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Medical Claims Associate Jobs in Washington (NOW HIRING)

C-MCI

Medical Billing Specialist

Fairfax, VA · On-site +1

$18.50 - $24/hr

Position: Medical Billing Specialist Location: Remote / On-site Department: Revenue Cycle ... claims accuracy. Requirements Required Qualifications: * Education& Certification: * Associate'sor ...

Peraton

Medical Review Nurse- Medicare

Herndon, VA · On-site

$66K - $106K/yr

... Associates degree * Experience in the medical field as a Registered Nurse or other clinician, and/or experience in review of medical claims for coverage and medical necessity. * Current nursing ...

Peraton

Medical Review Nurse- Medicare

Reston, VA · On-site

$66K - $106K/yr

... Associates degree * Experience in the medical field as a Registered Nurse or other clinician, and/or experience in review of medical claims for coverage and medical necessity. * Current nursing ...

Marriott International

Claims Adjuster II

Bethesda, MD · On-site

$63K - $92K/yr

Associate in Claims (AIC) or Associate in Risk Management (ARM) preferred. * Two or four year ... Full-time positions also offer coverage for medical, dental, vision, health care flexible spending ...

Marriott

Claims Adjuster II

Bethesda, MD · On-site +1

Associate in Claims (AIC) or Associate in Risk Management (ARM) preferred. * Two or four year ... Full-time positions also offer coverage for medical, dental, vision, health care flexible spending ...

Marriott

Claims Adjuster II

Bethesda, MD · On-site +1

Associate in Claims (AIC) or Associate in Risk Management (ARM) preferred. * Two or four year ... Full-time positions also offer coverage for medical, dental, vision, health care flexible spending ...

Peraton

Nurse Reviewer - Medicaid

Reston, VA · On-site

$66K - $106K/yr

... Associates and 7 years of experience * At least 3 years of experience in the medical field as a Registered Nurse or other clinician, and/or experience in review of medical claims for coverage and ...

Peraton

Nurse Reviewer - Medicaid

Herndon, VA · On-site

$66K - $106K/yr

... Associates and 7 years of experience * At least 3 years of experience in the medical field as a Registered Nurse or other clinician, and/or experience in review of medical claims for coverage and ...

Crawford and Company

Claims Specialist- Liab

Fairfax, VA · On-site

$16.10 - $29.44/hr

Works closely with claimants, witnesses and members of the medical profession and other persons ... Associate in Claim designation, etc). * Demonstrates a thorough working knowledge of claim ...

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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 Washington?

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

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

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

Medical Claims Associate jobs near you
Infographic showing various Medical Claims Associate job openings in Washington as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 17% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution.

Medical Claims (Billing) Team Leader

GT Independence

Silver Spring, MD • On-site

$60K/yr

Full-time

Posted 20 days ago

GT Independence rating

6.4

Company rating: 6.4 out of 10

Based on 57 frontline employees who took The Breakroom Quiz

90th of 245 rated social care providers

Job description

GT Independence is a family-founded, leading national Financial Management Services (FMS) provider that supports individuals participating in self-direction programs, helping them manage their long-term care and support services at home and in community-based settings. Dedicated to promoting personal choice, independence, and quality of life, GT Independence delivers reliable, person-centered financial and administrative services that empower individuals to direct their own care. With a growing national presence, the organization continues to expand its impact through innovation, service excellence, and a strong commitment to the people and communities it serves.
The Claims Team Leader is responsible for the supervision, training and development of a team of claims specialists. The Claims Team Leader manages the submission of claims data, payments and works with team members and agencies to resolve outstanding claim issues.
Responsibilities
  • Be the point person for questions from your team members. Coordinate answers with agencies and/or internal departments including Operations.
  • Sign off/approve credit memos and employee receivables.
  • Assist with administrative accounting procedures per Controller/CFO.
  • Audit team performance, monitor team metrics and manage claims process.
  • Train new employees and existing employees in department procedures and agency requirements.
  • Assist in developing claims procedures for all new agencies prior to transitioning to Claims Specialist.
  • Prepare A/R reports for your team's agencies to monitor unpaid claims. Work with team members and agencies to collect outstanding payments.
  • Communicate with Claims Manager including but not limited to: training issues, agency challenges, unbilled items and A/R issues.

Qualifications
  • 2 years of experience relevant to the work performed
  • High School Diploma or GED required; Associate degree preferred
  • Strong ability to lead and mentor multiple team members

As an organization focused on helping both the people we serve and our employees succeed, we foster a culture where individuals can grow, thrive, and make a meaningful difference every day.
Join us in our mission: "To help people live a life of their choosing regardless of age or ability."
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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