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Medical Claims Processing Jobs (NOW HIRING)

ImageNetLLC

Claims Examiner - Remote

Tampa, FL · Remote

Salary: $17-18 per hour DOE Imagenet LLC is a premier healthcare technology company revolutionizing medical claims processing as well as document management with unparalleled service, security, and ...

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 ...

Searhc

Medical Claims Specialist

Juneau, AK · On-site

$25 - $28.45/hr

Mental fatigue exists with the high level of concentration necessary to properly process medical claims for payment accurately and timely. The employee must be able to work under stressful conditions.

Imagenet

Claims Examiner - Remote

Saint Louis, MO · 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 ...

Imagenet

Claims Examiner - Remote

Boise, ID · 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 ...

Imagenet

Claims Examiner - Remote

Tampa, FL · On-site +1

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 ...

Healthcare Support Staffing

Claims Processor

Tampa, FL

$14 - $17/hr

Minimum 2 year medical claims processing experience Knowledge of health benefit plans and health benefit terminology Knowledge of medical terminology Understand CPT, IDC9 and HCPCS coding Experience ...

Moda Health

Medical Claims Processor I

Milwaukie, OR · On-site

Medical, Dental, Vision, Pharmacy, Life, & Disability * 401K- Matching * FSA * Employee Assistance ... claims processing as well as providing suggestions for potential process improvements. * Performs ...

BLACKBURN'S

Claims Specialist

Tarentum, PA

Position Summary The Claims Processing Specialist is responsible for managing third-party medical claims, insurance documentation, and reauthorization processes to support uninterrupted patient care ...

Wilson-McShane Corp

MEDICAL CLAIMS ADJUSTER

Duluth, MN · On-site

$24/hr

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 ...

Mindlance

Claims Processer

Myrtle Beach, SC

$20/hr

Surfside Beach, SC Zip Code: 29575 Top 3/5 Skills: · Claims Processing · Medical Claims · Data Entry Job Responsibilities Reviews and adjudicates complex or specialty claims. Determines whether to ...

Mindlance

Claims Processer

North Myrtle Beach, SC

$20/hr

Surfside Beach, SC Zip Code: 29575 Top 3/5 Skills: · Claims Processing · Medical Claims · Data Entry Job Responsibilities Reviews and adjudicates complex or specialty claims. Determines whether to ...

Mindlance

Claims Processer

North Myrtle Beach, SC

$20/hr

Surfside Beach, SC Zip Code: 29575 Top 3/5 Skills: · Claims Processing · Medical Claims · Data Entry Job Responsibilities Reviews and adjudicates complex or specialty claims. Determines whether to ...

Mindlance

Claims Processer

North Myrtle Beach, SC

$20/hr

Surfside Beach, SC Zip Code: 29575 Top 3/5 Skills: · Claims Processing · Medical Claims · Data Entry Job Responsibilities Reviews and adjudicates complex or specialty claims. Determines whether 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 Jun 9, 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.

Claims Examiner - Remote

ImageNetLLC

Tampa, FL • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Job description

Salary: $17-18 per hour DOE

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 is to help clients reduce costs and increase productivity by providing streamlined solutions in document imaging, data validation, adjudication, and on-demand retrieval of documents and data.


We are looking forExperiencedClaims Processor to join our rapidly growing team.

Experience isrequiredfor this position.


Job Overview:

In this role, you will be responsible for accurately and efficiently processing medical claims in compliance with payer requirements and internal policies.


Job Type: Full-time

This is a fully remote position

Pay: $17-18 per hour DOE


Responsibilities:

  • Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of appropriate reimbursement methodologies.
  • Verify patient eligibility, provider credentialing, and coverage details to facilitate accurate claims processing.
  • Communicate with internal resources, and internal stakeholders to resolve claim discrepancies, request additional information, or clarify issues.
  • Participate in ongoing training and professional development activities.
  • Maintain accurate and detailed records of claims processing activities.
  • Review claim forms and supporting documents
  • Determine eligibility, verify data accuracy
  • Request additional information when needed
  • Process claims end-to-end
  • Identify and escalate complex or unusual claims for further review or investigation.
  • Participate in ongoing training and professional development activities.
  • Handle more complex claims with multiple services, providers


Experience:

  • At least 1-2 years of experience working closely with healthcare claims or in a claims processing/adjudication environment.
  • Understanding of health claims processing/adjudication
  • Ability to perform basic to intermediate mathematical computation routines
  • Medical terminology strongly preferred
  • Understanding of ICD-9 & ICD-10
  • Basic MS office computer skills
  • Ability to work independently or within a team
  • Time management skills
  • Written and verbal communication skills
  • Attention to detail
  • Must be able to demonstrate sound decision-making skills


What We Offer

  • Remote work offered
  • Equipment provided
  • Paid trainingto set you up for success
  • Comprehensive benefits:Medical, Dental, Vision, Life, HSA, 401(k)
  • Paid Time Off (PTO)
  • 7 paid holidays
  • A supportive team and a company that values internal growth


Ready to Grow Your Career?

Wed love to meet you! ClickApply Nowand tell us why youd be a great addition to the Imagenet team.


About Imagenet, LLC

Imagenet is a leading provider of back-office support technology and tech-enabled outsourced services to healthcare plans nationwide. Imagenet provides claims processing services, including digital transformation, claims adjudication and member and provider engagement services, acting as a mission-critical partner to these plans in enhancing engagement and satisfaction with plans members and providers.


The company currently serves over 70 health plans, acting as a mission-critical partner to these plans in enhancing overall care, engagement and satisfaction with plans members and providers. The company processes millions of claims and multiples of related structured and unstructured data elements within these claims annually. The company has also developed an innovative workflow technology platform, JetStreamTM, to help with traceability, governance and automation of claims operations for its clients.


Imagenet is headquartered in Tampa, operates 10 regional offices throughout the U.S. and has a wholly owned global delivery center in the Philippines.