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Medical Claims Processing Jobs in Virginia (NOW HIRING)

Process and review healthcare-related claims and reimbursement requests according to established ... Medical Claims Specialist Job Requirements: * Minimum 4 years of experience in healthcare claims ...

Medical Billing Specialist

Fairfax, VA · On-site +1

$18.50 - $24/hr

CMCI is seeking a detail-oriented and experienced Medical Billing Specialist to oversee claims processing, revenue cycle management, and contribute valuable insights to develop AI-powered tools that ...

Claims Processor

Fairfax, VA · On-site

$17.50 - $22.25/hr

Experience : less than one year experience processing claim documents Preferred Qualifications * 1-3 years Claims processing, billing, or medical terminology experience Knowledge, Skills and ...

Medical Only Claims Specialist

Glen Allen, VA · On-site

$16.74 - $26.92/hr

The Workers' Compensation Medical Only Claims Specialist manages non-complex and non-problematic ... process taking into consideration experience, qualifications, and overall fit for the role. The ...

Medical Only Claims Specialist

Glen Allen, VA · Remote

$16.74 - $26.92/hr

The Workers' Compensation Medical Only Claims Specialist manages non-complex and non-problematic ... process taking into consideration experience, qualifications, and overall fit for the role. The ...

In this role, you will play a critical part in ensuring accurate claims processing, payment ... Medical Insurance * Paid Time Off (PTO) * Professional Development Training * AAA Discounts

Claims Examiner

Richmond, VA · On-site

$73K - $90K/yr

Conduct and coordinate investigations across all phases of the claims process * Evaluate liability ... Ability to analyze medical records, contracts (including risk transfer provisions), property damage ...

Conduct and coordinate investigations across all phases of the claims process * Evaluate liability ... Ability to analyze medical records, contracts (including risk transfer provisions), property damage ...

Claims Examiner

Richmond, VA · On-site

$73K - $90K/yr

Conduct and coordinate investigations across all phases of the claims process * Evaluate liability ... Ability to analyze medical records, contracts (including risk transfer provisions), property damage ...

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Medical Claims Processing information

See Virginia salary details

$13

$19

$25

How much do medical claims processing jobs pay per hour?

As of Jul 25, 2026, the average hourly pay for medical claims processing in Virginia is $19.30, according to ZipRecruiter salary data. Most workers in this role earn between $17.16 and $21.44 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 Virginia? The most popular types of Medical Claims Processing jobs in Virginia are:
What are popular job titles related to Medical Claims Processing jobs in Virginia? For Medical Claims Processing jobs in Virginia, the most frequently searched job titles are:
What cities in Virginia are hiring for Medical Claims Processing jobs? Cities in Virginia with the most Medical Claims Processing job openings:
Infographic showing various Medical Claims Processing job openings in Virginia as of July 2026, with employment types broken down into 73% Full Time, 12% Part Time, and 15% Contract. Highlights an 93% In-person, and 7% Remote job distribution, with an average salary of $40,146 per year, or $19.3 per hour.
Medical Claims Specialist

Medical Claims Specialist

PeopleShare

Hampton, VA

$22/hr

Full-time

Medical, Retirement

Posted 17 days ago


Job description

Do you have a passion for helping clients navigate challenging processes? Are you looking for a new opportunity? Do you have a strong medical/healthcare background? PeopleShare is urgently hiring in the Hampton, Virginia area! Apply now for immediate consideration!
PeopleShare requires all associates to have recent & relevant experience to be considered.
Medical Claims Specialist Job Details
Schedule: Monday – Friday, 8am-5pm
Hourly Pay Rate: $22.00
Type: Full-time, Contract
Medical Claims Specialist Job Responsibilities:
  • Process and review healthcare-related claims and reimbursement requests according to established guidelines.
  • Communicate with participants to explain requirements, documentation, and claim submission procedures.
  • Verify information, maintain accurate records, and ensure timely processing of requests.
  • Provide exceptional customer service while handling sensitive and confidential information.

Medical Claims Specialist Job Requirements:
  • Minimum 4 years of experience in healthcare claims, medical billing, insurance verification, or a related healthcare support role.
  • Strong attention to detail and ability to accurately manage documentation and data entry.
  • Excellent communication and customer service skills.

Why Work With PeopleShare?
  • Weekly pay
  • Career growth with leading Hampton Roads companies
  • Health Insurance after 30 days
  • 401K with employer matching

PeopleShare is the leading Staffing Agency in the region and has temporary to hire and permanent jobs across 8 states. Our openings include receptionist, data entry, customer service, collections, office managers, call center, administrative assistant, accounts payable clerk, accounts receivable clerk, file clerk, warehouse, assembly, production, pickers, packers, forklift, machine operators, and maintenance mechanics.
PeopleShare provides equal opportunities to all employees and applicants for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, genetic disposition, neurodiversity, disability, veteran status, or any other protected category or class under federal, state, and/or local laws. This policy applies to all locations and all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
IND26

PeopleShare logo

About PeopleShare

Sourced by ZipRecruiter

Whether you’re a job seeker or a hiring manager, we have the experience, expertise and resources to provide hiring solutions that work for you. We specialize in temporary, temp-to-hire, and direct hire staffing roles in the clerical, financial and light industrial sectors. PeopleShare connects employers and temporary employees who hit the ground running on day one.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Collegeville, PA, US

Year founded

2005

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