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Medical Claims Officer Jobs (NOW HIRING)

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Medical Biller

Colorado Springs, CO

$18 - $23.25/hr

Work directly with the CEO and be rewarded for your wins * Make an impact on local employment and ... Process and submit medical claims to insurance companies with precision and attention to detail

VETERANS OF FOREIGN WARS OF THE UNITED STATES

Advises service members in obtaining medical evidence from VA/DoD attending physicians, and other ... officers (DSOs). Coordinates, as appropriate, with the local VFW DSO to refer veterans for DSO ...

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Medical Claims Officer information

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$5

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How much do medical claims officer jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for medical claims officer 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 medical claims officers face when processing claims, and how can they be managed?

Medical Claims Officers often encounter challenges such as incomplete documentation, discrepancies in patient information, and the need to interpret complex medical codes. Managing these issues typically requires strong attention to detail, effective communication with healthcare providers, and up-to-date knowledge of insurance policies and regulations. Many organizations support their Claims Officers through ongoing training and by fostering collaboration with medical and administrative teams to resolve issues quickly and accurately.

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

To thrive as a Medical Claims Officer, you need strong knowledge of healthcare insurance policies, medical terminology, and claims processing, usually supported by a degree in healthcare administration or a related field. Familiarity with claims management systems, medical billing software, and regulatory compliance tools is essential. Attention to detail, analytical thinking, and effective communication are crucial soft skills for evaluating claims and collaborating with providers and policyholders. These abilities ensure accurate claims adjudication, minimize errors or fraud, and support positive relationships with clients and healthcare partners.

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

AspectMedical Claims OfficerMedical Billing Specialist
CredentialsTypically requires knowledge of insurance policies, claims processing, and relevant certificationsRequires understanding of billing codes, insurance procedures, and often similar certifications
Work EnvironmentHealthcare facilities, insurance companies, or third-party claims processorsMedical offices, clinics, or billing companies
Employer & Industry UsageUsed in healthcare and insurance sectors for claims processing rolesCommon in healthcare settings for billing and coding tasks
Search & Comparison IntentOften compared for claims processing and reimbursement rolesCompared for billing, coding, and revenue cycle management

The Medical Claims Officer and Medical Billing Specialist roles share similarities in certifications and work environments but differ mainly in their focus. The Claims Officer handles the processing and approval of insurance claims, while the Billing Specialist manages billing procedures and coding. Both roles are essential in healthcare revenue cycle management, but they serve distinct functions within the industry.

What is a medical claims officer?

Medical Claims Officers are professionals responsible for reviewing, processing, and assessing medical insurance claims submitted by patients or healthcare providers. They ensure that claims are accurate, meet policy requirements, and are supported by the necessary documentation. Their work involves investigating claims, communicating with clients and healthcare providers, and authorizing payments or denying claims as appropriate. Medical Claims Officers play a key role in preventing insurance fraud and ensuring the fair handling of claims.
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What job categories do people searching Medical Claims Officer jobs look for?

The top searched job categories for Medical Claims Officer jobs are:

Medical Claims Officer jobs near you
Infographic showing various Medical Claims Officer 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 Billing (Claims) Supervisor

GT Independence

Southington, CT • On-site

$60K/yr

Full-time

PTO

Re-posted 19 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 240 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 self-motivated, 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.
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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