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Medical Claims Processing Jobs (NOW HIRING)

90 Degree Benefits

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Experienced Medical Claims Processor (TPA)

Charlotte, NC · On-site

$18 - $21/hr

MUST HAVE DIRECT MEDICAL CLAIMS PROCESSING EXPERIENCE***** 90 Degree Benefits is seeking a full-time Claims Processor to join our team. This is a non-exempt position that will be responsible for ...

NWA

Medical Claims Processor

Mountlake Terrace, WA · On-site

$34.30/hr

Knowledgeable about medical claims processing, minimum 1 year * Communicator. Strong verbally and in writing including interpersonal skills * Service Minded. Passionate about customer service ...

Datamark, Inc.

Medical Claims Processor

El Paso, TX · On-site

$16.50/hr

Team as a Medical Claims Processor! Are you looking for an exciting opportunity where your ... and accurate prescription processing. This is a back-office position that requires strong ...

NWA

Medical Claims Processor

Seattle, WA · On-site

$34.30/hr

Knowledgeable about medical claims processing, minimum 1 year * Communicator. Strong verbally and in writing including interpersonal skills * Service Minded. Passionate about customer service ...

Datamark, Inc.

Medical Claims Processor

El Paso, TX · On-site

$16.50/hr

Team as a Medical Claims Processor! Are you looking for an exciting opportunity where your ... and accurate prescription processing. This is a back-office position that requires strong ...

Datamark, Inc.

Medical Claims Processor

El Paso, TX

$16.50/hr

Team as a Medical Claims Processor! Are you looking for an exciting opportunity where your ... and accurate prescription processing. This is a back-office position that requires strong ...

DATAMARK (Texas)

Medical Claims Processor

El Paso, TX · On-site

$16.50/hr

Team as a Medical Claims Processor! Are you looking for an exciting opportunity where your ... and accurate prescription processing. This is a back-office position that requires strong ...

NWA

Medical Claims Processor

Federal Way, WA · On-site

$34.30/hr

Knowledgeable about medical claims processing, minimum 1 year * Communicator. Strong verbally and in writing including interpersonal skills * Service Minded. Passionate about customer service ...

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Medical Claims Processing information

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How much do medical claims processing jobs pay per hour?

As of Jun 29, 2026, the average hourly pay for medical claims processing in the United States is $19.47, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $21.63 per hour, depending on experience, location, and employer.

What are some common challenges faced in medical claims processing, and how can professionals address them?

Medical claims processors often encounter challenges such as handling complex insurance policies, navigating frequent regulatory changes, and ensuring the accuracy of coding and billing information. To address these issues, professionals need to stay updated with industry regulations, maintain strong attention to detail, and communicate effectively with healthcare providers and insurance companies. Ongoing training and the use of specialized software can also help streamline workflows and minimize errors, making the process more efficient.

What is medical claims processing?

Medical claims processing is the administrative procedure of reviewing, validating, and handling healthcare claims submitted by providers to insurance companies or payers for reimbursement. This process involves checking the accuracy of the submitted information, verifying patient eligibility and coverage, and ensuring that services are medically necessary and properly coded. Claims processors work to approve, deny, or request additional information to resolve claims, ultimately ensuring that healthcare providers receive payment and patients are billed accurately.

What does a medical claims processor do?

A medical claims processor reviews and processes insurance claims submitted by healthcare providers or patients to ensure accuracy and compliance with policies. They verify patient information, coding, and billing details, often using specialized software, to facilitate timely reimbursement and resolve claim discrepancies.

What is the difference between Medical Claims Processing vs Medical Billing?

AspectMedical Claims ProcessingMedical Billing
CredentialsTypically requires knowledge of insurance policies and claims proceduresRequires understanding of coding and billing practices
Work EnvironmentOften in insurance companies, healthcare providers, or claims processing centersPrimarily in healthcare provider offices or billing companies
Employer & IndustryInsurance companies, healthcare providers, third-party administratorsHospitals, clinics, medical practices, billing services

Medical Claims Processing focuses on reviewing and submitting insurance claims for reimbursement, ensuring compliance with policies. Medical Billing involves coding patient services and generating bills for patients and insurers. While related, Claims Processing emphasizes claim review and approval, whereas Billing centers on creating accurate invoices for services rendered.

Is it hard to get hired as a medical biller?

Getting hired as a medical biller generally requires relevant training or certification, attention to detail, and familiarity with billing software and healthcare regulations. Job availability can vary based on location and experience, but entry-level positions are often accessible with proper skills and certifications such as CPC or CPC-A. Strong organizational skills and understanding of insurance processes can improve employment prospects.

What are the key skills and qualifications needed to thrive as a Medical Claims Processor, and why are they important?

To thrive as a Medical Claims Processor, you need a solid understanding of medical terminology, insurance policies, and claims procedures, often supported by a high school diploma or associate degree. Familiarity with claims management software, healthcare coding systems (ICD-10, CPT), and electronic health record (EHR) systems is typically required. Attention to detail, strong organizational skills, and effective communication help ensure accuracy and timely processing. These skills are crucial for minimizing errors, reducing claim denials, and supporting efficient healthcare reimbursement processes.

What jobs pay 2000 a day?

In medical claims processing, high-paying roles such as senior claims managers or specialized consultants can earn around $2,000 per day, especially with extensive experience, certifications, and in high-demand environments. These positions often require advanced knowledge of insurance policies, claims systems, and regulatory compliance, and may involve working long hours or overseeing complex cases.

What is the highest paying adjuster job?

The highest paying adjuster jobs are typically senior or specialized roles such as catastrophe or large-loss adjusters, who handle complex claims and often work for major insurance companies. These positions usually require extensive experience, industry certifications like the AIC or CPCU, and may involve working long hours or in high-pressure environments.
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Medical Claims Processing jobs near you
Medical Claims Processor

Medical Claims Processor

Global Channel Management

Paramus, NJ • On-site

Other

This job post has expired today. Applications are no longer accepted.

Job description

About the job Medical Claims Processor
Medical Claims Processor needs 3+ years related work experience
Medical Claims Processor requires:

  • Experience working in multiple doctor practices
  • Medical billing. coding
  • Experience working with multiple insurance carriers and an understanding of their claim requirements
  • Proven ability to identify issues and solve problems
  • High School diploma
Medical Claims Processor duties:
  • Review medical claims and transmit to the insurance carrier using the practice electronic health records (EHR) system and clearing house.
  • Monitor rejected claim reports and adjust claims for resubmission to the insurance carrier.
  • Download insurance carrier explanation of payments (EOPs) to post claim payments and denials in the EHR system.
  • Determine if denied claims can be corrected and re-submitted to the carrier.
  • Review aging reports to research open balances and resubmit within insurance carrier filing limits.
  • Utilize insurance carrier websites and contact carriers as needed to investigate denials and claim status.
  • Partner with the clearing house to distribute patient billing statements and monitor the patient portal to post payments in the EHR system.
  • Initiate overpayment refunds to patients and repayments to insurance carriers when required. Serve as the point of contact for the practice regarding all vision and medical claims.
  • Support the corporate manager in maximizing claim collection rate
Global Channel Management logo

About Global Channel Management

Sourced by ZipRecruiter

Global Channel Management is a technology company that specializes in various types of recruiting and staff augmentation. Global Channel Management understands the challenges companies face when it comes to the skills and experience needed to fill the void of the day to day function. Organizations need to reduce training and labor costs but at the same time requiring the best talent for the job. GCM's Ownership and Management teams have extensive Staffing, Recruiting, HR and Executive Leadership knowledge, Experience and Expertise. Our Understanding and Commitment to our Client's Satisfaction are key reasons GCM has been successful in establishing long term relationships.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Austell, GA, US

Year founded

2009

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