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Medical Claims Processing Jobs in Michigan (NOW HIRING)

BeneSys, Inc.

Specialty Claims Analyst (Troy, MI)

Troy, MI · Remote

$21 - $24/hr

Qualifications - Individual must be skilled in medical claims processing and knowledge of medical terminology. Have two (2) years of experience in a related field, required. Good reasoning and phone ...

New

The AF Group

Medical Only Claims Trainee

Lansing, MI · On-site

Evaluates medical reports and correspondence for appropriate action/documentation ... Supports the customer service work and processes for the multi-functional claims team; Communicates ...

The AF Group

Medical Only Claims Trainee

Lansing, MI · On-site

Evaluates medical reports and correspondence for appropriate action/documentation ... Supports the customer service work and processes for the multi-functional claims team; Communicates ...

Northwood, Inc.

Be Seen First

Claims Processor

Warren, MI · On-site

$15/hr

... medical equipment and pharmaceutical claims submitted from contracted and out of network providers. Responsible for processing claims in a timely manner, verifying insurance coverage for date of ...

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All JobsMedical Claims Processing JobsMedical Claims Processing Jobs in Michigan

Medical Claims Processing information

See Michigan salary details

$12

$16

$22

How much do medical claims processing jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for medical claims processing in Michigan is $16.97, according to ZipRecruiter salary data. Most workers in this role earn between $15.10 and $18.85 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.

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 knowledge of medical billing, coding, and claims processing software, and some certifications can enhance job prospects.

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.

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 in healthcare administration or related fields. Relevant skills include attention to detail, knowledge of medical billing and coding, and proficiency with claims processing software. Certification such as the Certified Medical Reimbursement Specialist (CMRS) can improve job prospects, and previous experience in healthcare or insurance is often beneficial.
What are the most commonly searched types of Medical Claims Processing jobs in Michigan? The most popular types of Medical Claims Processing jobs in Michigan are:
What are popular job titles related to Medical Claims Processing jobs in Michigan? For Medical Claims Processing jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Medical Claims Processing jobs in Michigan look for? The top searched job categories for Medical Claims Processing jobs in Michigan are:
What cities in Michigan are hiring for Medical Claims Processing jobs? Cities in Michigan with the most Medical Claims Processing job openings:
Medical Claims Processing jobs near you
Infographic showing various Medical Claims Processing job openings in Michigan as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 17% Part Time, and 5% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $35,293 per year, or $17 per hour.

Healthcare Claims Processor Bakinaw

Bakinaw Federal Contracting

Mount Pleasant, MI

$15.75 - $19.75/hr

Full-time

Posted 17 days ago

Job description

Bakinaw Federal Contacting is a 100% tribally owned company of Migizi Economic Development Company.

As a tribally owned enterprise, we are proud to create career opportunities that support both our employees and the long-term economic success of the Saginaw Chippewa Indian Tribe.

Job Type
Full-time
Description

Join the new Bakinaw-Karna Joint Venture Team as a Temporary, Full-Time Medical Claims Processor. Become an integral part of a team dedicated to servicing the World Trade Center Health Program. In this role, you will leverage your meticulous attention to detail and commitment to accuracy in processing complex medical claims. If you’re eager to make a positive impact in our community through your administrative skills, we encourage you to apply!

*Minimum of 5 years’ experience in medical claims processing, including professional and facility claims as well as complex and high-dollar claims* Candidates must be located in one of the following states: FL, GA MD, MI, TX

Job Responsibilities:

  • Claims Review and Processing: Analyze and process a variety of complex medical claims in accordance with program policies and procedures, ensuring accuracy and compliance.
  • Critical Analysis: Analyze claims and adjudicate them according to program guidelines, employing critical thinking to navigate complex scenarios.
  • Timely Processing: Ensure claims are processed promptly to meet client standards and regulatory requirements, employing effective problem-solving skills to address any barriers.
  • Issue Resolution: Proactively resolve claim discrepancies and issues by collaborating with other departments, utilizing analytical skills to identify root causes and implement solutions.
  • Confidentiality Maintenance: Uphold the confidentiality of patient records and company information as per HIPAA regulations.
  • Detailed Record Keeping: Maintain thorough records of claims processed, denied, or requiring further investigation, ensuring transparency and traceability.
  • Trend Monitoring: Analyze and report on trends in claim issues or irregularities to management, contributing to process improvement initiatives; Assists Team Leads with reporting.
  • Audit Participation: Engage in audits and compliance reviews to ensure adherence to internal and external regulations, using critical thinking to evaluate processes.
  • Mentoring: Mentors and trains new claims processors as needed.
Requirements
  • High school diploma or equivalent.
  • Minimum of 5 years’ experience in processing medical professional and facility claims as well as complex and high-dollar claims.
  • Familiarity with ICD-10, CPT, and HCPCS coding systems.
  • Must have experience working with modifiers and bill types.
  • Understanding of medical terminology, healthcare services, and insurance procedures (worker’s compensation experience is a plus).
  • Strong attention to detail and accuracy.
  • Ability to interpret and apply insurance program policies and government regulations effectively.
  • Excellent written and verbal communication skills.
  • Proficient in Microsoft Office Suite (Word, Excel, Outlook).
  • Capacity to work independently as well as collaboratively within a team.
  • Commitment to ongoing education and training in industry standards and technology advancements.
  • Experience with claim denial resolution and the appeals process.
  • Ability to efficiently manage a high volume of claims.
  • Customer service-oriented with strong problem-solving capabilities. Must be flexible and have the ability to adjust to the needs of the client and changes in the program.

Apply at the link below:

https://recruiting.paylocity.com/recruiting/jobs/Details/4201120/KARNA-LLC/Experienced-Healthcare-Claims-Processor

Apply