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Medical Claims Processing Jobs in Minnesota (NOW HIRING)

As Gravie looks to continue its member-centric approach to healthcare, the Medical Claims Examiner ... Process complex claim scenarios in accordance with Summary Plan Descriptions (SPDs). Areas of ...

Director, Claims Operations

Minnetonka, MN ยท 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 ...

Director, Claims Operations

Minnetonka, MN ยท 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 ...

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 ...

... process taking into consideration experience, qualifications, and overall fit for the role. The ... A comprehensive benefits package is available for full-time regular employees and includes Medical ...

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

See Minnesota salary details

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How much do medical claims processing jobs pay per hour?

As of Aug 27, 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 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 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:

Infographic showing various Medical Claims Processing job openings in Minnesota as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 11% Part Time, and 9% Contract. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution, with an average salary of $39,659 per year, or $19.1 per hour.

MEDICAL CLAIMS ADJUSTER

Wilson-McShane Corp

Bloomington, MN โ€ข On-site

$28.80/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 21 days ago


Job description

Description:

As a Medical Claims Adjuster with Wilson-McShane Corporation, you will serve as a primary point of contact for participants and providers, handling a high volume of phone calls and responding to benefit and claims-related inquiries. This role requires the ability to balance and manage incoming calls while processing medical and short-term disability claims in a timely and accurate manner. You will have a direct impact on the participants and families of the plans we administer by providing exceptional customer service and ensuring claims are handled efficiently. This position offers the opportunity to support participants and providers both by phone and in person while navigating multiple priorities in a fast-paced environment. 


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: