ZipRecruiter

Log In

1

Medical Claims Processing Jobs in Minnesota (NOW HIRING)

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 ...

Walgreens

Specialty Billing Technician

Minneapolis, MN · On-site

$22 - $29/hr

Ensure all required documentation for billing is completed and accurate prior to claim submission (i.e., medical claims billing). * Process reimbursement checks/payment in accordance with policy.

TEKsystems

Claims Specialist

Minneapolis, MN · Hybrid

$18 - $20/hr

... variable claims processing teams for more complex cases and resolutions, and go to legal and ... If eligible, the benefits available for this temporary role may include the following: • Medical ...

next page

Showing results 1-20

All JobsMedical Claims Processing JobsMedical Claims Processing Jobs in Minnesota

Medical Claims Processing information

See Minnesota salary details

$13

$19

$25

How much do medical claims processing jobs pay per hour?

As of Jul 20, 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.
Critical Illness Claims Rep

Critical Illness Claims Rep

Eclaro

Minneapolis, MN • On-site

$22.85 - $28.57/hr

Other

Medical, Dental, Vision, Retirement

Posted 23 days ago

Job description

Critical Illness Claims Rep
Job Number: 26-01067
Find your next opportunity in the Financial Services Industry. ECLARO is looking for a Critical Illness Claims Rep for our client in Minneapolis, MN.
ECLARO's client's provides retirement savings, health & investment management and insurance services. If you're up to the challenge, then take a chance at this rewarding opportunity
Responsibilities:
  • Responsible for interpreting contract language and processing claims with high complexity.
  • Provide a high quality of service with minimal direction, that is consistent with regulatory and compliance requirements.
  • Analyze and determine Critical Illness claim processing in an accurate and timely manner, to include payment, denial, and requests for additional information.
  • Create and maintain excellent working relationships and communication with internal and external customers
  • Actively participates in root cause problem solving activities in a team environment
  • Manage work queue assignments within agreed SLAs, and support others in the same
  • Ability to handle complex claims including communicating with customers by phone and providing empathy and de-escalating measures for sensitive issues.
  • Other duties and projects as assigned

Required Qualifications:
  • Experience with Voluntary Critical Illness Insurance benefits preferred with complex medical review experience
  • Strong ability to decipher medical terminology and documentation to connect with Policy definitions to determine if all conditions of the benefit are met
  • Interpret diagnoses and clinical evidence within medical records to determine when an individual was diagnosed with their condition(s)
  • Reduce risk through attention to detail to maintain compliance guidelines and ensure decisions are fully supported by documentation and policy language
  • Strong written and oral communication capabilities to provide clear, policy-based denial letters to our customers
  • Understand Standards of Work and job aids
  • Advanced technical proficiency with claims processing systems and the ability to navigate multiple systems concurrently to research, validate, and adjudicate claims efficiently
  • Strong working knowledge of Microsoft Office applications (Excel, Word, Outlook)
  • Proven critical thinking and problem solving
  • Capacity to prioritize and balance workloads in a workflow environment
  • Ability to collaborate with others, to include across departments, to solution for shared customers

Pay Rate: $22.85-$28.57/Hour.
If hired, you will enjoy the following ECLARO Benefits:
  • 401k Retirement Savings Plan administered by Merrill Lynch
  • Commuter Check Pretax Commuter Benefits
  • Eligibility to purchase Medical, Dental & Vision Insurance through ECLARO

If interested, you may contact:
Melissa Francisco
Melissa.Francisco@eclaro.com
6468495125
Melissa Francisco | LinkedIn
Equal Opportunity Employer: ECLARO values diversity and does not discriminate based on Race, Color, Religion, Sex, Sexual Orientation, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status, in compliance with all applicable laws.

Apply