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Medical Claims Processing Jobs (NOW HIRING)

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 · 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 · 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 ...

Karna, LLC

$20 - $25/hr

Minimum of 5 years' experience in medical claims processing, including professional and facility claims as well as complex and high-dollar claims* Job Responsibilities: * Claims Review and Processing:

Next Step Systems

Medical Claims Coder

Tucson, AZ · On-site

Maximize reimbursement and develop effective policies for billing and claim processing. This position is 100% Onsite and NOT open for Remote. Medical Claims Coder Responsibilities: - Submit claims ...

Next Step Systems

Medical Claims Coder

Tucson, AZ · On-site

Maximize reimbursement and develop effective policies for billing and claim processing. This position is 100% Onsite and NOT open for Remote. Medical Claims Coder Responsibilities: - Submit claims ...

TEEMA

Claims Reviewer

Phoenix, AZ · Remote

$25 - $29/hr

Conducts medical claims review using current claims processing guidelines and established clinical criteria e.g. CDST and policy keys, to evaluate medical necessity, appropriateness of care and ...

Health Admins

Claims Processor

Austin, TX · Remote

$17.50 - $22/hr

As a key member of our organization, you will be responsible for processing medical claims accurately, conducting thorough audits to ensure compliance with regulations and policies, and providing ...

Connecticut Counseling Centers, Inc

Be Seen First

Medical Claims Specialist

Waterbury, CT · On-site

$17 - $24/hr

This role ensures claims are processed in compliance with payer requirements and organizational ... Submit medical claims (electronic and manual) to insurance carriers, Medicaid, and managed care ...

Urgent

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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 9, 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 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.

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.
More about Medical Claims Processing jobs
What cities are hiring for Medical Claims Processing jobs? Cities with the most Medical Claims Processing job openings:
What are the most commonly searched types of Medical Claims Processing jobs? The most popular types of Medical Claims Processing jobs are:
What states have the most Medical Claims Processing jobs? States with the most job openings for Medical Claims Processing jobs include:
What job categories do people searching Medical Claims Processing jobs look for? The top searched job categories for Medical Claims Processing jobs are:
Medical Claims Processing jobs near you
Infographic showing various Medical Claims Processing job openings in the United States as of May 2026, with employment types broken down into 1% Internship, 17% Full Time, 78% Part Time, 1% Temporary, 2% Contract, and 1% Nights. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $40,493 per year, or $19.5 per hour.
Medical Claims Processor

Medical Claims Processor

Northwest Administrators, Inc.

Seattle, WA

$34.30/hr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 4 days ago

Job description

Are you an experienced medical claims processor? This could be the opportunity for you!

What you'll be doing...

At NWA, we process claims per specific plan requirements. These plans are highly customized and can vary greatly. A successful claim processor at NWA understands the nuances involved with medical claims and the importance of claims being processed timely and accurately. If hired you will:

  • Process medical claims accurately, thoroughly and according to plan requirements
  • Follow up on claims needing additional information
  • Refer problem claims to a supervisor and/or auditor for review
  • Monitor "inbox" to ensure that claims and referrals are handled timely
  • Special projects as assigned

 Located in Mountlake Terrace, WA, Federal Way, WA or our Seattle, WA office. 

Who you are...

  • Organized. Able to juggle and prioritize workloads, have strong analytical skills
  • Experienced. Knowledgeable about medical claims processing, minimum 1 year
  • Communicator. Strong verbally and in writing including interpersonal skills
  • Service Minded. Passionate about customer service--delivering it like you expect to receive it
  • Detailed. Attentive to detail with excellent problem-solving skills
  • Technically Savvy. Proficient with technology, intermediate level Excel and Word

Who we are...

Northwest Administrators, Inc. is an industry leader in third-party administration of employee benefits. We administer one of the largest multi-employer pension plans in the country, along with numerous large health and welfare plans. As part of our team, you will benefit from many training and development opportunities and can expect a better-than-market benefits package. See what our associates are saying about us at Northwest Administrators Inc. | Careers (nwadmin.com)

If hired, you can expect...

  • Union scale wages, raises every 6 months, starting at $24.64/hr. up to $34.30/hr.
  • Medical, Dental, Vision & Rx benefits
  • Employer provided/fully funded Defined Benefit Pension
  • Up to 8.6 days of Paid Leave and 10 Holidays
  • Strong team environment with good work-life balance

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