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Medical Claims Processing Jobs in Virginia (NOW HIRING)

Brookfield

Senior Claims Account Manager

Richmond, VA

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

This includes strong command of compensability, medical management, litigation strategy, reserving ... process gaps, and opportunities to improve financial outcomes. * Hold TPAs and internal claim ...

Chubb

ESIS Claims Associate

Glen Allen, VA · On-site

$16.50 - $22.25/hr

Maintain control of the claims resolution process to minimize current exposure and future risks ... medical condition, genetic information, military and veteran status, age, and pregnancy or any ...

USAA

Sr. Injury Claims Adjuster

Chesapeake, VA · On-site +1

$63K - $121K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Clearly documents thought process, investigation, evaluation, negotiation, and settlement decisions ... Proficient knowledge of human anatomy and medical terminology associated with bodily injury claims.

USAA

Injury Claims Examiner (East Region)

Chesapeake, VA · On-site

$85K - $162K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Advanced knowledge of human anatomy and medical terminology associated with bodily injury claims ... USAA has an effective process for assessing market data and establishing ranges to ensure we remain ...

Crawford & Company - América Latina

Claims Specialist-WC

Fairfax, VA

$23.75 - $32.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Claims Specialist - Workers' Compensation (REMOTE) Ready to make a real impact? We're looking for a ... processing and claim policies and procedures. * Demonstrates an understanding of basic medical ...

Crawford and Company

Claims Specialist-WC

Fairfax, VA · On-site

$23.75 - $32.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Claims Specialist - Workers' Compensation (REMOTE) Ready to make a real impact? We're looking for a ... processing and claim policies and procedures. * Demonstrates an understanding of basic medical ...

Brookfield

Workers' Compensation Claims Adjuster

Richmond, VA · On-site

$65K - $84K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... medical-only claims for our largest mining account, underwritten by Rockwood Casualty, mostly in ... Processing mail and prioritizing workload. * Completing telephone calls and written correspondence ...

Brookfield

TEMP-Workers' Compensation Claims Adjuster

Richmond, VA · On-site +1

$65K - $84K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Actively managemedical onlyclaims to ensure only medical billsappropriate tothe claim are paid ona ... Processing mail and prioritizing workload. * Responsible for telephone calls from various parties ...

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Showing results 41-60

All JobsMedical Claims Processing JobsMedical Claims Processing Jobs in Virginia

Medical Claims Processing information

See Virginia salary details

$13

$19

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How much do medical claims processing jobs pay per hour?

As of Aug 16, 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 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 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 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 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.

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.

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 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 job categories do people searching Medical Claims Processing jobs in Virginia look for?

The top searched job categories for Medical Claims Processing jobs in Virginia are:

What cities in Virginia are hiring for Medical Claims Processing jobs?

Cities in Virginia with the most Medical Claims Processing job openings:

Medical Claims Processing jobs near you
Infographic showing various Medical Claims Processing job openings in Virginia as of August 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.

Physician Reviewer

Nextstep Technology Inc

Springfield, VA • On-site

Full-time

Posted 19 days ago

Job description

Description:

Primary Job Functions:

The Physician Reviewer shall help answer questions and resolve complex medical record issues that may arise during the performance of this contract.

Requirements:

Work Experience:

The Physician Consultant shall have experience in the health insurance industry, a utilization review firm, or health care claims processing organization:

• Interpreting clinical documentation

• Practicing medicine for a minimum of three (3) years as a licensed and board-certified Doctor of Medicine or Osteopathy;


In addition to this experience, the Physician Consultant must have knowledge of the Medicare program and be capable of effectively interpreting and resolving disagreements regarding clinical guidelines.