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Medical Claims Processing Jobs in Missouri (NOW HIRING)

Claims Processing: Efficiently process insurance claims from initiation to resolution. This ... Full medical, dental, and vision coverage for full-time employees * Generous PTO + paid holidays ...

Conducts thorough claim investigations, monitors medical reports, partners with claims adjusters ... processes, and activities. * Promotes and models the Company mission, vision and values through ...

Claims Manager

Fenton, MO · On-site

$25K/mo

Conducts thorough claim investigations, monitors medical reports, partners with claims adjusters ... processes, and activities. * Promotes and models the Company mission, vision and values through ...

Claims Manager

Fenton, MO · On-site

$25K/mo

Conducts thorough claim investigations, monitors medical reports, partners with claims adjusters ... processes, and activities. * Promotes and models the Company mission, vision and values through ...

Claims Manager

Fenton, MO · On-site

$25K/mo

Conducts thorough claim investigations, monitors medical reports, partners with claims adjusters ... processes, and activities. * Promotes and models the Company mission, vision and values through ...

... process The Case Manager I is responsible for investigating, evaluating, and resolving low ... Payment authority $2,500 Authorize and approve payment for reasonable and related medical treatment ...

Case Manager I, Claims Management

Noel, MO · On-site

$60K - $110K/yr

... process The Case Manager I is responsible for investigating, evaluating, and resolving low ... Payment authority $2,500 Authorize and approve payment for reasonable and related medical treatment ...

... process The Case Manager I is responsible for investigating, evaluating, and resolving low ... Payment authority $2,500 Authorize and approve payment for reasonable and related medical treatment ...

Medical Biller and EVV

Saint Louis, MO · On-site

$44K - $52K/yr

Processes medical claims by a billing clearinghouse or by paper. * Work with the Revenue Cycle Management team to address visit exceptions, post charges, and submit claims in a timely manner

Medical Biller and EVV

Saint Louis, MO

$17 - $22/hr

Processes medical claims by a billing clearinghouse or by paper. * Work with the Revenue Cycle Management team to address visit exceptions, post charges, and submit claims in a timely manner

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Medical Claims Processing information

See Missouri salary details

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$18

$24

How much do medical claims processing jobs pay per hour?

As of Aug 2, 2026, the average hourly pay for medical claims processing in Missouri is $18.26, according to ZipRecruiter salary data. Most workers in this role earn between $16.25 and $20.29 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 Missouri? The most popular types of Medical Claims Processing jobs in Missouri are:
What are popular job titles related to Medical Claims Processing jobs in Missouri? For Medical Claims Processing jobs in Missouri, the most frequently searched job titles are:
What job categories do people searching Medical Claims Processing jobs in Missouri look for? The top searched job categories for Medical Claims Processing jobs in Missouri are:
What cities in Missouri are hiring for Medical Claims Processing jobs? Cities in Missouri with the most Medical Claims Processing job openings:
Infographic showing various Medical Claims Processing job openings in Missouri as of July 2026, with employment types broken down into 92% Full Time, 6% Part Time, and 2% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $37,982 per year, or $18.3 per hour.

MEDICAL CLAIMS ADJUSTER

Wilson-McShane Corp

Kansas City, MO • On-site

$28.80/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 16 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: