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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 ...

Connecticut Counseling Centers, Inc

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Medical Claims Specialist

Waterbury, CT · On-site

$17 - $24/hr

Position Summary The Medical Claims Specialist is responsible for the accurate and timely submission, tracking, and resolution of medical claims for services. This role ensures claims are processed ...

Urgent

Connecticut Counseling Centers, Inc

Be Seen First

Medical Claims Specialist

Waterbury, CT · On-site

$17 - $24/hr

Position Summary The Medical Claims Specialist is responsible for the accurate and timely submission, tracking, and resolution of medical claims for services. This role ensures claims are processed ...

Urgent

Next Step Systems

Medical Claims Examiner

Tucson, AZ · On-site

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

Next Step Systems

Medical Claims Examiner

Tucson, AZ · On-site

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

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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 Jun 10, 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.

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.

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.

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
Medical Claims Coder

Medical Claims Coder

Next Step Systems

Tucson, AZ • On-site

Full-time

Medical, Retirement, PTO

Posted 3 days ago

Job description

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 inpatient claims received from all provider types and lines of business. Review and resolve rejected and/or denied claims. Conduct research and analysis of claims; facilitate resolution of specific claims issues. Monitor copays, deductibles, insurance verification, and authorizations. Analyze incoming and outgoing revenue sources and measure different financial cycles on behalf of Customers. Maximize reimbursement and develop effective policies for billing and claim processing. This position is 100% Onsite and NOT open for Remote.
Medical Claims Coder Responsibilities:
- Submit claims and encounters in a timely manner.
- Review and resolve rejected, pended, and/or denied claims within expected timeframes.
- Coordinate claim adjustments with the customer.
- Identify revenue cycle issues and implement solutions to improve systems and processes.
- Respond to calls on claims issues and provide information and resolution in a timely manner.
- Provide education and technical support to Claims Examiners and customers regarding claims related issues through on-line training and in person training.
- Produce scheduled reports for in-house and customers.
- Prepare written inter-departmental and external correspondence.
- Develop and publish formal written guidance for customers to process claims.
- Analyze encounter-processing data using statistical methodologies.
- Update and maintain electronic billing manual and distribute updates as directed.
- Compare business operations and coordinate technical analysis support for upcoming collection of accounts.
Medical Claims Coder Qualifications:
- High School diploma or GED plus 5 years of full-time data entry experience in claims processing, accounting, analysis and adjudication of Medical and/or Behavioral environment.
- Experience with ICD10, CPT, HCPCS, and Inpatient coding and billing and knowledge of HIPAA regulations.
- Knowledge of Microsoft Excel and 10-key by touch is also required.
- Knowledge of and experience working with Electronic Health Records system(s).
- Ability to translate customer needs to technical and/or business process solutions.
- Ability to effectively work with internal teams across numerous functions and levels.
- Ability to quickly learn complex business processes and understand the underlying transactional systems.
- Strong customer service skills and abilities.
- Exceptional communication skills, including strong customer-facing presentation and facilitation skills.
- Ability to work on multiple projects.
- Strong attention to detail and follow-through skills.
- Experience working in a team-oriented, collaborative environment.
- Strong analytical and problem-solving abilities.
Benefits include medical insurance, retirement plan, PTO, etc. Salary: 80K+ DOE. Keywords: Tucson AZ Jobs, Medical Claims Coder, Medical Examiner, ICD10, CPT, HCPCS, In-Patient Coding, In-Patient Billing, HIPAA Regulations, MS Excel 10-Key, Electronic Health Records, EHR, Claims Processing, Accounting, Healthcare, Arizona Recruiters, Information Technology Jobs, IT Jobs, Arizona Recruiting
Looking to hire for similar positions in Tucson, AZ or in other cities? Our IT recruiting agencies and staffing companies can help.
We help companies that are looking to hire Medical Claims Coders for jobs in Tucson, Arizona and in other cities too. Please contact our IT recruiting agencies and IT staffing companies today! Phone 630-428-0600 ext. 11 or email us at jobs@nextstepsystems.com. Click here to submit your resume for this job and others.
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