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Medical Bill Processor Jobs (NOW HIRING)

Client Bill Processor Pay - $15.00 per hour APS Medical Billing, located in Toledo Ohio, is seeking an experienced Client Bill Processor ready to work in a fast-paced environment providing direct ...

Client Bill Processor Pay - $15.00 per hour APS Medical Billing, located in Toledo Ohio, is seeking an experienced Client Bill Processor ready to work in a fast-paced environment providing direct ...

Process medical bills for workers' compensation, Texas non subscription, maritime, occupational accident, and liability claims * Data entry into system applying usual and customary, worker ...

Refund Processor

Toledo, OH · On-site

$17 - $18/hr

Pay: $17.00-$18.00 per hour APS Medical Billing located in Toledo Ohio, is looking for a motivated individual to join our payments team as a refund processor. Essential Duties and Responsibilities

Refund Processor

Toledo, OH · On-site

$17 - $18/hr

Pay: $17.00-$18.00 per hour APS Medical Billing located in Toledo Ohio, is looking for a motivated individual to join our payments team as a refund processor. Essential Duties and Responsibilities

Responsible for making bill review processing determinations according to rules, regulations, and/or third-party partners. Medical Bill Review Specialist II Primarily responsible for performing ...

Medical Bill Coordinator - Remote

$20.50 - $26.50/hr

Processes bills in accordance with multi state schedules, rules, regulations, and guidelines ... Reviews complex medical, legal and consult services. * Contacts client or facility to obtain ...

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Medical Bill Processor information

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How much do medical bill processor jobs pay per hour?

As of Aug 10, 2026, the average hourly pay for medical bill processor in the United States is $18.01, according to ZipRecruiter salary data. Most workers in this role earn between $16.11 and $19.95 per hour, depending on experience, location, and employer.

What are some common challenges faced by medical bill processors, and how can they be managed?

Medical Bill Processors often encounter challenges such as handling complex insurance claims, navigating frequent changes in healthcare regulations, and resolving discrepancies between patient records and billing information. To manage these challenges, it’s important to stay updated on industry standards and maintain strong attention to detail. Collaborating closely with healthcare providers and insurance representatives can also help ensure accurate and timely claim processing, reducing errors and claim denials.

What are the key skills and qualifications needed to thrive as a medical bill processor, and why are they important?

To thrive as a Medical Bill Processor, you need a solid understanding of medical terminology, billing codes (such as CPT, ICD-10, and HCPCS), and healthcare reimbursement processes, often supported by a relevant certification like Certified Professional Biller (CPB). Familiarity with medical billing software, electronic health records (EHR) systems, and claims management platforms is essential. Attention to detail, organizational skills, and effective communication help ensure accuracy and timely resolution of billing issues. These skills and qualities are crucial to minimize errors, expedite payments, and maintain compliance with healthcare regulations.

What does a medical bill processor do?

A Medical Bill Processor is responsible for reviewing, validating, and processing medical claims submitted by healthcare providers. They ensure that all information is accurate, verify patient eligibility and insurance coverage, and determine the appropriate payment or denial of claims. Medical Bill Processors work closely with healthcare providers, insurance companies, and patients to resolve discrepancies and ensure timely reimbursement for medical services. Their role is crucial for maintaining the financial health of medical practices and ensuring compliance with healthcare regulations.

What is the difference between Medical Bill Processor vs Medical Coder?

AspectMedical Bill ProcessorMedical Coder
CredentialsHigh school diploma, certification preferredCertification (e.g., CPC, CCS) often required
Work EnvironmentHealthcare offices, billing companiesHospitals, clinics, billing departments
Primary ResponsibilitiesReview and process medical bills, ensure accuracyTranslate medical procedures into codes for billing
Industry UsageBilling and insurance reimbursementMedical record documentation and billing

Medical Bill Processors focus on reviewing and submitting bills for reimbursement, while Medical Coders translate medical services into codes for billing and record-keeping. Both roles are essential in healthcare billing but differ in their specific tasks and required certifications.

What cities are hiring for Medical Bill Processor jobs? Cities with the most Medical Bill Processor job openings:
What states have the most Medical Bill Processor jobs? States with the most job openings for Medical Bill Processor jobs include:
Infographic showing various Medical Bill Processor job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $37,456 per year, or $18 per hour.

Medical Bill Processor - Worker's Compensation

paradigm

Tampa, FL • On-site

Full-time

Posted 7 days ago


Job description

Paradigm is seeking a detail-oriented Medical Bill Processor to join our Bill Review team. This role is responsible for the accurate and timely processing, adjudication, and payment of medical and non-medical bills and claims. The Medical Bill Processor ensures compliance with client guidelines, contractual requirements, and industry standards while delivering exceptional service to providers, injured workers, clients, and internal stakeholders.

At Paradigm, we are committed to a customer-first approach. By leveraging our expertise, technology, and collaborative culture, we strive to achieve the best possible outcomes for injured workers, payors, providers, and clients.

The schedule for this position is Monday - Friday, 8 AM to 5 PM Eastern Time.

Key Responsibilities

  • Review, enter, and adjudicate Network Manager (NWM) bills, including case coding, vendor lookup, data entry, and benefit calculations based on provider contract discounts, plans, and exclusions.
  • Process patient reimbursement bills, PCA invoices, prescription bills, and medical claims accurately and efficiently.
  • Review and adjudicate injured worker reimbursement forms, ensuring proper documentation and timely payment.
  • Research and resolve keying exceptions by reviewing bill images and accurately entering information into the bill review system.
  • Enter and process non-medical bills for payment.
  • Forward medical bills and claims that fall outside Paradigm contract dates to the appropriate carrier.
  • Gather Explanation of Review (EOR) documents and supporting claim documentation for jurisdiction-specific requirements and submit to carriers as needed.
  • Meet or exceed established productivity, accuracy, and turnaround time standards.
  • Track and report production metrics, downtime, issues, and trends.
  • Communicate professionally with Business Owners, Network Managers, Clinical Service Associates, providers, patients, and other stakeholders.
  • Support departmental administrative functions and special projects as assigned.

Required Education and Experience

  • High school diploma or equivalent.
  • Minimum of 2 years of customer service experience.
  • Minimum of 2 years of claims processing, bill review, medical billing, or related experience.
  • Intermediate proficiency with Microsoft Word, Excel, and Outlook.
  • Typing speed of at least 60 words per minute.
  • 10-key data entry experience.

Preferred Qualifications

  • Continuing education or training in insurance, medical terminology, coding, accounting, or a related field.
  • Knowledge of:
    • ICD-9 Coding
    • CPT Codes
    • HCPCS
    • Relative Value Scale (RVS)
    • Usual and Customary (UandC) Fee Schedules
    • Other medical coding and reimbursement methodologies

Knowledge, Skills and Abilities

  • Strong attention to detail and accuracy.
  • Excellent organizational and time-management skills.
  • Effective verbal and written communication skills.
  • Professional phone presence and customer service orientation.
  • Ability to explain information clearly to providers, clients, and internal teams.
  • Strong analytical and problem-solving skills.
  • Ability to collect and evaluate data, interpret guidelines, and make sound decisions.
  • Ability to manage multiple priorities in a fast-paced environment while maintaining quality standards.