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Medical Claims Processing Jobs in Arkansas (NOW HIRING)

Walmart

Case Manager II, Claims Management

Fayetteville, AR · On-site

$70K - $130K/yr

Knowledge of medical treatment authorization processes using Official Disability Guidelines and ... Option 2: 3 years' experience in claims management, insurance operations, or related area. Current ...

Walmart

Case Manager II, Claims Management

Tontitown, AR · On-site

$70K - $130K/yr

Knowledge of medical treatment authorization processes using Official Disability Guidelines and ... Option 2: 3 years' experience in claims management, insurance operations, or related area. Current ...

Walmart

Case Manager II, Claims Management

Gravette, AR · On-site

$70K - $130K/yr

Knowledge of medical treatment authorization processes using Official Disability Guidelines and ... Option 2: 3 years' experience in claims management, insurance operations, or related area. Current ...

Walmart

Case Manager II, Claims Management

Lowell, AR · On-site

$70K - $130K/yr

Knowledge of medical treatment authorization processes using Official Disability Guidelines and ... Option 2: 3 years' experience in claims management, insurance operations, or related area. Current ...

Walmart

Case Manager II, Claims Management

Cave Springs, AR · On-site

$70K - $130K/yr

Knowledge of medical treatment authorization processes using Official Disability Guidelines and ... Option 2: 3 years' experience in claims management, insurance operations, or related area. Current ...

Walmart

Case Manager II, Claims Management

Centerton, AR · On-site

$70K - $130K/yr

Knowledge of medical treatment authorization processes using Official Disability Guidelines and ... Option 2: 3 years' experience in claims management, insurance operations, or related area. Current ...

Walmart

Case Manager II, Claims Management

Rogers, AR · On-site

$70K - $130K/yr

Knowledge of medical treatment authorization processes using Official Disability Guidelines and ... Option 2: 3 years' experience in claims management, insurance operations, or related area. Current ...

Walmart

Case Manager II, Claims Management

Bella Vista, AR · On-site

$70K - $130K/yr

Knowledge of medical treatment authorization processes using Official Disability Guidelines and ... Option 2: 3 years' experience in claims management, insurance operations, or related area. Current ...

Walmart

Case Manager I, Claims Management

Lowell, AR · On-site

$60K - $110K/yr

... process The Case Manager I is responsible for investigating, evaluating, and resolving low ... Payment authority $2,500 Authorize and approve payment for reasonable and related medical treatment ...

Walmart

Case Manager II, Claims Management

Greenland, AR · On-site

$70K - $130K/yr

Knowledge of medical treatment authorization processes using Official Disability Guidelines and ... Option 2: 3 years' experience in claims management, insurance operations, or related area. Current ...

Walmart

Case Manager II, Claims Management

Johnson, AR · On-site

$70K - $130K/yr

Knowledge of medical treatment authorization processes using Official Disability Guidelines and ... Option 2: 3 years' experience in claims management, insurance operations, or related area. Current ...

Walmart

Case Manager II, Claims Management

Elkins, AR · On-site

$70K - $130K/yr

Knowledge of medical treatment authorization processes using Official Disability Guidelines and ... Option 2: 3 years' experience in claims management, insurance operations, or related area. Current ...

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Medical Claims Processing information

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How much do medical claims processing jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for medical claims processing in Arkansas is $16.10, according to ZipRecruiter salary data. Most workers in this role earn between $14.33 and $17.88 per hour, depending on experience, location, and employer.

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 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 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 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.

Do you need a degree to be a medical claims processor?

A degree is not typically required to become a medical claims processor, but employers often prefer candidates with a high school diploma or equivalent. Relevant skills include attention to detail, knowledge of medical billing and coding, and familiarity with claims processing software; certifications such as CPC or CPC-H can enhance job prospects.

How to get a job as a medical claims processor?

To become a medical claims processor, candidates typically need a high school diploma or equivalent, with some roles preferring postsecondary training or certification in medical billing and coding. Relevant skills include attention to detail, knowledge of insurance policies, and proficiency with claims processing software; certifications like Certified Professional Coder (CPC) can improve job prospects. Entry-level positions often require basic computer skills and understanding of healthcare terminology, with on-the-job training provided for specific systems used by employers.

What are popular job titles related to Medical Claims Processing jobs in Arkansas?

For Medical Claims Processing jobs in Arkansas, the most frequently searched job titles are:

What job categories do people searching Medical Claims Processing jobs in Arkansas look for?

The top searched job categories for Medical Claims Processing jobs in Arkansas are:

Medical Claims Processing jobs near you
Infographic showing various Medical Claims Processing job openings in Arkansas as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 16% Part Time, and 5% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $33,484 per year, or $16.1 per hour.

Insurance Claims & Customer Service Analyst (Full-time, Monday - Friday, 8:00am-4:30pm)

Washington Regional Medical System

Fayetteville, AR • On-site

Full-time

Re-posted 4 days ago

Washington Regional Medical System rating

6.4

Company rating: 6.4 out of 10

Based on 82 frontline employees who took The Breakroom Quiz

649th of 898 rated healthcare providers

Job description

Organization Overview, Mission, Vision, and Values

Our mission is to improve the health of people in the communities we serve through compassionate, high-quality care, prevention, and wellness education. Washington Regional Medical System is a community-owned, locally governed, non-profit health care system located in Northwest Arkansas in the heart of Fayetteville, which is consistently ranked among the Best Places to live in the country. Our 425-bed medical center has been named the #1 hospital in Arkansas for five consecutive years by U.S. News & World Report. We employ 3,200+ team members and serve the region with over 40 clinic locations, the region’s only Level II trauma center, and five Centers of Excellence - the Washington Regional J.B. Hunt Transport Services Neuroscience Institute; Washington Regional Walker Heart Institute; Washington Regional Women and Infants Center; Washington Regional Total Joint Center; and Washington Regional Pat Walker Center for Seniors.

Position Summary

The role of the Insurance Claims & Customer Service Analyst reports to the Billing Manager. This position reviews and processes medical claims for accuracy, ensuring compliance with policies and regulations, and providing customer service to resolve claim-related issues. This position is responsible for verifying coverage, gathering missing information from patients, analyzing claim data, and communicating with healthcare providers, policyholders, and internal teams. This position must have strong analytical, problem-solving and communication skills. The role requires strong analytical, problem-solving and communication skills and must be proficient with medical codes (like ICD-10/CPT).

Essential Position Responsibilities

  • Serve as a point of contact for customers, patients, and healthcare providers to answer questions and resolve issues.
  • Communicate with stakeholders to gather necessary information and explain claim decisions.
  • Provide excellent service to ensure a positive experience for customers.
  • Review and audit medical claims for accuracy and completeness.
  • Ensure claims comply with policy terms, legal requirements, and company procedures.
  • Analyze claim data to identify trends and potential irregularities.
  • Apply policy and provider contract provisions to determine if a claim is payable.
  • Use computer software and systems to monitor and process claims.
  • Obtain missing information from policyholders or involved persons to complete claims.
  • Maintain accurate and detailed records of claims processing and outcomes.
  • Prepare reports on data such as claims volume and savings.
  • Submit and process insurance authorizations efficiently.
  • Assist with special projects and help improve departmental policies and procedures. 
  • Adhere to all HIPAA privacy and 501r regulations

Qualifications

  • Education: High school diploma or GED, required. Associates degree in related field preferred.
  • Licensure and Certifications: N/A
  • Experience: Previous experience in a medical office setting, including knowledge of healthcare insurance protocols, preferred. Proficiency with computer systems, including electronic claims processing systems and Microsoft Office Suite.

Work Environment: This position will spend 20% of time standing and/or walking while pushing, pulling lifting, and/or carrying up to 50 lbs. and 80% of time sitting while performing work in a standard office environment.

Notice: This job description is designed to provide an overview of the essential and principal duties and responsibilities of the position. The job description is not designed or intended to cover or set forth a comprehensive listing of all activities, duties or responsibilities that are required of the employee. Washington Regional reserves the right in its absolute discretion to change duties, responsibilities or activities or assign new duties, responsibilities, or activities at any time with or without notice. Employees may be directed to perform job-related tasks other than those specifically presented in this description.

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