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Entry Level Medical Claims Processor Jobs in Chicago, IL

Claritev

Medical Claims Investigator

Naperville, IL

$50/hr

This role reviews medical paid claims against provider contracts and policies to ensure medical payments have been processed accurately. The incumbent will employ data mining and coordination of ...

Resource Hub

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 ...

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 ...

Physician Billing Specialists, LLC

Be Seen First

Medical Billing, Certified Coder

Park Ridge, IL · Remote

$17 - $19/hr

... clean claims to insurance companies. · Processes and applies collected copayments to claims. · Answers phone questions from patients, clients, insurance companies, and other sources. · ...

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All JobsMedical Claims Processor JobsEntry Level Medical Claims Processor JobsEntry Level Medical Claims Processor Jobs in Chicago, IL

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 5, 2026, the average hourly pay for entry level medical claims processor in Chicago, IL is $20.07, 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:
What job categories do people searching Entry Level Medical Claims Processor jobs in Chicago, IL look for? 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 June 2026, with employment types broken down into 95% Full Time, and 5% Part Time. Highlights an 90% In-person, 5% Hybrid, and 5% Remote job distribution, with an average salary of $41,745 per year, or $20.1 per hour.

Medical Claims Investigator

Claritev

Naperville, IL

$50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 16 days ago

Job description

At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all of our stakeholders -- internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential.

Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and Upward!!!

Do you know someone who you think would be a great fit for this position? To share this job with someone, click the refer-a-friend icon at the top of this page. This icon is to the right of the star icon.

JOB SUMMARY:
This role reviews medical paid claims against provider contracts and policies to ensure medical payments have been processed accurately. The incumbent will employ data mining and coordination of benefit techniques to analyze and audit hospital and physician claims to identify errant claim payments.
JOB ROLES AND RESPONSIBILITIES:
1. Achieve measured production, quality, and growth results.
2. Utilize analytics and data mining and coordination of benefits techniques to client paid claims data.
3. Evaluate medical claims for coding and pricing errors using accurate HCPCS, ICD-10, and CPT codes.
4. Lookup and review medical claims in payer system to determine methods of payment and validate savings identified.
5. Promote a positive team environment that is based around critical thinking and sharing intelligence to help meet both individual and team goals.
6. Utilize official coding guidelines and resources as required, including CMS directives and bulletins.
7. Collaborate, coordinate, and communicate across disciplines and departments.
8. Ensure compliance with HIPAA regulations and requirements.
9. Demonstrate Company's Core Competencies and values held within.
10. Please note due to the exposure of PHI sensitive data, this role is considered to be a High Risk Role.
11. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.
JOB SCOPE:
This role keeps the needs of external and internal customers as a priority when making decisions and taking action. Will work under direct supervision to uncover actionable claims which facilitate savings for customers. Interacts with customers and internal staff in the organization.

COMPENSATION:
The salary range for this position is $50-55K. Specific offers take into account a candidate's education, experience and skills, as well as the candidate's work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity.

JOB REQUIREMENTS (Education, Experience, and Training):
* Minimum high school diploma or GED along with two (2) years of direct experience in medical claims investigation or data mining / coordination of benefits auditing. Attainment of relevant medical billing and coding certification along with a bachelors' degree in a relevant field are both highly preferred.
* Knowledge of coding type edits and medical claim reimbursement structures and methodologies
* Proficiency with medical terminology, medical procedures, medical conditions, and illness and treatment practices
* Experience in applying principles of coding guidelines; federal/state regulations and policies pertaining to coding and billing
* Knowledge in researching state and federal healthcare guidelines, i.e. Medicare and State Medicaid Programs
* Familiarity with automated medical claims payment systems and/or working knowledge of payer systems (i.e. Facets, QNXT, etc.)
* Advanced computer skills and proficiency with Microsoft Excel
* Must be able to prioritize, coordinate, multitask, think outside the box, and be energetic
* Must be able to work independently while maintaining close attention to detail
* Required licensures, professional certifications, and/or Board certifications as applicable
* Individual in this position 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

BENEFITS

We realize that our employees are instrumental to our success, and we reward them accordingly with very competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs. Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide range of live and web-based professional development and educational programs to prepare you for advancement opportunities.

Your benefits will include:

  • Medical, dental and vision coverage with low deductible & copay
  • Life insurance
  • Short and long-term disability
  • Paid Parental Leave
  • 401(k) + match
  • Employee Stock Purchase Plan
  • Generous Paid Time Off - accrued based on years of service
    • WA Candidates: the accrual rate is 4.61 hours every other week for the first two years of tenure before increasing with additional years of service
  • 10 paid company holidays
  • Tuition reimbursement
  • Flexible Spending Account
  • Employee Assistance Program
  • Sick time benefits - for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located provide for more generous sick time benefits.

EEO STATEMENT

Claritev is an Equal Opportunity Employerand complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status. If you would like more information on your EEO rights under the law, pleaseclick here.

APPLICATION DEADLINE

We will generally accept applications for at least 5 calendar days from the posting date or as long as the job remains posted.

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