ZipRecruiter

Log In

1

Medical Claims Associate Jobs in Oregon (NOW HIRING)

transpak

Workers' Compensation Specialist

Houston, TX

$40K - $70K/yr

Monitor claim status and follow up regularly with insurance adjusters and medical providers ... Associate in Claims (AIC) * Certified Workers' Compensation Professional (CWCP) * Professional in ...

TransPak

Workers' Compensation Specialist

Tualatin, OR · On-site

$40K - $70K/yr

Monitor claim status and follow up regularly with insurance adjusters and medical providers ... Associate in Claims (AIC) * Certified Workers' Compensation Professional (CWCP) * Professional in ...

Centene

Associate Actuary

OR · On-site +1

$87K - $157K/yr

Analyzing claims, vendor performance, and other healthcare datasets using tools such as SQL, SAS ... Collaborating with cross-functional teams, including Medical Economics, Enterprise Partnerships ...

AAON, Inc.

Workers Compensation Specialist

Redmond, OR · On-site

Coordinate with medical providers, employees, and insurance carriers to facilitate a smooth claims ... Associate's degree in human resources, business administration, or related field; bachelor's degree ...

previous page

Showing results 41-60

All JobsMedical Claims Associate JobsMedical Claims Associate Jobs in Oregon

Medical Claims Associate information

What does a medical claims associate do?

A Medical Claims Associate is responsible for reviewing, processing, and adjudicating medical insurance claims submitted by healthcare providers or policyholders. They verify the accuracy of claims, ensure compliance with insurance policies, and determine the appropriate payment or denial based on guidelines. The role involves communication with healthcare providers, patients, and insurance companies to resolve discrepancies or gather additional information. Medical Claims Associates play a crucial part in ensuring that claims are handled efficiently and accurately, contributing to the smooth operation of healthcare reimbursement processes.

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

To thrive as a Medical Claims Associate, you need strong knowledge of medical terminology, health insurance policies, and claims processing, often supported by a high school diploma or associate degree. Familiarity with claims management software, coding systems like ICD-10 or CPT, and basic office applications is essential. Attention to detail, problem-solving, and effective communication are vital soft skills for accuracy and client interactions. These skills ensure timely, accurate claims processing and help prevent errors or fraud, supporting efficient healthcare operations.

What are some common challenges faced by medical claims associates, and how can they be effectively managed?

Medical Claims Associates often encounter challenges such as managing high volumes of claims, navigating complex insurance policies, and ensuring accuracy under tight deadlines. To address these, it's important to develop strong organizational skills, keep up-to-date with the latest policy changes, and utilize available claims processing software efficiently. Additionally, collaborating closely with healthcare providers and insurance representatives can help clarify discrepancies and resolve issues more quickly, making teamwork and communication key assets in this role.

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

AspectMedical Claims AssociateMedical Billing Specialist
CredentialsHigh school diploma; certification often preferredHigh school diploma; certification often preferred
Work EnvironmentHealthcare offices, insurance companiesHealthcare offices, billing companies
Primary ResponsibilitiesReview and process insurance claims, ensure accuracyGenerate bills, submit claims, follow up on payments
Industry UsageInsurance companies, healthcare providersHealthcare providers, billing services

While both roles involve working with healthcare payments, a Medical Claims Associate primarily reviews and processes insurance claims to ensure accuracy and compliance. In contrast, a Medical Billing Specialist focuses on generating bills, submitting claims, and managing payment collections. Both roles require similar credentials and often work in healthcare or insurance settings, but their core functions differ in the claims review versus billing process.

Is claims processing a stressful job?

Claims processing as a Medical Claims Associate can be stressful due to the need for accuracy, attention to detail, and meeting deadlines. The role often involves handling complex information and working under time constraints, which can contribute to job-related stress. However, workload and stress levels vary depending on the employer and individual workload management skills.

What are the most commonly searched types of Medical Claims jobs in Oregon?

The most popular types of Medical Claims jobs in Oregon are:

What cities in Oregon are hiring for Medical Claims Associate jobs?

Cities in Oregon with the most Medical Claims Associate job openings:

Medical Claims Associate jobs near you
Infographic showing various Medical Claims Associate job openings in Oregon as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 16% Part Time, 6% Contract, and 1% Nights. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution.

Managed Care Associate, Full Time, Day Shift

Adventist Health

Portland, OR • On-site

Full-time

Re-posted yesterday

Adventist Health rating

7.7

Company rating: 7.7 out of 10

Based on 244 frontline employees who took The Breakroom Quiz

160th of 891 rated healthcare providers

Job description

Adventist Health Portland has been caring for East Portland since 1893, growing alongside the community we serve. Today, more than 2,300 employees are dedicated to whole-person care, mind, body and spirit, across our 302-bed medical center, emergency department, and network of clinics, urgent care, home care and hospice services. The Adventist Health Northwest Heart Center, located on our medical center campus, provides advanced cardiovascular care, bringing together expert providers, innovative treatments and compassionate support for patients across the region.

Job Summary:

Performs a variety of admitting and clerical duties to facilitate processing and scheduling of patients for the Medical Imaging department. Coordinates film storage and filing for the department. Assists radiologists as necessary to maintain department throughput.

Job Requirements:

Education and Work Experience:

  • High School Education/GED or equivalent: Preferred
  • Associate's/Technical Degree or equivalent combination of education/related experience: Preferred
  • Medical insurance experience: Preferred

Essential Functions:

  • Processes managed care referrals and sends to managed care claims department. Checks messages for pended back referrals and corrects information as needed. Responds to patient and/or specialists requests for referrals.
  • Communicates patient needs/information to specialist/provider offices. Communicates with insurance companies regarding authorization for referrals. Documents authorization and follow up referral information in computer and patient record as appropriate.
  • Opens, processes, and distributes mail daily. Maintains an organized and prioritized workload and responsibility for excellent customer service and patient satisfaction.
  • Performs other job-related duties as assigned.

Organizational Requirements:

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.
Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.

What Adventist Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply