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Medical Claims Analyst Ii Jobs (NOW HIRING)

Robert Half

Medical Claims Analyst

Cleveland, OH · On-site

$27 - $35/hr

We are looking for an experienced Medical Claims Analyst to support Medicaid billing operations for a long-term contract opportunity in Cleveland, Ohio. This position focuses on claims-related ...

KeyStaff

Billing & Claims Analyst

Pompano Beach, FL

$28 - $36/hr

Pompano Beach Schedule: 8:30am - 5:00pm Pay Rate: $28.00 - $36.00 The Billing & Claims Analyst is responsible for monitoring medical claims, tracking payments, reviewing billing issues, and ...

MET Healthcare Solutions

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Medical Claims Eligibility Specialist II-Hybrid

Houston, TX · On-site

$23 - $25/hr

The Medical Claims Eligibility Specialist II will be responsible for analyzing level II claims information to determine eligibility in the dispute resolution process in accordance with established ...

Network Health

Claims Analyst II

Brookfield, WI · On-site +1

We are seeking a Claims Analyst II to examine and process paper and electronic claims. In this role ... Certificate of Coverage, established medical policies and procedures, and plan benefit ...

Integrated Resources INC

Claims Analyst

Syracuse, NY

Looking for medical claims experience for these position. * Top Three: Claims knowledge, efficient ... Required Experience: 0-2 years of claims processing with advancement to auditing / claims analysis ...

Network Health

Claims Analyst II

Menasha, WI · On-site +1

We are seeking a Claims Analyst II to examine and process paper and electronic claims. In this role ... Certificate of Coverage, established medical policies and procedures, and plan benefit ...

Network Health, Inc

Claims Analyst II

Menasha, WI · On-site +1

We are seeking a Claims Analyst II to examine and process paper and electronic claims. In this role ... Certificate of Coverage, established medical policies and procedures, and plan benefit ...

California State Jobs

Claims Officer

Fresno, CA · On-site

Job Title Claims Analyst II and Duties Under the direction of the Fresno Legal Office Claims Manager (Supervisor I) and/or the Deputy Chief Counsel in the Fresno Legal Office, the Claims Analyst II ...

Network Health, Inc

Claims Analyst II

Brookfield, WI · On-site +1

We are seeking a Claims Analyst II to examine and process paper and electronic claims. In this role ... Certificate of Coverage, established medical policies and procedures, and plan benefit ...

Network Health WI

Claims Analyst II

Menasha, WI · On-site

We are seeking a Claims Analyst II to examine and process paper and electronic claims. In this role ... Certificate of Coverage, established medical policies and procedures, and plan benefit ...

Towne Park

$62K - $68K/yr

The Claims Analyst II will perform a range of functions around the claims oversight and ... Employees are eligible to enroll in medical, dental, and vision insurance, accident insurance ...

Towne Park, LLC

Claims Analyst II

Plymouth Meeting, PA · On-site

$62K - $68K/yr

The Claims Analyst II will perform a range of functions around the claims oversight and ... Employees are eligible to enroll in medical, dental, and vision insurance, accident insurance ...

Next Step Systems

Medical Claims Coder

Tucson, AZ · On-site

Medical Claims Coder, Tucson, AZ Under general supervision from the Director of Operations, the ... Conduct research and analysis of claims; facilitate resolution of specific claims issues. Monitor ...

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 ... Conduct research and analysis of claims; facilitate resolution of specific claims issues. Monitor ...

TEKsystems

Claims Analyst

Brookfield, WI · Remote

$19.25/hr

Claims Analyst II Are you detail-oriented, analytical, and passionate about delivering accurate ... medical policies, and established procedures. * Determine whether claims should be approved, denied ...

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Medical Claims Analyst Ii information

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$15

$25

$41

How much do medical claims analyst ii jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for medical claims analyst ii in the United States is $25.11, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $25.24 per hour, depending on experience, location, and employer.

What does a Medical Claims Analyst II do?

A Medical Claims Analyst II is responsible for reviewing, analyzing, and processing medical insurance claims to determine their validity and ensure compliance with policy guidelines. They investigate discrepancies, verify patient and provider information, and ensure that claims are coded and billed accurately. This role often requires knowledge of medical terminology, insurance regulations, and claims processing systems, as well as experience handling more complex or escalated cases compared to entry-level analysts. Additionally, a Medical Claims Analyst II may assist in training junior staff and identifying trends or issues in claims processing.

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

To thrive as a Medical Claims Analyst II, you typically need a solid understanding of healthcare billing, insurance policies, and claims processing, often supported by an associate’s or bachelor’s degree in a related field and relevant work experience. Familiarity with claims management software, ICD-10/CPT coding systems, and knowledge of HIPAA regulations are essential. Strong analytical thinking, attention to detail, and effective communication set top performers apart in this role. These skills ensure accurate claims adjudication, compliance with regulations, and efficient resolution of complex cases.

What are some common challenges faced by Medical Claims Analyst II professionals, and how can they be addressed?

Medical Claims Analyst II professionals often encounter challenges such as handling complex claims with incomplete documentation, navigating changing regulatory requirements, and managing a high volume of cases within tight deadlines. To address these, strong organizational skills, continuous training on policy updates, and effective communication with providers and team members are crucial. Leveraging advanced claims management software and collaborating closely with other departments can also help streamline the review process and ensure accurate adjudication.
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Medical Claims Analyst Ii jobs near you
Infographic showing various Medical Claims Analyst Ii job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 15% Part Time, and 7% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $52,237 per year, or $25.1 per hour.

Medical Claims Analyst

Robert Half

Cleveland, OH • On-site

$27 - $35/hr

Temporary

Posted 16 days ago

Job description

We are looking for an experienced Medical Claims Analyst to support Medicaid billing operations for a long-term contract opportunity in Cleveland, Ohio. This position focuses on claims-related analysis, authorization workflows, and eligibility validation to help maintain accurate billing and reimbursement activity. The ideal candidate brings strong Medicaid expertise, confidence working with 270/271 transactions, and the ability to interpret reporting data in a fast-paced onsite environment.
Responsibilities:
• Review Medicaid-related claims activity and analyze billing information to support timely and accurate reimbursement.
• Manage pre-authorization and payer authorization processes, ensuring required approvals are secured before services are billed.
• Generate, interpret, and reconcile 270/271 eligibility and response reports to confirm coverage and support service reauthorization.
• Examine post-submission billing results to identify claim issues, track denials or rejections, and recommend corrective action.
• Validate member eligibility data for Medicaid billing and maintain accurate supporting documentation for claims processing.
• Assist with reauthorization workflows for ongoing services by using eligibility and transaction data to confirm continued coverage.
• Provide reporting support related to Medicaid billing activity and help organize information needed for limited grant invoicing tasks.
• Work closely with internal stakeholders to resolve billing discrepancies and improve the accuracy of claims-related processes.• 5+ years of experience in medical claims, medical billing, or Medicaid-focused revenue cycle work.
• Strong hands-on knowledge of Medicaid billing regulations, claims workflows, and authorization requirements.
• Demonstrated experience working with 270/271 transactions, eligibility reporting, and service reauthorization processes.
• Ability to investigate claim denials, rejected claims, and other reimbursement issues with a high level of accuracy.
• Proficiency in Excel, including PivotTables and VLOOKUP for reporting and data analysis.
• Background in behavioral health billing or claims support is strongly preferred.
• Strong analytical, organizational, and communication skills in an onsite team environment.
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About Robert Half

Sourced by ZipRecruiter

Founded in 1948, Robert Half pioneered the idea of professional talent solutions to connect opportunities at great companies with highly skilled job seekers. As business needs changed, we evolved to offer specialized talent solutions for finance and accounting, technology, administrative and customer support, creative and marketing, and legal fields. In 2002, we introduced our subsidiary, Protiviti, a global independent risk consulting and internal audit service, to support companies as they faced more strategic business challenges.

Industry

Recruiting and staffing services

Company size

10,000+ Employees

Headquarters location

San Ramon, CA, US

Year founded

1948

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