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Medical Claims Assistant Jobs (NOW HIRING)

CorVel

Claims Assistant

Dallas, TX · On-site

$13.08 - $22.89/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Claims Assistant will support the claims staff in the set-up and administration of workers ... A comprehensive benefits package is available for full-time regular employees and includes Medical ...

York Risk Services

Claims Assistant

Dubuque, IA · On-site

$16.25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... Assistant Claims Assistant Our teams thrive together! We collaborate in person and embrace a ... Answers and initiates telephone calls, sets up medical appointments, and may provide customer ...

Corvel

Claims Assistant

Norristown, PA · Hybrid

$13.38 - $23.42/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Claims Assistant will support the claims staff in the set-up and administration of workers ... A comprehensive benefits package is available for full-time regular employees and includes Medical ...

CorVel

Claims Assistant

Franklin, TN · On-site

$13.38 - $23.42/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Claims Assistant will support the claims staff in the set-up and administration of workers ... A comprehensive benefits package is available for full-time regular employees and includes Medical ...

Corvel

Claims Assistant

Charlotte, NC · Hybrid

$15 - $23.42/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Claims Assistant will support the claims staff in the set-up and administration of workers ... A comprehensive benefits package is available for full-time regular employees and includes Medical ...

Corvel

Claims Assistant

Norristown, PA · On-site

$13.38 - $23.42/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Claims Assistant will support the claims staff in the set-up and administration of workers ... A comprehensive benefits package is available for full-time regular employees and includes Medical ...

E-J Electric Installation Co.

Claims Assistant

Queens, NY · On-site

$80K - $93K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Claims Assistant About E-J: The E-J Group is active in all facets of electrical contracting ... Comprehensive benefits, including medical, dental, vision, and a 401K plan * Paid holidays and ...

Corvel

Claims Assistant

Charlotte, NC · Hybrid

$15 - $23.42/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Claims Assistant will support the claims staff in the set-up and administration of workers ... A comprehensive benefits package is available for full-time regular employees and includes Medical ...

Sedgwick

Claims Assistant

Dubuque, IA

$16.25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... Assistant Claims Assistant Our teams thrive together! We collaborate in person and embrace a ... Answers and initiates telephone calls, sets up medical appointments, and may provide customer ...

Corvel

Claims Assistant

Rockville, MD · Hybrid

$15 - $23.42/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Claims Assistant will support the claims staff in the set-up and administration of workers ... A comprehensive benefits package is available for full-time regular employees and includes Medical ...

Corvel

Claims Assistant

Dallas, TX · On-site

$13.08 - $22.89/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Claims Assistant will support the claims staff in the set-up and administration of workers ... A comprehensive benefits package is available for full-time regular employees and includes Medical ...

SAIF

OR · On-site

$45K - $67K/yr

  • Medical

  • Retirement

  • PTO

As a claims assistant at SAIF, you'll work with adjusters and others to ensure that injured workers ... You'll be tracking down medical records, preparing documents, setting up appointments, auditing ...

New

MSIG Holdings USA, Inc.

Claims Assistant

Atlanta, GA · On-site

$45 - $55K/hr

Position Summary The Claims Assistant provides administrative and operational support to the Claims ... Medical, translation, copy, and expert invoices to the designated bill-review vendor * Med-legal ...

Corvel

Claims Assistant

Rockville, MD · On-site

$15 - $23.42/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Claims Assistant will support the claims staff in the set-up and administration of workers ... A comprehensive benefits package is available for full-time regular employees and includes Medical ...

CorVel

Claims Assistant

Rockville, MD · On-site

$15 - $23.42/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Claims Assistant will support the claims staff in the set-up and administration of workers ... A comprehensive benefits package is available for full-time regular employees and includes Medical ...

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Showing results 21-40

All JobsMedical Claims JobsMedical Claims Assistant Jobs

Medical Claims Assistant information

See salary details

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$16

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How much do medical claims assistant jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for medical claims 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 are some common challenges faced by medical claims assistants, and how can they be managed effectively?

Medical Claims Assistants often encounter challenges such as navigating complex insurance policies, ensuring accurate data entry, and managing tight deadlines for claim submissions. To handle these, strong organizational skills and attention to detail are essential. Regular communication with healthcare providers and insurance companies also helps to resolve discrepancies quickly. Staying updated on industry regulations and leveraging claims management software can further streamline the process and reduce errors.

What does a medical claims assistant do?

A Medical Claims Assistant is responsible for processing and reviewing insurance claims related to healthcare services. They verify patient and insurance information, ensure that claims are accurate and complete, and communicate with healthcare providers and insurance companies to resolve any discrepancies. Their role is essential in making sure that healthcare providers receive timely payments and that patients' claims are handled efficiently. Medical Claims Assistants also help track claims statuses and may assist patients with questions about their claims or coverage.

What are the key skills and qualifications needed to thrive as a medical claims assistant, and why are they important?

To thrive as a Medical Claims Assistant, you need a solid understanding of medical terminology, health insurance processes, and claims adjudication, usually supported by a high school diploma or equivalent. Familiarity with claims management software, electronic health records (EHR), and possibly certifications such as Certified Medical Reimbursement Specialist (CMRS) are commonly required. Attention to detail, strong organizational skills, and effective communication set top performers apart in this role. These skills ensure accurate claims processing, minimize errors, and facilitate smooth communication between healthcare providers, patients, and insurers.

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

AspectMedical Claims AssistantMedical Billing Specialist
CredentialsHigh school diploma; certification optionalHigh school diploma; certification preferred
Work EnvironmentHealthcare offices, insurance companiesMedical offices, billing companies
Job FocusAssisting with claims processing and data entryManaging billing, coding, and invoicing
Common UsageEntry-level claims support rolesRevenue cycle management roles

While both roles support healthcare revenue processes, a Medical Claims Assistant primarily handles claims submission and data entry, whereas a Medical Billing Specialist manages billing, coding, and payment collections. The roles often overlap but differ in scope and responsibilities.

More about Medical Claims Assistant jobs
What cities are hiring for Medical Claims Assistant jobs? Cities with the most Medical Claims Assistant 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 Assistant jobs? States with the most job openings for Medical Claims Assistant jobs include:
What job categories do people searching Medical Claims Assistant jobs look for? The top searched job categories for Medical Claims Assistant jobs are:
Medical Claims Assistant jobs near you
Infographic showing various Medical Claims Assistant job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $35,000 per year, or $16.8 per hour.

Medical Claims Examiner

Cornerstone Staffing Solutions Inc

Fremont, CA • On-site

$41.85/hr

Full-time, Contractor

Posted 19 days ago

Job description

Work Location: Fremont, California
Employment Type: Full-Time
Hourly Pay Rate: $41.85 per hour
Schedule: Monday through Friday | 8 hour shifts - 8:30 am to 5:00 pm.
Contract to hire

Position Overview
Cornerstone Staffing Solutions is seeking an experienced Medical Claims Examiner for a full-time opportunity with an established healthcare benefits administration organization in Fremont, California.
The Medical Claims Examiner will review, analyze, and adjudicate healthcare claims in accordance with applicable benefit plans, policies, contracts, regulatory requirements, and internal processing guidelines. This position requires a strong understanding of medical claims, benefit interpretation, healthcare coding, coordination of benefits, and claims payment methodologies.
The successful candidate will be highly accurate, organized, and comfortable working in a structured, production-oriented environment. This individual must be capable of balancing claim-processing productivity with quality, compliance, and professional service to members, providers, and internal departments.

Primary Responsibilities
  • Review and adjudicate professional and institutional medical claims accurately and within established turnaround times.
  • Verify member eligibility, effective dates, benefit coverage, and applicable plan provisions.
  • Review claims for completeness, accuracy, coding consistency, and required supporting documentation.
  • Interpret medical benefits, exclusions, limitations, deductibles, copayments, coinsurance, out-of-pocket maximums, and other cost-sharing requirements.
  • Examine CPT, HCPCS, ICD-10-CM, revenue, place-of-service, and modifier information as applicable to the claim.
  • Determine appropriate payment, denial, pend, or request-for-information actions.
  • Apply coordination-of-benefits guidelines and determine primary and secondary payer responsibilities.
  • Identify duplicate claims, billing discrepancies, possible overpayments, and other processing concerns.
  • Review claims involving prior authorization, medical necessity, timely filing, eligibility, and benefit limitations.
  • Research complex claims using benefit documents, internal procedures, provider contracts, and available claim history.
  • Request medical records, corrected claims, itemized bills, or other supporting documentation when necessary.
  • Document all research, claim decisions, adjustments, and communications clearly within the claims-processing system.
  • Process corrected claims, reconsiderations, adjustments, and reprocessed claims according to established procedures.
  • Communicate professionally with healthcare providers, members, and internal teams to resolve claim-related questions.
  • Assist with appeals, escalated claims, and complex benefit inquiries as assigned.
  • Meet established productivity, accuracy, quality, and attendance expectations.
  • Protect confidential member and health information in accordance with HIPAA and organizational policies.
  • Participate in training, quality reviews, departmental meetings, and process-improvement initiatives.
  • Perform additional claims-related duties as assigned.

Common Claims and Services Reviewed
The Medical Claims Examiner may review claims involving:
  • Physician and specialist services
  • Primary and preventive care
  • Urgent care and emergency services
  • Inpatient and outpatient hospital care
  • Surgical and procedural services
  • Diagnostic imaging
  • Laboratory and pathology services
  • Durable medical equipment
  • Rehabilitation and therapy services
  • Behavioral and mental health services
  • Ambulance and transportation services
  • Anesthesia services
  • Facility and professional billing
  • Coordination of benefits
  • Corrected and adjusted claims
  • Claim reconsiderations and appeals

Required Qualifications
  • At least two years of medical claims examination, adjudication, or healthcare claims-processing experience.
  • Demonstrated experience reviewing and processing medical claims in a payer, third-party administrator, benefits administrator, or related healthcare environment.
  • Working knowledge of medical terminology.
  • Familiarity with CPT, HCPCS, ICD-10-CM, revenue codes, modifiers, and place-of-service codes.
  • Understanding of deductibles, copayments, coinsurance, exclusions, benefit maximums, and other healthcare benefit provisions.
  • Knowledge of coordination-of-benefits principles.
  • Ability to interpret benefit summaries, plan documents, claims procedures, and payment guidelines.
  • Strong analytical, investigative, and problem-solving abilities.
  • Exceptional accuracy and attention to detail.
  • Ability to meet productivity expectations without compromising quality.
  • Strong written and verbal communication skills.
  • Ability to handle confidential information professionally.
  • Proficiency with claims-processing systems, Microsoft Office, and electronic documentation.
  • Ability to work independently while contributing effectively within a team environment.

Preferred Qualifications
  • Three or more years of medical claims examination experience.
  • Experience processing both professional and institutional claims.
  • Experience working with self-funded health plans or third-party claims administration.
  • Familiarity with provider contracts, fee schedules, allowed-amount calculations, or network pricing.
  • Experience reviewing coordination-of-benefits claims, corrected claims, adjustments, appeals, or complex claim scenarios.
  • Previous claims auditing, quality assurance, or claims-training experience.
  • Experience working in a regulated, production-driven healthcare environment.
  • Bilingual communication abilities are beneficial but not required.

Skills and Competencies
The strongest candidates will demonstrate:
  • Medical claims adjudication expertise