processor?

To get an entry-level medical claims processor position, candidates typically need a high school diploma or equivalent and should develop skills in data entry, attention to detail, and familiarity with medical billing software. Relevant certifications, such as the Certified Medical Reimbursement Specialist (CMRS), can improve job prospects, and previous experience in administrative or healthcare settings is beneficial. Strong organizational skills and the ability to work in a fast-paced environment are also important.

What are the most commonly searched types of Medical Claims Processor jobs in Chicago, IL?

The most popular types of Medical Claims Processor jobs in Chicago, IL are:

What are popular job titles related to Entry Level Medical Claims Processor jobs in Chicago, IL?

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

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The top searched job categories for Entry Level Medical Claims Processor jobs in Chicago, IL are:

What cities near Chicago, IL are hiring for Entry Level Medical Claims Processor jobs?

Cities near Chicago, IL 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 Chicago, IL as of August 2026, with employment types broken down into 100% Full Time. Highlights an 67% In-person, and 33% Remote job distribution, with an average salary of $41,714 per year, or $20.1 per hour.

Claims Examiner

Midwest Operating Engineers Fringe Benefit Fund

La Grange, IL • On-site

$33.23/hr

Full-time

Medical, Dental, Retirement, PTO

Posted 15 days ago

Job description

Summary/Objective:

This position is responsible for analyzing and processing facility, ancillary and physician claims, checking them for validity. Medical claims examiner reviews claims for various items, including appropriate billing practices, and coverage based on the Health and Welfare Guidelines. The Examiner must possess knowledge of medical terms, such as Current Procedural Terminology (CPT), Health Care Procedure Coding Systems (HCPCS) and International Classification of Diseases (ICD-10) to review the claim accurately.

Essential Functions

  • Validate information on all medical claims from members and providers seeking payment from their benefits.
  • Request required information from both internal and external sources to establish whether the claim is complete and valid.
  • Ability to examine different types of claims (ie: electronic, paper, dental, member reimbursements, etc.)
  • Exercise prudent judgement to determine when claims require repricing, case management review, or additional information.
  • Communicate effectively with Leadership, cross departments, members, providers, and vendors to expediently handle claim issues.
  • Follow appropriate HIPAA guidelines related to patient privacy and confidentiality.
  • Attend and participate in Claims Department meetings for training purposes.
  • Meet and maintain production and quality standards.
  • Ability to navigate through multiple vendor portals.
  • Test and verify new or enhanced system applications, if necessary.
  • Examine a claim using plan document, schedule of benefits, supporting documentation, Knowledge Articles, and other resources to make reasonable decisions regarding proper payment of claims.

· Identify order of payment for coordination of benefits with other insurance companies.

· Identify eligibility issues.

  • Identify billing trends and/or industry changes to notify management.
  • Collaborate with other team members, sharing knowledge and processing techniques.
  • Create and maintain Knowledge articles.
  • Other duties as assigned.

Education and Experience

· High School diploma or G.E.D. Certificate.

Specialized skills/technical knowledge required:

· Understand Plan eligibility and payment rules including excluded and included covered benefits.

· Must have general medical terminology and anatomy knowledge.

· Must be able to handle a high quality and production environment.

· Be able to communicate effectively and professionally in all areas of communication.

· Knowledge of healthcare coding systems and methodologies such as CPT, ICD-10 and DRG.

· Must have strong organizational, and problem-solving skills.

· Must be a team player.

· Proficient in Microsoft Office applications.

· Ability to handle multiple tasks in a fast-paced environment.

· Ability to read and interpret medical records preferred, but not mandatory.

· Ability to work independently as well as, with others to meet deadlines and resolve any outstanding processing issues.

· Must be detailed oriented.

· 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.

· Knowledge of ISSI or similar claim processing systems.

· Knowledgeable of Salesforce is preferred, but not necessary.

Job Type: Full-time

Pay: $33.23 per hour

Expected hours: No less than 40 per week

Benefits:


  • Dental insurance
  • Employee assistance program
  • Health insurance
  • Paid time off
  • Retirement plan


Schedule:


  • Day shift
  • Monday through Friday (Some Saturdays may be required)


Work Location: In person