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Medical Claims Processing Jobs in Michigan (NOW HIRING)

Company Name Withheld

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Medical Claims Examiner-Entry Level

Kalamazoo, MI · On-site

Prior medical claims processing experience is not required. We provide extensive training and are interested in candidates with experience in medical billing, medical offices, patient accounts ...

gedc

Claims Processing Representative

Southfield, MI

The role will complete all phases of Claims Processing training and will be required to meet set ... Experience in medical billing systems a plus * Understanding of Medicare / Medicaid laws, managed ...

BeneSys, Inc.

Claims Analyst (Troy, MI)

Troy, MI · Remote

Claims Analyst (Troy, MI) Summary - The Claims Analyst will be responsible for medical, dental, and vision claims processing of claims submitted electronically or on hard copy. Each Analyst will ...

BeneSys

Claims Analyst (Troy, MI)

Troy, MI · On-site

Claims Analyst (Troy, MI) Summary - The Claims Analyst will be responsible for medical, dental, and vision claims processing of claims submitted electronically or on hard copy. Each Analyst will ...

360care

Medical Claims Follow-Up & Denials Specialist

Troy, MI · On-site

$16.75 - $22.50/hr

360Care is seeking a Medical Billing Specialist to follow up on denied and pending claims and manage remittance processing. You will research denials, appeal as needed, and rebill services for ...

360care

Medical Claims Follow-Up & Denials Specialist

Troy, MI · On-site

$16.75 - $22.50/hr

360Care is seeking a Medical Billing Specialist to follow up on denied and pending claims and manage remittance processing. You will research denials, appeal as needed, and rebill services for ...

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 ...

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 ...

BeneSys

Specialty Claims Analyst (Troy, MI)

Troy, MI · On-site

$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 ...

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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 30, 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 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 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, 73% Full Time, 16% Part Time, 2% Temporary, 7% Contract, and 1% Nights. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $35,293 per year, or $17 per hour.

Medical Claims Examiner-Entry Level

Company Name Withheld

Kalamazoo, MI • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 10 days ago

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Job description

Medical Claims Examiner – Entry Level

We are seeking a detail-oriented individual to join our team as a Medical Claims Examiner.

Prior medical claims processing experience is not required. We provide extensive training and are interested in candidates with experience in medical billing, medical offices, patient accounts, insurance verification or similar healthcare administration.


Responsibilities

·         Review and process medical claims

·         Research claim, benefit, eligibility, and payment questions

·         Communicate with medical providers and plan members by phone

·         Review EOBs, medical bills, claim forms, and supporting documentation

·         Learn and apply health plan benefits, deductibles, copays, coinsurance.

·         Document claim activity and telephone conversations accurately

·         Work with other staff to resolve claim issues


Qualifications

·         Strong attention to detail and accuracy

·         Good telephone and communication skills

·         Comfortable working with numbers and computer systems

·         Able to research problems and follow them through to resolution

·         Able to learn and consistently apply detailed rules and procedures

·         Professional when dealing with providers and plan members


Helpful experience includes medical billing, healthcare customer service, patient accounts, insurance verification, EOBs, medical terminology, or other detail-oriented healthcare administration.