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Entry Level Medical Claims Processor Jobs in Scranton, PA

Keywords & Skills Medical Billing Specialist, Accounts Receivable Representative, Healthcare AR, Revenue Cycle, Payment Posting, Claims Processing, Denials Management, EOB, ERA, EFT, ICD-9, CPT ...

Property Adjuster I

Wilkes Barre, PA · On-site

$56K - $90K/yr

Low contributions to medical and prescription premiums. We currently pay up to 97% of employees ... Also responsible for servicing assigned territory and may handle litigated claims. * This is a ...

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Entry Level Medical Claims Processor information

See Scranton, PA salary details

$13

$19

$25

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

As of Aug 23, 2026, the average hourly pay for entry level medical claims processor in Scranton, PA is $19.27, according to ZipRecruiter salary data. Most workers in this role earn between $17.12 and $21.39 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 Scranton, PA?

The most popular types of Medical Claims Processor jobs in Scranton, PA are:

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

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

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

What cities near Scranton, PA are hiring for Entry Level Medical Claims Processor jobs?

Cities near Scranton, PA with the most Entry Level Medical Claims Processor job openings:

Infographic showing various Entry Level Medical Claims Processor job openings in Scranton, PA as of August 2026, with employment types broken down into 1% As Needed, 61% Full Time, 32% Part Time, and 6% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $40,083 per year, or $19.3 per hour.

Claims Representative - Medical Only

Berkshire Hathaway GUARD Insurance Companies

Wilkes Barre, PA • Hybrid

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 10 days ago


Job description

Overview

Good Things Start Here.

Good things are happening at Berkshire Hathaway GUARD Insurance Companies-an A+ (Superior) rated, nationwide Property & Casualty insurer backed by Berkshire Hathaway. With supportive leadership, collaborative teams, and opportunities to grow, GUARD is a place where people build meaningful, longterm careers.

Good Things You Can Count On.

  • Hybrid schedule: 2 days remote / 3 inoffice
  • Predictable hours (no nights, weekends, or holidays)
  • Competitive pay + generous PTO
  • Medical, dental & vision starting day one
  • 401(k), tuition reimbursement & longevity bonuses
Responsibilities

We are seeking a Medical Claims Representative in our Wilkes-Barre, PA office to manage Workers' Compensation medical-only claims while providing timely service to injured workers, employers, and medical providers. This role is responsible for the communication, coordination and administration of Workers' Compensation claims.

  • Manage Workers' Compensation medical-only claims from initial report through resolution.
  • Determine compensability and ensure timely delivery of benefits.
  • Coordinate medical treatment and facilitate early return-to-work efforts.
  • Review and process medical bills for payment.
  • Serve as a liaison between injured workers, employers, and medical providers.
  • Provide guidance regarding Workers' Compensation processes and claim management.
  • Maintain accurate claim documentation and comply with applicable regulations and company procedures.
Qualifications

Candidate must have:

  • Proficiency with Microsoft Office applications and other business technologies
  • Strong communication, organizational, and customer service skills
  • Ability to understand and apply medical and legal terminology related to Workers' Compensation claims
  • Strong attention to detail
  • Ability to learn new technology and systems
  • High School Diploma/GED required; additional education or relevant claims experience is a plus
  • Licensing Requirement: Candidates must hold an active adjuster license or be willing and able to obtain and maintain all required state licenses. The company will support the licensing process, including cost, training and compliance with ongoing continuing education requirements

Interview Integrity Notice: Berkshire Hathaway GUARD is committed to a fair and consistent hiring process. Candidates are expected to participate independently in interviews. Unauthorized recording, transcription, AI note-taking, or AI interview assistance tools may not be used during interviews without prior approval.

Employment Type: FULL_TIME