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Medical Claims Processing Jobs in Missouri (NOW HIRING)

unigroup

Claims Specialist II

Des Peres, MO · On-site

Maintain accurate claim documentation and case records throughout the claims process * Partner with ... Comprehensive medical, dental, and vision insurance * 401(k) retirement plan with company match

unigroup

Claims Specialist II

Des Peres, MO

Maintain accurate claim documentation and case records throughout the claims process * Partner with ... Comprehensive medical, dental, and vision insurance * 401(k) retirement plan with company match

UniGroup, C.A.

Claims Specialist II

Des Peres, MO · On-site

Maintain accurate claim documentation and case records throughout the claims process * Partner with ... Comprehensive medical, dental, and vision insurance * 401(k) retirement plan with company match

Walmart

Case Manager II, Claims Management

Anderson, MO · On-site

$70K - $130K/yr

This role involves reviewing claim reports, determining compensability, authorizing medical ... process within the organization. What you'll do: * Review and analyze initial claim reports to ...

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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 14, 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.

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 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:

Medical Claims Processing jobs near you
Infographic showing various Medical Claims Processing job openings in Missouri as of August 2026, with employment types broken down into 100% Full Time. Highlights an 71% In-person, and 29% Remote job distribution, with an average salary of $37,982 per year, or $18.3 per hour.

Claims Care Advocate (Remote)

Missouri Employers Mutual

Centralia, MO • On-site, Remote

$15.77 - $23.65/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 11 days ago

Job description

Are you someone who takes pride in keeping things organized, supporting others, and delivering excellent service? MEM Insurance is seeking a Claims Care Advocate to provide essential administrative and workflow support within our Claims Department. In this role, you will be a vital partner to Claims Operations, Subrogation and Technical Services, and Nurse Case Management, while also serving as a key point of contact for our policyholders and external partners.
As a Claims Care Advocate, you will help ensure claims processes move smoothly and efficiently by managing records, coordinating requests, supporting adjusters, and responding to customer inquiries with professionalism and care. This role is ideal for someone who enjoys variety in their day, values teamwork, and takes pride in contributing to a high-quality customer experience.
Essential Duties and Responsibilities
  • Provide comprehensive administrative and workflow support across Claims Operations, Subrogation, Litigation Technical Services, and Nurse Case Management.
  • Serve as a primary point of contact for internal and external inquiries, delivering timely, accurate, and professional responses via phone, email, fax, chat, and web portals.
  • Manage and process requests for claim-related documentation, including wage statements, earnings affidavits, medical records, offer letters, rating requests, and records requests through third-party vendors.
  • Index, process, and maintain claim files to ensure all required information is accurately captured for efficient claims review and regulatory compliance.
  • Support claim intake activities by gathering necessary information, identifying initial compensability considerations, and documenting claims in accordance with established procedures.
  • Coordinate and process time-sensitive external requests, including Division of Workers' Compensation forms, OSHA reports, police reports, conservation records, death certificates, and driver's license suspensions.
  • Prepare and distribute claim files to attorneys, subrogation adjusters, and other partners as needed.
  • Manage activities within ClaimCenter queues and ImageRight to ensure timely document handling and task completion.
  • Coordinate logistics for injured workers and claims staff, including IME scheduling, follow-up appointments, transportation arrangements, and hotel reservations.
  • Partner with external vendors such as CorVel, OneCall, Metro Reporting, and HomeLink to support claims operations.
  • Manage certified mailings and collections-related activities, including monthly expense reconciliation.
  • Promote MEM Insurance services to policyholders, producers, medical providers, injured workers, and attorneys when appropriate.
  • Act in accordance with MEM Insurance's vision, mission, and values in all interactions and work activities.

Qualifications
Education
  • High school diploma or equivalent required
  • Bachelor's degree preferred

Licenses
  • Valid driver's license required

Experience
  • One or more years of experience in a professional office environment
  • Prior exposure to Workers' Compensation or a similar industry is preferred

Company Culture and Values
At MEM Insurance, we are committed to our vision, mission, and values. We foster a culture of collaboration, integrity, and innovation. Our team is passionate about delivering exceptional service to our customers while supporting each other's growth and success. We believe in accountability, continuous learning, and creating an environment where employees feel valued and empowered.
Diversity Statement
MEM Insurance is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We believe that varied perspectives drive innovation and strengthen our ability to serve our customers and communities.
Total Rewards Overview
  • Health Plans: Medical, Dental, and Vision
    Includes fertility benefits, fully paid preventative care, and adult orthodontia.
  • Annual Performance Based Bonus
  • Employer-Paid Life and Disability Benefits:
    Life Insurance (3x base salary), AD&D, Short and Long-term Disability.
  • Wellness and Recognition Program: Employer-paid incentives for employees and spouses.
  • Flexible Spending Account and Dependent Care options
  • Health Savings Account: Generous employer contribution.
  • Time Away from Work:
    Generous PTO, 11 Holidays + 4 Early Releases, 16 Hours Volunteer Time Off, 20 Days Paid Parental Leave, Marriage, Bereavement, and Jury Duty leave.
  • Employee Assistance Programs
  • 401k Retirement Plan: Employer match and profit sharing.
  • Adoption Assistance and Tuition Assistance

Notice Regarding Use of Artificial Intelligence
MEM may use artificial intelligence (AI) tools to more efficiently facilitate and assist in decisions involving recruitment, hiring, promotion, renewal of employment, selection for training or apprenticeship, discharge, discipline, tenure, or the terms, privileges, or conditions of employment. Any such use of AI tools will comply with all applicable laws.

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