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Medical Claims Processing Jobs in Minnesota (NOW HIRING)

Real Soft Inc

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Medical Claims Specialist

Minneapolis, MN · On-site

$28.16/hr

Analyze, investigate, and process complex Critical Illness claims accurately and timely ... Review medical records and clinical documentation to validate eligibility and benefit conditions.

Wilson-McShane Corp

MEDICAL CLAIMS ADJUSTER

Duluth, MN · On-site

$24/hr

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 ...

Volunteers of America, Inc.

Claims Auditor

Eden Prairie, MN · Remote

$56K - $65K/yr

Experience: 3+ years of experience with medical billing and coding/claims processing or auditing. * Strong communication and organizational skills * Ability to analyze, problem-solve, and collaborate ...

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 · 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, LLC

Medical Records Specialist

Minneapolis, MN · On-site

$18 - $20/hr

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 ...

Eclaro

Critical Illness Claims Rep

Minneapolis, MN · On-site

$22.85 - $28.57/hr

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

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Medical Claims Processing information

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How much do medical claims processing jobs pay per hour?

As of Jul 17, 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.

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.

How to become a medical claims processor?

To become a medical claims processor, candidates typically need a high school diploma or equivalent, along with training in medical billing and coding. Many employers prefer familiarity with claims processing software and knowledge of healthcare regulations, and some roles may require certification such as the Certified Professional Coder (CPC) or Certified Medical Reimbursement Specialist (CMRS).

Is it hard to get hired as a medical biller?

Getting hired as a medical biller generally requires relevant training or certification, attention to detail, and familiarity with billing software and healthcare regulations. Job availability can vary based on location and experience, but entry-level positions are often accessible with proper skills and certifications such as CPC or CPC-A. Strong organizational skills and understanding of insurance processes improve employment prospects.

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 highest paying adjuster job?

The highest paying adjuster jobs are typically senior or specialized roles such as catastrophe or large-loss adjusters, who handle complex claims and often work for major insurance companies. These positions usually require extensive experience, industry certifications like the Chartered Property Casualty Underwriter (CPCU), and may involve working long hours or in high-stress environments.

What healthcare jobs pay over $100k per year?

In medical claims processing, senior roles such as Claims Manager or Director can earn over $100,000 annually, especially with extensive experience and certifications. Other high-paying healthcare jobs include physicians, surgeons, and specialized healthcare administrators, which often require advanced degrees and specialized skills.
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 July 2026, with employment types broken down into 89% Full Time, 8% Part Time, and 3% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $39,659 per year, or $19.1 per hour.
Medical Claims Specialist

Medical Claims Specialist

Real Soft Inc

Minneapolis, MN • On-site

$28.16/hr

Contractor

Posted 21 days ago

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Job description

Job description:

Job Title: Medical Claims Specialist

Location: Minneapolis, MN (Hybrid – 2 Days/Week Onsite)

Employment Type:Contract-to-Hire

Job Summary

Seeking an experienced Critical Illness Claims Analyst to interpret policy language, review complex medical documentation, and adjudicate critical illness insurance claims accurately and efficiently. The ideal candidate will provide exceptional customer service while ensuring compliance with regulatory requirements and internal standards.

Key Responsibilities

  • Analyze, investigate, and process complex Critical Illness claims accurately and timely.
  • Determine claim approvals, denials, or requests for additional information based on policy provisions.
  • Review medical records and clinical documentation to validate eligibility and benefit conditions.
  • Communicate claim decisions clearly to customers through written correspondence and phone interactions.
  • Handle sensitive customer situations with empathy and effective de-escalation techniques.
  • Manage assigned work queues and meet established service level agreements (SLAs).
  • Participate in root cause analysis and continuous process improvement initiatives.
  • Collaborate with internal teams and cross-functional departments to resolve customer issues.
  • Maintain compliance with company policies, regulatory requirements, and documentation standards.
  • Support additional projects and duties as assigned.

Required Qualifications

  • Experience processing insurance claims, preferably Critical Illness or Voluntary Benefits claims.
  • Strong medical terminology and medical record review skills.
  • Ability to interpret diagnoses, clinical evidence, and policy language to determine benefit eligibility.
  • Experience handling complex claims and customer communications.
  • Excellent analytical, critical thinking, and problem-solving abilities.
  • Strong written and verbal communication skills.
  • Ability to prioritize workloads and manage multiple tasks effectively.
  • Advanced proficiency in claims processing systems and navigating multiple applications simultaneously.
  • Strong knowledge of Microsoft Excel, Word, and Outlook.
  • Ability to work independently with minimal supervision while maintaining high-quality standards.

Preferred Qualifications

  • Voluntary Critical Illness Insurance claims experience.
  • Complex medical review and adjudication experience.
  • Background in insurance, healthcare, disability, or benefits administration.

Experience:

  • Medical coding: 1 year (Required)
  • Medical Claims: 4 years (Required)
  • Medical Insurance: 2 years (Required)

Work Location: Hybrid remote in Minneapolis, MN 55401

Company Description

Incorporated in 1991, Real Soft Inc. (RSI) is a US-based global software solutions company, a pioneer in providing professional services and delivering business solutions. Our persistent focus has been on forging strong relationships through service excellence and cost containment for customers.
Address:
125 Village Blvd
Forrestal Village, Suite 200
Princeton, NJ 08540