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Medical Claims Processing Jobs in Minnesota (NOW HIRING)

Robert Half

Claims Finance Manager

Hopkins, MN · On-site

$55.41 - $64.16/hr

Oversee weekly medical claims activity, track processing patterns, and investigate unusual fluctuations that could affect financial results or operational timeliness. * Manage month-end accounting ...

Mille Lacs Band of Ojibwe

Claims Processor

Onamia, MN · On-site

$13.16 - $24.84/hr

This position processes claims and reimbursements. QUALIFICATIONS: • Two years of post-secondary ... Medical, Dental, Vision, Paid Time Off, Paid Sick Time, 401k, Life Insurance

Medica

Director, Claims Operations

Minnetonka, MN · On-site

$113K - $194K/yr

Provide end-to-end oversight of claims processing from intake through adjudication and payment ... Medica offers a generous total rewards package that includes competitive medical, dental, vision ...

Imedica

Director, Claims Operations

Minnetonka, MN

$113K - $194K/yr

Provide end-to-end oversight of claims processing from intake through adjudication and payment ... Medica offers a generous total rewards package that includes competitive medical, dental, vision ...

Real Soft

Critical Illness Claims Rep

Minneapolis, MN · On-site

Responsible for interpreting contract language and processing claims with high complexity. Provide ... Strong ability to decipher medical terminology and documentation to connect with Policy definitions ...

TALENT Software Services

Be Seen First

Critical Illness Claims Representative

Minneapolis, MN · On-site

$24 - $27/hr

Responsible for interpreting contract language and processing claims with high complexity. Provide ... Strong ability to decipher medical terminology and documentation to connect with Policy definitions ...

Medlogix

Medical Records Specialist

Minneapolis, MN · On-site

Medlogix has a powerful mix of medical expertise, proven processes and innovative technology that delivers a more efficient, disciplined insurance claims process. The result is lower expenses and ...

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Medical Claims Processing information

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How much do medical claims processing jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for medical claims processing in Minnesota is $19.07, according to ZipRecruiter salary data. Most workers in this role earn between $16.97 and $21.20 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 Minnesota? The most popular types of Medical Claims Processing jobs in Minnesota are:
What are popular job titles related to Medical Claims Processing jobs in Minnesota? For Medical Claims Processing jobs in Minnesota, the most frequently searched job titles are:
What job categories do people searching Medical Claims Processing jobs in Minnesota look for? The top searched job categories for Medical Claims Processing jobs in Minnesota are:
What cities in Minnesota are hiring for Medical Claims Processing jobs? Cities in Minnesota with the most Medical Claims Processing job openings:
Medical Claims Processing jobs near you
Infographic showing various Medical Claims Processing job openings in Minnesota as of August 2026, with employment types broken down into 90% Full Time, 4% Part Time, and 6% Contract. Highlights an 88% In-person, 4% Hybrid, and 8% Remote job distribution, with an average salary of $39,659 per year, or $19.1 per hour.

MEDICAL CLAIMS ADJUSTER

Wilson-McShane Corp

Minneapolis, MN • On-site

$28.80/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 2 days ago

Job description

Description:

As a Medical Claims Adjuster with Wilson-McShane Corporation, you will be processing medical, and short-term disability claims. This position has direct impact on the participants and families of the plans we administer by ensuring their claims are processed timely and accurately. Our Claims Adjusters also answer a high-volume of phone calls. This provides the opportunity to speak with participants and providers directly via phone and in person in order to best support them with their claims and benefit questions.


The schedule for this position is 8:00am-5:00pm, Monday-Friday with a 1 hour lunch. This role is a non-exempt position with compensation at $28.80 per hour and includes benefits such as the following:

  • Low Deductible Health, Prescription Drug and Dental Benefits
  • Voluntary Vision, Accident, Critical Illness and Pet Insurance
  • Flexible Spending Account (FSA)
  • Employer Contribution to 401(k)-No Match Required
  • 401(k) and Roth 401(k)
  • Paid Holidays and Paid time off
  • Dependent Care Reimbursement Account
  • Life Insurance and AD&D
  • Employer Paid Short Term Disability
  • Employee Assistance Program, including access to confidential counseling (virtual and in-person)

Essential Skills and Qualifications:

  • Minimum of two years claims paying experience required.
  • Ability to read and interpret documents such as Summary Plan Description and procedure manuals.
  • Computer Skills: Proficiency with Microsoft Office. Quick learner of other computer applications.

If you enjoy utilizing attention to detail to process claims and providing excellent customer service as you assist people with their claims process, please consider applying today!


Requirements: