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Medical Claims Processing Jobs in Massachusetts (NOW HIRING)

Medical Claims Representative

Easthampton, MA ยท On-site

$15.84 - $18.34/hr

Review, process, and follow up on medical claims submissions * Verify insurance information and ensure claim accuracy before submission * Investigate and resolve denied, rejected, or unpaid claims

Medical Billing Specialist

Springfield, MA ยท On-site

$19.79 - $22.91/hr

Previous experience in medical billing, claims processing, or healthcare revenue cycle support * Knowledge of insurance verification, denial management, and payment posting * Familiarity with medical ...

Insurance Recovery Analyst

Norwood, MA ยท On-site

$24 - $28/hr

... medical billers that are responsible for processing commercial, governmental and/or third-party liability (workmans compensation, general liability, and motor vehicle liability) medical claims. This ...

$19 - $24.25/hr

... process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in ... medical claims processing, financial counseling, financial clearance, accounting or customer ...

$19 - $24.25/hr

... process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in ... medical claims processing, financial counseling, financial clearance, accounting or customer ...

S. healthcare claims data, including medical, pharmacy/Rx, eligibility, provider, and member data. * Strong knowledge of healthcare payer data, claims processing, benefit design, coding systems (ICD ...

S. healthcare claims data, including medical, pharmacy/Rx, eligibility, provider, and member data. * Strong knowledge of healthcare payer data, claims processing, benefit design, coding systems (ICD ...

S. healthcare claims data, including medical, pharmacy/Rx, eligibility, provider, and member data. * Strong knowledge of healthcare payer data, claims processing, benefit design, coding systems (ICD ...

We make managing medical funds safe, effortless, and cost effective for everyone. A Claims Receipt Processor is primarily responsible for ensuring timely and accurate reimbursements of receipts ...

Coding Payment Resolution Spec

Boston, MA ยท On-site

$20.25 - $26/hr

... claims, or other coding reasons and processing charge corrections based on medical record reviews, contracts, regulations as directed by the Supervisor Clinical / Coding Payment Resolution.

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Medical Claims Processing information

See Massachusetts salary details

$15

$21

$28

How much do medical claims processing jobs pay per hour?

As of Aug 20, 2026, the average hourly pay for medical claims processing in Massachusetts is $21.26, according to ZipRecruiter salary data. Most workers in this role earn between $18.89 and $23.61 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 the most commonly searched types of Medical Claims Processing jobs in Massachusetts?

The most popular types of Medical Claims Processing jobs in Massachusetts are:

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

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

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

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

Infographic showing various Medical Claims Processing job openings in Massachusetts as of August 2026, with employment types broken down into 94% Full Time, and 6% Part Time. Highlights an 88% In-person, 9% Hybrid, and 3% Remote job distribution, with an average salary of $44,223 per year, or $21.3 per hour.

Medical Claims Representative

Robert Half

Easthampton, MA โ€ข On-site

$15.84 - $18.34/hr

Temporary

Posted 5 days ago


Job description

Our client in Easthampton, Massachusetts is seeking a detail-oriented Medical Claims Representative to join their team. This role is ideal for someone with strong administrative and healthcare support experience who is comfortable reviewing claims, resolving billing issues, and working with insurance providers to ensure timely and accurate claims processing.

Key Responsibilities:

  • Review, process, and follow up on medical claims submissions
  • Verify insurance information and ensure claim accuracy before submission
  • Investigate and resolve denied, rejected, or unpaid claims
  • Communicate with insurance companies, patients, and internal departments regarding claim status and discrepancies
  • Maintain accurate records of claims activity and updates in the system
  • Ensure compliance with company policies and healthcare billing regulations
  • Assist with appeals and documentation requests as needed


  • Previous experience in medical claims, medical billing, or healthcare revenue cycle support
  • Knowledge of insurance verification, claims processing, and denial resolution
  • Familiarity with medical terminology, CPT/ICD codes, and billing systems preferred
  • Strong attention to detail and organizational skills
  • Excellent communication and problem-solving abilities
  • Proficiency with computer systems and data entry



Robert Half logo

About Robert Half

Sourced by ZipRecruiter

Founded in 1948, Robert Half pioneered the idea of professional talent solutions to connect opportunities at great companies with highly skilled job seekers. As business needs changed, we evolved to offer specialized talent solutions for finance and accounting, technology, administrative and customer support, creative and marketing, and legal fields. In 2002, we introduced our subsidiary, Protiviti, a global independent risk consulting and internal audit service, to support companies as they faced more strategic business challenges.

Industry

Recruiting and staffing services

Company size

10,000+ Employees

Headquarters location

San Ramon, CA, US

Year founded

1948