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Medical Claims Processing Jobs (NOW HIRING)

Connecticut Counseling Centers, Inc

Be Seen First

Medical Claims Specialist

Waterbury, CT · On-site

$17 - $24/hr

This role ensures claims are processed in compliance with payer requirements and organizational ... Submit medical claims (electronic and manual) to insurance carriers, Medicaid, and managed care ...

Urgent

Next Step Systems

Medical Claims Examiner

Tucson, AZ · On-site

Maximize reimbursement and develop effective policies for billing and claim processing. This position is 100% Onsite and NOT open for Remote. Medical Claims Examiner Responsibilities: - Submit claims ...

IQVIA

Medical Biller/Claims Processing

Miami, FL · Remote

$23/hr

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to ...

IQVIA

Medical Biller/Claims Processing

Las Vegas, NV · Remote

$23/hr

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to ...

IQVIA

Medical Biller/Claims Processing

Houston, TX · Remote

$23/hr

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to ...

IQVIA

Medical Biller/Claims Processing

Flagstaff, AZ · Remote

$23/hr

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to ...

IQVIA

Medical Biller/Claims Processing

Kansas City, KS · Remote

$23/hr

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to ...

Next Step Systems

Medical Claims Examiner

Tucson, AZ · On-site

Maximize reimbursement and develop effective policies for billing and claim processing. This position is 100% Onsite and NOT open for Remote. Medical Claims Examiner Responsibilities: - Submit claims ...

IQVIA

Medical Biller/Claims Processing

Newark, NJ · Remote

$23/hr

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to ...

Adecco

Medical Claims Examiner

San Antonio, TX

$21/hr

... processing health plan claims and supporting provider inquiries. Key Requirements Recent medical ... claims experience REQUIRED Experience with medical claims adjudication Knowledge of Medicaid and ...

Next Step Systems

Medical Claims Examiner

Tucson, AZ · On-site

Medical Claims Examiner, Tucson, AZ The responsibilities of the Medical Claims Examiner consist of processing claims data and adjudicating medical and inpatient claims received from all provider ...

Adecco

Medical Claims Examiner

San Antonio, TX

$21/hr

... processing health plan claims and supporting provider inquiries. Key Requirements Recent medical ... claims experience REQUIRED Experience with medical claims adjudication Knowledge of Medicaid and ...

Adecco

Medical Claims Examiner

San Antonio, TX

$21/hr

... processing health plan claims and supporting provider inquiries. Key Requirements Recent medical ... claims experience REQUIRED Experience with medical claims adjudication Knowledge of Medicaid and ...

Imagenet

Claims Examiner - Remote

Tampa, FL · Remote

Imagenet LLC is a premier healthcare technology company revolutionizing medical claims processing as well as document management with unparalleled service, security, and efficiency. Our core mission ...

TEEMA

Claims Reviewer

Phoenix, AZ · Remote

$26.40 - $27.88/hr

Work closely with medical directors, providers, peer reviewers, and various internal teams. Key Responsibilities * Review and validate claims using established criteria and processing guidelines.

ImagenetLLC

Claims Examiner - Remote

Tampa, FL · Remote

$17 - $18/hr

Imagenet LLC is a premier healthcare technology company revolutionizing medical claims processing as well as document management with unparalleled service, security, and efficiency. Our core mission ...

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How much do medical claims processing jobs pay per hour?

As of Jun 10, 2026, the average hourly pay for medical claims processing in the United States is $19.47, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $21.63 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.

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.
More about Medical Claims Processing jobs
What cities are hiring for Medical Claims Processing jobs? Cities with the most Medical Claims Processing job openings:
What are the most commonly searched types of Medical Claims Processing jobs? The most popular types of Medical Claims Processing jobs are:
What states have the most Medical Claims Processing jobs? States with the most job openings for Medical Claims Processing jobs include:
What job categories do people searching Medical Claims Processing jobs look for? The top searched job categories for Medical Claims Processing jobs are:
Medical Claims Processing jobs near you
Infographic showing various Medical Claims Processing job openings in the United States as of June 2026, with employment types broken down into 7% As Needed, 50% Full Time, 7% Part Time, and 36% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $40,493 per year, or $19.5 per hour.
Medical Claims Specialist

Medical Claims Specialist

Connecticut Counseling Centers, Inc

Waterbury, CT • On-site

Urgent

$17 - $24/hr

Temporary

Posted 2 days ago

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Job description

Immediate hire!! This is a temp position that could become permanent.


Position Summary
The Medical Claims Specialist is responsible for the accurate and timely submission, tracking, and resolution of medical claims for services. This role ensures claims are processed in compliance with payer requirements and organizational policies, while maximizing reimbursement and maintaining excellent customer service.


Key Responsibilities

  • Submit medical claims (electronic and manual) to insurance carriers, Medicaid, and managed care organizations
  • Review Explanation of Benefits (EOBs) and Remittance Advices; investigate and resolve denials
  • Correct and resubmit claims in accordance with payer guidelines and timelines
  • Monitor accounts receivable, including aged balances and open claims, and follow up to ensure payment
  • Manage appeals processes and pursue reimbursement through all available channels
  • Ensure accuracy and compliance of all claim submissions (including CMS forms and ANSI837 standards)
  • Post payments accurately to patient accounts
  • Maintain payer contact information and stay updated on billing requirements
  • Work to ensure claims are resolved within established timeframes
  • Provide professional and responsive service to internal and external stakeholders


Qualifications & Skills

  • Knowledge of medical billing, claims processing, and insurance procedures
  • Familiarity with electronic claims submission standards (e.g., ANSI837, HIPAA compliance)
  • Strong attention to detail and ability to manage multiple claims and deadlines
  • Analytical and problem-solving skills for denial resolution and accounts reconciliation
  • Effective communication and customer service skills
  • Ability to work independently and collaboratively

Company Description

Connecticut Counseling Centers, Inc. is a not-for-profit corporation that provides a full range of licensed outpatient substance abuse and mental health prevention, education, and treatment services to assist adults in becoming productive members of society.