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Medical Claims Manager Jobs in Reston, VA (NOW HIRING)

Crawford and Company

Claims Specialist-WC

Fairfax, VA · On-site

$16.10 - $29.44/hr

In This Role, You'll ⚡ Manage and resolve straightforward, short-term WC claims- including medical-only cases ⚡ Keep cases moving with precise documentation and timely follow-through ⚡ Use your ...

C-MCI

Medical Billing Specialist

Fairfax, VA · On-site +1

$18.50 - $24/hr

Revenue Cycle Management Overview: CMCI is seeking a detail-oriented and experienced Medical Billing Specialist to oversee claims processing, revenue cycle management, and contribute valuable ...

GEICO

Principal Claims Product Tester

Bethesda, MD · On-site

$100K - $157K/yr

Ability to manage multiple priorities and meet deadlines in a fast-paced environment. * Strong ... First-party medical claims knowledge. * Experience supporting centralized service organizations.

Geico

Principal Claims Product Tester

Bethesda, MD · On-site

$100K - $157K/yr

Ability to manage multiple priorities and meet deadlines in a fast-paced environment. * Strong ... First-party medical claims knowledge. * Experience supporting centralized service organizations.

Aptive

Provider Relations Liaison

Washington, DC · On-site

$66K - $87K/yr

IHSC serves as the medical experts for ICE for detainee health care. Primary Responsibilities The ... A minimum three years of experience in claims management, benefit, or third-party administration.

Aptive

Provider Relations Liaison

Washington, DC · On-site

$66K - $87K/yr

IHSC serves as the medical experts for ICE for detainee health care. Primary Responsibilities The ... A minimum three years of experience in claims management, benefit, or third-party administration.

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Medical Claims Manager information

See Reston, VA salary details

$36.4K

$91.4K

$144.6K

How much do medical claims manager jobs pay per year?

As of Aug 18, 2026, the average yearly pay for medical claims manager in Reston, VA is $91,407.00, according to ZipRecruiter salary data. Most workers in this role earn between $70,700.00 and $109,200.00 per year, depending on experience, location, and employer.

What does a medical claims manager do?

A Medical Claims Manager oversees the processing of insurance claims related to healthcare services. They ensure that claims are handled efficiently, accurately, and in compliance with industry regulations. Their responsibilities include supervising claims staff, reviewing and resolving complex claims issues, and coordinating with healthcare providers and insurance companies. Medical Claims Managers also work to identify and prevent fraudulent claims and improve overall claims processing procedures.

What are the key skills and qualifications needed to thrive as a medical claims manager?

To thrive as a Medical Claims Manager, you need a strong background in healthcare administration, claims processing, and knowledge of insurance regulations, typically supported by a bachelor's degree in a related field. Familiarity with claims management systems, billing software, and certification such as Certified Professional Coder (CPC) are often required. Exceptional attention to detail, problem-solving abilities, and effective communication set top performers apart. These skills ensure accurate claims processing, regulatory compliance, and efficient resolution of disputes, which are critical for organizational success.

What are some common challenges medical claims managers face when overseeing claims processing teams?

Medical Claims Managers often encounter challenges such as keeping up with changing healthcare regulations, ensuring accurate and timely claims processing, and managing workflow during periods of high claim volume. They must also address discrepancies or denials efficiently and provide ongoing training to team members to maintain compliance and quality standards. Effective communication with insurance carriers, healthcare providers, and internal teams is crucial to resolving issues and streamlining operations.

What are the most commonly searched types of Medical Claims jobs in Reston, VA?

The most popular types of Medical Claims jobs in Reston, VA are:

What are popular job titles related to Medical Claims Manager jobs in Reston, VA?

For Medical Claims Manager jobs in Reston, VA, the most frequently searched job titles are:

What job categories do people searching Medical Claims Manager jobs in Reston, VA look for?

The top searched job categories for Medical Claims Manager jobs in Reston, VA are:

What cities near Reston, VA are hiring for Medical Claims Manager jobs?

Cities near Reston, VA with the most Medical Claims Manager job openings:

Medical Claims Manager jobs near you

Medical Billing (Claims) Supervisor

GT Independence

Silver Spring, MD • On-site

$60K/yr

Full-time

PTO

Re-posted 16 days ago

GT Independence rating

6.4

Company rating: 6.4 out of 10

Based on 57 frontline employees who took The Breakroom Quiz

88th of 242 rated social care providers

Job description

Make a Meaningful Impact Every Day

At GT Independence, people are at the heart of everything we do. If you thrive in a collaborative environment, love what you do, and are eager to grow, you’re in the right place. Discover a career where your work genuinely improves lives and supports a mission that matters.

Our Mission

To help people live a life of their choosing, regardless of age or ability.

GT Independence has earned multiple awards for being an exceptional workplace, including being named a 2026 National “Best and Brightest Companies to Work For.” We are also proudly certified as a Great Place to Work® for 2025/2026—a distinction reserved for top employers committed to outstanding employee experiences.

The Medical Billing (Claims) Supervisor is responsible for the supervision, training and development of a team of Medical Claims Specialists.  The Medical Billing (Claims) Supervisor manages the submission of claims data, payments and works with team members and agencies to resolve outstanding claim issues.

RESPONSIBILITIES AND DUTIES

  • 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.
  • Attends trainings, conferences and staff meetings.
  • Participates in company continuous improvement processes.
  • Upholds company values and mission
  • Other duties as assigned

EDUCATION

  • High School Diploma or GED required
  • Associate degree preferred


EXPERIENCE AND QUALIFICATIONS

  • 2 years of experience relevant to the work performed
  • Experience with Microsoft Office products is necessary, specifically Microsoft Excel
  • Excellent organizational and administrative skills with demonstrated ability to work towards and meet deadlines by planning and organizing
  • Experience in working on complex projects with critical thinking and problem solving
  • Excellent written and oral communication skills
  • Strong attention to detail
  • Able to work with numbers and apply basic math skills to daily tasks
  • Strong ability to lead and mentor multiple team members

WORK ENVIRONMENT

  • Work is performed in a typical office setting or from a home office.


As a family-founded national leader in personal and financial services for individuals who rely on home- and community-based care, GT Independence supports tens of thousands of people across the country as they find and hire their own caregivers or personal assistants. 

Our claims team is driven by trust, autonomy, and—yes—fun. We believe great teams come from people who are intrinsically motivated, empowered, and valued. We respect each other, we care about the work we do, and we succeed because we work with purpose. 

We value excellence, but we won’t micromanage to achieve it. If you are selfmotivated, we give you the space and support to grow and thrive. Team members enjoy flexible paid time off, competitive wages & benefits, and meaningful opportunities for professional growth. 

Grow your career with us. Grow your impact with us. 

___________ 

What Culture & Belonging Means at GT: Bring Your Authentic Self To Work 

GT is committed to being a welcoming and inclusive community. We aspire for all staff to feel comfortable bringing their full, authentic selves to work. We want people to feel valued and have a sense of belonging. GT strives to create a workforce that reflects the communities we serve. We recognize that our diversity makes us stronger. It also drives innovation and ultimately helps us achieve our mission of self-determination.

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