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Medical Claims Administrator Jobs (NOW HIRING)

Machinify

Claims Administrator

$24/hr

The Claims Administrator I oversees the intake and output of files, responding to inquiries ... Preferred experience in medical record review and knowledge of medical terminology. * Proficient in ...

Searhc

Medical Claims Analyst

Juneau, AK · On-site

$31.83 - $44.56/hr

Serves as the system administrator for the PRC claims processing platform, including user access ... Medical terminology course required or 1 year of documented experience in a medical field requiring ...

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Medical Claims Administrator information

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How much do medical claims administrator jobs pay per hour?

As of Aug 3, 2026, the average hourly pay for medical claims administrator in the United States is $26.63, according to ZipRecruiter salary data. Most workers in this role earn between $18.99 and $29.81 per hour, depending on experience, location, and employer.

Is claims a stressful job?

Medical Claims Administrators often work in a fast-paced environment where accuracy and attention to detail are essential, which can lead to stress, especially when handling high volumes of claims or complex cases. The job may involve tight deadlines and dealing with dissatisfied clients, but stress levels can vary based on workload, support systems, and individual coping skills.

What does a medical claims administrator do?

A medical claims administrator reviews and processes insurance claims related to healthcare services, ensuring accuracy and compliance with policies. They verify patient information, determine claim eligibility, and communicate with healthcare providers and insurance companies, often using claims processing software. Strong attention to detail and knowledge of healthcare regulations are essential for this role.

What is the highest paying healthcare administration job?

In healthcare administration, executive roles such as Chief Medical Officer, Chief Executive Officer, or Vice President of Healthcare Services tend to have the highest salaries. These positions often require extensive experience, advanced degrees, and leadership skills, with salaries reaching six figures or higher depending on the organization and location.

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

To thrive as a Medical Claims Administrator, you need a strong understanding of medical billing, insurance policies, and coding practices, often supported by a relevant associate degree or certification. Familiarity with claims management software, electronic health records (EHR) systems, and ICD/CPT coding tools is typically required. Attention to detail, analytical thinking, and effective communication are essential soft skills for resolving discrepancies and collaborating with patients and providers. These abilities ensure accurate claims processing, minimize errors, and support timely reimbursement within the healthcare system.

What does a claims administrator do?

A claims administrator manages and processes insurance claims, verifying coverage, reviewing documentation, and ensuring accurate and timely payments. They often use specialized software and need strong attention to detail and knowledge of insurance policies to handle claims efficiently.

What are some common challenges Medical Claims Administrators face when processing claims, and how can they effectively address them?

Medical Claims Administrators often encounter challenges such as incomplete or inaccurate patient information, discrepancies in coding, and navigating evolving insurance policies. To address these issues, it is essential to maintain strong attention to detail, stay updated on the latest coding standards (like ICD-10 and CPT), and communicate proactively with healthcare providers and insurers to clarify any ambiguities. Developing strong organizational and problem-solving skills can also help streamline the claims process and reduce the likelihood of denials or delays.

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

AspectMedical Claims AdministratorMedical Billing Specialist
CredentialsTypically requires a certification in medical billing or claims processingOften requires certification in medical billing or coding
Work EnvironmentWorks in healthcare offices, insurance companies, or billing companiesWorks mainly in healthcare provider offices or billing departments
Job FocusManages and processes insurance claims, ensures compliancePrepares and submits patient bills, follows up on payments

Both roles involve billing and claims processing, often requiring similar certifications. However, Medical Claims Administrators focus more on managing insurance claims and ensuring compliance, while Medical Billing Specialists handle patient billing and payment follow-up. They often work in similar environments within healthcare and insurance industries, making their roles complementary but distinct.

More about Medical Claims Administrator jobs
What cities are hiring for Medical Claims Administrator jobs? Cities with the most Medical Claims Administrator job openings:
What states have the most Medical Claims Administrator jobs? States with the most job openings for Medical Claims Administrator jobs include:
What job categories do people searching Medical Claims Administrator jobs look for? The top searched job categories for Medical Claims Administrator jobs are:
Medical Claims Administrator jobs near you
Infographic showing various Medical Claims Administrator job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 86% Full Time, 10% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $55,393 per year, or $26.6 per hour.

Claims Administrator

Machinify

Remote

$24/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 9 days ago

Job description

Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. We're constantly reimagining what's possible in our industry, creating disruptively simple, powerfully clear ways to maximize financial outcomes and drive down healthcare costs.
About the Opportunity
At Machinify, we're constantly reimagining what's possible in our industry-creating disruptively simple, powerfully clear ways to maximize our clients' financial outcomes today and drive down healthcare costs tomorrow. As part of the Complex Payment Solutions Team, you will, as a Claims Administrator, be responsible for supporting efficient claims processing and ensuring data accuracy throughout the review and auditing process. This role involves performing incoming claim reviews, organizing data, assigning statuses, and routing completed files to auditors while maintaining document hygiene and adhering to internal procedures.
The position requires close collaboration with internal teams to manage import queues, reconcile balances, validate charges, identify, and address errors, and facilitate claims routing. The Claims Administrator I oversees the intake and output of files, responding to inquiries, resolving discrepancies, and ensuring effective communication regarding claims.
Additionally, this role includes analyzing data trends, monitoring file-sharing processes, verifying data transfer accuracy, and ensuring appropriate volume levels are maintained. Data entry of documents and other administrative tasks are also integral to the position.
The ideal candidate demonstrates strong organizational skills, attention to detail, and the ability to work collaboratively in a dynamic environment.
What you'll do
  • Review incoming claims, assign statuses, organize data, and route files to auditors.
  • Collaborate with teams to manage the import queue, reconcile balances, validate charges, correct errors, and route files.
  • Oversee file intake and output, addressing inquiries, discrepancies, and errors.
  • Analyze data trends and communicate updates on claims routing, efficiency, inventory, and volume.
  • Monitor file-sharing processes, ensure data transfer accuracy, and maintain appropriate volume levels.
  • Perform data entry and support additional administrative tasks as needed.

What experience you bring (Role Requirements)
  • Preferred experience in medical record review and knowledge of medical terminology.
  • Proficient in Microsoft Office Suite, Adobe Acrobat, and multi-monitor setups; adaptable to company-specific software.
  • Strong attention to detail, organizational, analytical, and critical thinking skills.
  • Excellent interpersonal and teamwork abilities, capable of collaborating across functions and driving change.

What Success Looks Like...
After 3 months
  • You will have a strong understanding of the role.
  • You begin building relationships and collaborating with peers.
  • You develop effective time and priorities management.
  • You receive initial feedback about your performance and are using it to improve.
  • You've gained confidence in your abilities and are starting to feel more comfortable in your role.

After 1 year
  • You have mastered the tasks and responsibilities of the position, executing them with confidence and efficiency.
  • You have established a strong network of internal relationships and are recognized as a key collaborator.
  • You've been entrusted with greater responsibility indicating the company's confidence in your abilities.
  • You see opportunities for career progression and personal development.

Pay range: $24.00 USD per hour. This is a non-exempt position.
What's in it for you
  • PTO, Paid Holidays, and Volunteer Days
  • Eligibility for health, vision and dental coverage, 401(k) plan participation with company match, and flexible spending accounts
  • Tuition Reimbursement
  • Eligibility for company-paid benefits including life insurance, short-term disability, and parental leave.
  • Remote and hybrid work options

What values we'll share with you
  • Ask why
  • Think big
  • Be humble
  • Optimize for customer impact
  • Deliver results

Equal Employment Opportunity at Machinify
We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace. Machinify is an employment at will employer. We participate in E-Verify as required by applicable law. In accordance with applicable state laws, we do not inquire about salary history during the recruitment process. If you require a reasonable accommodation to complete any part of the application or recruitment process, please let our recruiters know. See our Candidate Privacy Notice at: https://www.machinify.com/candidate-privacy-notice/

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