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Entry Level Medical Claims Processor Jobs in Houston, TX

Houston Retina Associates

AR Specialist

Houston, TX · On-site

$18.25 - $24.25/hr

Position Summary The A/R Specialist is responsible for the company's third-party medical claims processing and assisting patients and office staff with questions on insurance claims, authorizations ...

EyeSouth Partners LLC

AR Specialist

Houston, TX

$18.25 - $24.25/hr

The A/R Specialist is responsible for the company's third-party medical claims processing and assisting patients and office staff with questions on insurance claims, authorizations, statements, and ...

Houston Retina Associates

AR Specialist

Houston, TX

$18.25 - $24.25/hr

Position Summary The A/R Specialist is responsible for the company's third-party medical claims processing and assisting patients and office staff with questions on insurance claims, authorizations ...

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All JobsMedical Claims Processor JobsEntry Level Medical Claims Processor JobsEntry Level Medical Claims Processor Jobs in Houston, TX

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 Houston, TX is $18.59, according to ZipRecruiter salary data. Most workers in this role earn between $16.54 and $20.67 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 Houston, TX? The most popular types of Medical Claims Processor jobs in Houston, TX are:
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Entry Level Medical Claims Processor jobs near you
Infographic showing various Entry Level Medical Claims Processor job openings in Houston, TX as of July 2026, with employment types broken down into 89% Full Time, 9% Part Time, and 2% Contract. Highlights an 88% Physical, 4% Hybrid, and 8% Remote job distribution, with an average salary of $38,670 per year, or $18.6 per hour.

Medical Claims Eligibility Specialist II-Hybrid

MET Healthcare Solutions

Houston, TX • On-site

$23 - $25/hr

Full-time

Medical, Retirement, PTO

Re-posted 3 days ago

Job description

MET Healthcare Solutions is seeking a Medical Claims Eligibility Specialist II to join our fast-paced organization. The Medical Claims Eligibility Specialist II will be responsible for analyzing level II claims information to determine eligibility in the dispute resolution process in accordance with established federal regulations and company policies and procedures.

Responsibilities of the Medical Claims Eligibility Specialist II may include but are not limited to:

· Analyze Explanation of Benefits (EOB) and payment remittance documents submitted by healthcare providers and insurance carriers to determine which level II claims are eligible for the dispute resolution process.

· Compose correspondence in accordance with regulatory requirements (and internal policies in procedures) in a clear, concise, and grammatically correct manner.

· Communicate (via email) with healthcare providers and health plans to obtain information necessary to determine the eligibility of the claims. 

·  Relay the status of all claim submissions utilizing multiple different operating systems.

· Stay up to date on industry specific regulations, ensuring that appropriate strategies are in place.

· Maintain electronic files for all claims determined eligible.

These responsibilities are a condensed list of the full scope of the job description and are subject to change depending on the company’s demand.

· Experience reviewing all types of medical claims, EOBs, and payment remittances (e.g. HCFA 1500, Outpatient/Inpatient UB92, Surgery, Anesthesia, high dollar complicated claims, COB and DRG/RCC pricing).

· Understanding of insurance reimbursement rules.

· Ability to work at a high level and display high attention to detail.

· Ability to work across multiple operating systems.

· Ability to maintain confidentiality and professionalism in difficult situations.

· Strong written and verbal communication skills with the ability to explain reasoning effectively.

This Medical Claims Eligibility Specialist II position is offered as a hybrid position (after in office training) to those candidates that meet all the position requirements and continue to meet the daily expectations.

This is a full-time position, Monday-Friday from 8am-5pm. Please only apply if you are able to meet these requirements weekly.

Education:

  • Bachelor's (Required)

Experience:

  • Healthcare Claims Analysis: 2 years (Required)

License/Certification:

  • Billing and Coding Certification (Preferred)

Company Description

A healthcare management group, URAC-accredited as an independent review organization (IRO). Over 20 years of experience helping control costs, and mitigate regulatory compliance by providing superior administrative and medical expert services to improve the quality of healthcare functions nationwide. Making a difference in healthcare.