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Medical Claims Jobs (NOW HIRING)

Next Step Systems

Medical Claims Coder

Tucson, AZ · On-site

Medical Claims Coder, Tucson, AZ Under general supervision from the Director of Operations, the responsibility of Medical Claims Coder consists of processing claim data and adjudicating medical and ...

Next Step Systems

Medical Claims Coder

Tucson, AZ · On-site

Medical Claims Coder, Tucson, AZ The Medical Claims Coder needs experience with ICD-10, Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), In-Patient Billing ...

Robert Half

Medical Claims Representative

Pleasanton, CA · On-site

$31.35 - $36.30/hr

We are looking for a Medical Claims Representative to join our team in Pleasanton, California in a Contract to Permanent role. This position is ideal for someone with experience handling medical ...

Real Soft Inc

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Medical Claims Specialist

Minneapolis, MN · On-site

$28.16/hr

Medical Claims Specialist Location: Minneapolis, MN (Hybrid - 2 Days/Week Onsite) Employment Type:Contract-to-Hire Job Summary Seeking an experienced Critical Illness Claims Analyst to interpret ...

PeopleShare

Medical Claims Specialist

Hampton, VA

$22/hr

Medical Claims Specialist Job Details Schedule: Monday - Friday, 8am-5pm Hourly Pay Rate: $22.00 Type: Full-time, Contract Medical Claims Specialist Job Responsibilities: * Process and review health ...

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Medical Claims information

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$5

$16

$18

How much do medical claims jobs pay per hour?

As of Jul 20, 2026, the average hourly pay for medical claims 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 are medical claims?

Medical claims are formal requests submitted by healthcare providers or patients to insurance companies, asking for payment for medical services rendered. These claims contain detailed information about the patient, the services provided, dates of service, and relevant medical codes. Insurance companies review the claims to determine coverage and reimburse providers or patients accordingly. Accurate and timely submission of medical claims is crucial to ensure proper payment and avoid delays or denials.

How to get into medical claims?

To enter a medical claims role, candidates typically need a high school diploma or equivalent, with some positions preferring postsecondary education or certifications in health insurance or medical billing. Relevant skills include attention to detail, knowledge of insurance policies, and proficiency with claims processing software. Gaining experience through internships or entry-level positions can also improve job prospects.

What are the key skills and qualifications needed to thrive as a Medical Claims Specialist, and why are they important?

To thrive as a Medical Claims Specialist, you need knowledge of medical terminology, insurance policies, and claims processing, typically supported by a high school diploma or relevant certification. Familiarity with claims management software, electronic health records (EHRs), and billing systems such as ICD-10 and CPT coding is essential. Attention to detail, strong organizational skills, and effective communication help ensure accuracy and resolve claim discrepancies. These skills are crucial for ensuring timely and accurate claims processing, minimizing errors, and maintaining compliance with healthcare regulations.

What are some common challenges faced in a medical claims role, and how can they be effectively managed?

Medical claims professionals often encounter challenges such as handling denied or complex claims, navigating frequent regulatory changes, and communicating with both patients and insurance providers. Staying updated with the latest healthcare regulations and payer requirements is essential to minimize claim rejections. Effective time management, attention to detail, and strong communication skills help resolve issues quickly and ensure accurate processing. Collaborating closely with billing teams and healthcare providers also aids in addressing discrepancies and expediting claim approvals.

Is claims a stressful job?

Medical claims jobs can be stressful due to the need for accuracy, attention to detail, and meeting strict deadlines. Employees often handle complex cases and sensitive information, which can contribute to work pressure, especially during high-volume periods or audits.

What is the difference between Medical Claims vs Medical Billing Specialist?

AspectMedical ClaimsMedical Billing Specialist
CredentialsTypically requires knowledge of insurance policies and coding; certifications like CPC or CCS are commonRequires similar certifications; focuses on billing processes and insurance claims
Work EnvironmentHealthcare facilities, insurance companies, billing companiesMedical offices, hospitals, billing companies
Job FocusSubmitting and managing insurance claims for reimbursementPreparing and sending bills to patients and insurers, managing accounts

Medical Claims specialists primarily handle the submission and management of insurance claims to ensure healthcare providers receive payment. Medical Billing Specialists focus on creating and sending bills to patients and insurance companies, managing payments, and maintaining billing records. While both roles require knowledge of insurance processes and coding, Medical Claims roles are more centered on claims submission and follow-up, whereas Medical Billing Specialists handle the overall billing process and patient invoicing.

What is the highest paying medical billing job?

The highest paying medical billing roles are often senior positions such as Medical Billing Managers or Coding Directors, which require extensive experience, certifications like CPC or CCS, and strong knowledge of billing software. These roles can earn six-figure salaries, especially in large healthcare organizations or specialized medical fields.

What is the highest paying adjuster job?

The highest paying adjuster jobs are typically senior or specialized roles such as catastrophe or large-loss adjusters, which require extensive experience and certifications like the Chartered Property Casualty Underwriter (CPCU). These positions often offer higher salaries due to the complexity and scale of claims handled. Adjusters working for large insurance companies or in managerial positions tend to earn the most in the field.
More about Medical Claims jobs
What cities are hiring for Medical Claims jobs? Cities with the most Medical Claims job openings:
What are the most commonly searched types of Medical Claims jobs? The most popular types of Medical Claims jobs are:
What states have the most Medical Claims jobs? States with the most job openings for Medical Claims jobs include:
What job categories do people searching Medical Claims jobs look for? The top searched job categories for Medical Claims jobs are:
Medical Claims jobs near you
Infographic showing various Medical Claims job openings in the United States as of July 2026, with employment types broken down into 91% Full Time, 7% Part Time, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $35,000 per year, or $16.8 per hour.
Medical Claims Representative

Medical Claims Representative

Michigan Farm Bureau Family of Companies

Lansing, MI • On-site

$64K/yr

Full-time

Medical, Dental, Vision, Retirement

Posted 20 days ago

Job description

OBJECTIVE
Medical Claims Representative Objective
To provide efficient investigation, evaluation and negotiation of Michigan No-Fault claims.
RESPONSIBILITIES
Medical Claims Representative Responsibilities
Respond to and control the disposition of all assigned Michigan No-Fault claims.
Work with computer systems keying functions, including but not limited to letter composition, log entry, diary entry, report of investigation composition, and draft production.
Read and apply policy of Michigan No-Fault acts as written.
QUALIFICATIONS
Medical Claims Representative Qualifications
Required
Minimum two to three years medical claims handling experience required.
Must possess a valid driver license with an acceptable driving record.
Preferred
High school diploma or equivalent required. Bachelor's degree in business administration preferred.
Designation in claims insurance preferred.
Note: If a candidate is not selected, an Associate Medical Claims Representative position may be considered on the level of experience and qualifications. This position can be flexible working from personal residence within the state of Michigan.
Farm Bureau offers a full benefit package including medical, dental, vision, and 401K.
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