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Medical Claim Assistant Jobs (NOW HIRING)

Centene Corporation

SIU Investigator

Manhattan, NY · On-site

$56K - $101K/yr

Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning ... medical claim audit, medical claim analysis, or fraud investigation experience. Preferred ...

The Whiteside Agency

Chief Medical Officer

Richardson, TX · On-site

$262K - $404K/yr

Provide input into to claim practices, marketing strategy and customer services as appropriate to anticipate, respond to and manage medical trends. * Partner with key stakeholders to assist in the ...

The Whiteside Agency

Chief Medical Officer

Orlando, FL · On-site

$262K - $404K/yr

Provide input into to claim practices, marketing strategy and customer services as appropriate to anticipate, respond to and manage medical trends. * Partner with key stakeholders to assist in the ...

The Whiteside Agency

Chief Medical Officer

Chicago, IL · On-site

$262K - $404K/yr

Provide input into to claim practices, marketing strategy and customer services as appropriate to anticipate, respond to and manage medical trends. * Partner with key stakeholders to assist in the ...

The Whiteside Agency

Chief Medical Officer

Saint Paul, MN · On-site

$262K - $404K/yr

Provide input into to claim practices, marketing strategy and customer services as appropriate to anticipate, respond to and manage medical trends. * Partner with key stakeholders to assist in the ...

Travelers Insurance

Chief Medical Officer

Richardson, TX · On-site

$262K - $404K/yr

Provide input into to claim practices, marketing strategy and customer services as appropriate to anticipate, respond to and manage medical trends. * Partner with key stakeholders to assist in the ...

The Whiteside Agency

Chief Medical Officer

Braintree, MA · On-site

$262K - $404K/yr

Provide input into to claim practices, marketing strategy and customer services as appropriate to anticipate, respond to and manage medical trends. * Partner with key stakeholders to assist in the ...

The Whiteside Agency

Chief Medical Officer

Hartford, CT · On-site

$262K - $404K/yr

Provide input into to claim practices, marketing strategy and customer services as appropriate to anticipate, respond to and manage medical trends. * Partner with key stakeholders to assist in the ...

Travelers Insurance

Chief Medical Officer

Richardson, TX · On-site

$262K - $404K/yr

Provide input into to claim practices, marketing strategy and customer services as appropriate to anticipate, respond to and manage medical trends. * Partner with key stakeholders to assist in the ...

The Whiteside Agency

Chief Medical Officer

Tampa, FL · On-site

$262K - $404K/yr

Provide input into to claim practices, marketing strategy and customer services as appropriate to anticipate, respond to and manage medical trends. * Partner with key stakeholders to assist in the ...

The Whiteside Agency

Chief Medical Officer

Alpharetta, GA · On-site

$262K - $404K/yr

Provide input into to claim practices, marketing strategy and customer services as appropriate to anticipate, respond to and manage medical trends. * Partner with key stakeholders to assist in the ...

Anasazi Medical Payment

Product Owner

Phoenix, AZ · On-site

Participate in Refinement Sessions, story creation and assist with test case generation/testing ... Working knowledge Medical Claim Adjudication, Payment Integrity Systems, and various Claim ...

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Medical Claim Assistant information

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How much do medical claim assistant jobs pay per hour?

As of Sep 9, 2026, the average hourly pay for medical claim assistant in the United States is $16.83, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $18.27 per hour, depending on experience, location, and employer.

What cities are hiring for Medical Claim Assistant jobs?

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What states have the most Medical Claim Assistant jobs?

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Infographic showing various Medical Claim Assistant job openings in the United States as of June 2026, with employment types broken down into 1% As Needed, 90% Full Time, and 9% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $35,000 per year, or $16.8 per hour.

Claims Examiner Senior - Health Plan Admin

Irving, TX • On-site

CHRISTUS Health
Outpatient Health Care • 1 - 5K employees
Learn more about CHRISTUS Healthexternal

Full-time

Re-posted 3 days ago

CHRISTUS Health rating

6.7

Company rating: 6.7 out of 10

Based on 536 frontline employees who took The Breakroom Quiz

535th of 898 rated healthcare providers

Job description

Description

Summary:

The Claims Examiner Senior is responsible for reviewing, analyzing, researching, and resolving complex medical claims in accordance with claims processing guidelines and desktops, as well as, ensuring compliance with federal regulations. This role works in conjunction with Business Configuration, Network Management, Provider Data, Complaints, Appeals and Grievances as well as other operational departments to ensure validation and quality assurance of claims processing.

Responsibilities:

  • Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
  • Analyze medical claim information and take appropriate action for payment resolution in accordance with policies and procedures, desktops, processing guidelines, and federal regulations.
  • Process medical claims submitted on CMS-1500 and CMS-1450/UB-04 claim forms from facilities, physicians, Home Health, Durable Medical Equipment providers, laboratories, etc.
  • Work claim projects resulting from overpayments or underpayments related to manual processing errors, benefit updates, and/or contract, fee schedule changes.
  • Process provider refunds, reconsiderations, and direct member reimbursements.
  • Process medical claim adjustments, recovery of claim overpayments, and execution of claim batch adjudication.
  • Solve moderately complex claims and escalate issues to the Claims Team Lead, Supervisor or Manager.
  • Assist with database improvements and testing for system upgrades, conversions, or implementation of new processes.
  • Serves as a resource to assist with training new associates, retraining current associates on new/updated desktops/policies and reports staff progress, deficiencies, and training needs to management.
  • Sets high standards of performance and promotes teamwork to achieve established team goals, while maintaining a positive, professional attitude.
  • Contacting/responding to internal and external customers for resolution on claim issues.
  • Assist claims leadership to identify claim trends, gaps in workflow and create/update desktops and policies and procedures.
  • Collaborate with and maintain open communication with all departments within CHRISTUS Health to ensure effective and efficient workflow and facilitate completion of tasks/goals.
  • Must be able to organize and prioritize work to meet deadlines.
  • Have good judgment, initiative, and problem-solving abilities.
  • Attention to detail is critical to ensure timely and accurate processing of claims.
  • Consistently meet established productivity and quality standards.
  • Follow CHRISTUS Guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent, or detect unauthorized disclosure of Protected Health Information (PHI).
  • Performs other duties as assigned by management to support claims functions, which are focused on achieving both departmental and organizational objectives.
  • Must be knowledgeable about medical terminology, CPT, HCPCS, ICD-10, Revenue Codes, CMS-1500 and CMS-1450/UB-04 claim forms and reimbursement methodologies.
  • Must have excellent written, verbal, organizational and interpersonal communication skills.
  • Must be proficient in Microsoft Office, Power Point, Excel, Word, Outlook, spreadsheet, and database skills.

Job Requirements:

Education/Skills

  • Associate's degree or equivalent job-related experience required.

Experience

  • Minimum of 3 years’ experience processing medical claims in the healthcare industry.
  • Prior experience working with managed care, Medicare, Medicare Advantage, Health Exchange, and TRICARE are highly desirable.

Licenses, Registrations, or Certifications

  • None required.

Work Schedule:

5 Days - 8 Hours

Work Type:

Full Time

What CHRISTUS Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

CHRISTUS Health logo

About CHRISTUS Health

Sourced by ZipRecruiter

CHRISTUS Health is a prominent name in the healthcare industry, with its headquarters situated in Irving, TX, USA. Established in 1999, the company has since been devoted to providing comprehensive care and extending the healing ministry of Jesus Christ. This not-for-profit health system primarily operates more than 600 healthcare services and programs, including long-term care facilities, health insurance products, community clinics, and outreach services, serving both urban and rural populations.

Industry

Outpatient health care

Company size

1,001 - 5,000 Employees

Headquarters location

Irving, TX, US

Year founded

1999

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