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Medical Claims Processor Jobs (NOW HIRING)

Datamark, Inc.

Medical Claims Processor

El Paso, TX · On-site

$16.50/hr

Team as a Medical Claims Processor! Are you looking for an exciting opportunity where your attention to detail and problem-solving skills make a real impact? Do you thrive in an environment that ...

Datamark, Inc.

Medical Claims Processor

El Paso, TX · On-site

$16.50/hr

Team as a Medical Claims Processor! Are you looking for an exciting opportunity where your attention to detail and problem-solving skills make a real impact? Do you thrive in an environment that ...

Datamark, Inc.

Medical Claims Processor

El Paso, TX

$16.50/hr

Team as a Medical Claims Processor! Are you looking for an exciting opportunity where your attention to detail and problem-solving skills make a real impact? Do you thrive in an environment that ...

Moda Health

Medical Claims Processor I

Milwaukie, OR · On-site

Enters claims data into system while interpreting coding and understanding medical terminology in ... Reviews Policies and Procedures (P&P'S) for process instructions to ensure accurate and efficient ...

Health Admins

Claims Processor

Austin, TX · Remote

$17.50 - $22/hr

Review and process medical claims submitted by members or providers promptly and accurately ... Verify the accuracy and completeness of claim information, including patient demographics ...

Healthcare Support Staffing

Claims Processor

Tampa, FL · On-site

$14 - $17/hr

Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories ... Minimum 2 year medical claims processing experience Knowledge of health benefit plans and health ...

Lutheran Services Carolinas

AP CLAIMS PROCESSOR

Salisbury, NC · On-site

$15.25 - $19.50/hr

... medical claims. 5. Contacts billing providers and IDT (interdisciplinary) teams to correct claim authorizations so that claim billings can be properly processed. 6. Researches and processes claims ...

Sutter Health

Claims Processor, Medical

Yakima, WA · On-site

$21.08 - $28.45/hr

... processes payments/refunds/adjustments. Additional Requirements: DISCLAIMER: * You must be a ... Medical Claims * Medical Denials * Medical Billing & Coding * Home Health and/or Hospice SKILLS AND ...

Lutheran Services Carolinas

AP CLAIMS PROCESSOR

Salisbury, NC · On-site

$15.25 - $19.50/hr

... medical claims. 5. Contacts billing providers and IDT (interdisciplinary) teams to correct claim authorizations so that claim billings can be properly processed. 6. Researches and processes claims ...

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Medical Claims Processor information

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$13

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How much do medical claims processor jobs pay per hour?

As of Jun 10, 2026, the average hourly pay for medical claims processor 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 by Medical Claims Processors, and how can they be managed?

Medical Claims Processors often encounter challenges such as handling complex insurance policies, keeping up with changing regulations, and resolving claim discrepancies. To manage these issues, strong attention to detail, continuous learning, and effective communication with providers and insurance representatives are essential. Many processors also rely on updated software and regular training to stay current with industry standards and maintain accuracy in claim adjudication.

What Is a Medical Claims Processor?

Medical claims processors work for a health care office or insurance company. Their job is to check medical insurance claims for proper billing codes, update the doctor or insurer about changes to the claim, and clarify concerns about patient benefits. It is essential that the billing codes match the medical services provided. As a medical claims processor, you also follow up with the insurer to discuss discrepancies and find out the status of claims. Current procedural terminology (CPT) and data entry are central parts of a medical claims processor’s job, as they often use Microsoft Office applications or a secure database to enter billing codes for services rendered.

What does a Medical Claims Processor do?

A Medical Claims Processor is responsible for reviewing, evaluating, and processing health insurance claims submitted by policyholders or healthcare providers. Their main tasks include verifying patient and insurance information, examining medical codes, ensuring compliance with insurance policies, and determining the amount payable for each claim. They play a crucial role in making sure that claims are handled efficiently and accurately, helping both providers and patients navigate insurance benefits. Attention to detail, knowledge of medical terminology, and understanding insurance guidelines are essential skills for this role.

What is the difference between Medical Claims Processor vs Medical Billing Specialist?

AspectMedical Claims ProcessorMedical Billing Specialist
CredentialsHigh school diploma; certification optionalHigh school diploma; certification often preferred
Work EnvironmentHealthcare offices, insurance companiesMedical offices, billing companies
Primary FocusReviewing and processing insurance claimsCreating and sending bills to patients and insurers
Common TasksVerifying claim accuracy, data entryCoding procedures, invoicing patients

While both roles involve handling healthcare financial data, Medical Claims Processors focus on reviewing and submitting insurance claims, whereas Medical Billing Specialists handle invoicing and billing patients. Both roles require attention to detail and knowledge of healthcare billing processes, but their daily tasks and focus areas differ.

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, health insurance policies, and claims adjudication processes, often supported by a high school diploma or associate degree. Proficiency with claims management software, ICD and CPT coding systems, and electronic health record systems is typically required. Attention to detail, organizational skills, and the ability to communicate clearly with providers and patients are essential soft skills. These competencies ensure accurate claim processing, minimize errors, and help maintain efficient workflow within healthcare administration.
More about Medical Claims Processor jobs
What cities are hiring for Medical Claims Processor jobs? Cities with the most Medical Claims Processor job openings:
What are the most commonly searched types of Medical Claims Processor jobs? The most popular types of Medical Claims Processor jobs are:
Who are the top companies hiring for Medical Claims Processor jobs? The top employers for Medical Claims Processor jobs are:
What states have the most Medical Claims Processor jobs? States with the most job openings for Medical Claims Processor jobs include:
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Medical Claims Processor jobs near you
Infographic showing various Medical Claims Processor job openings in the United States as of June 2026, with employment types broken down into 5% As Needed, 11% Full Time, 55% Part Time, 1% Temporary, 27% Contract, and 1% Nights. 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 Processor

Medical Claims Processor

Northwest Administrators, Inc.

Mountlake Terrace, WA

$34.30/hr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 5 days ago

Job description

Are you an experienced medical claims processor? This could be the opportunity for you!

What you'll be doing...

At NWA, we process claims per specific plan requirements. These plans are highly customized and can vary greatly. A successful claim processor at NWA understands the nuances involved with medical claims and the importance of claims being processed timely and accurately. If hired in the role, you will:

  • Process medical claims accurately, thoroughly and according to plan requirements
  • Follow up on claims needing additional information
  • Refer problem claims to a supervisor and/or auditor for review
  • Monitor "inbox" to ensure that claims and referrals are handled timely
  • Special projects as assigned

Located in Mountlake Terrace, WA, Federal Way, WA or Seattle, WA. 

Who you are...

  • Organized. Able to juggle and prioritize workloads, have strong analytical skills
  • Experienced. Knowledgeable about medical claims processing, minimum 1 year
  • Communicator. Strong verbally and in writing including interpersonal skills
  • Service Minded. Passionate about customer service--delivering it like you expect to receive it
  • Detailed. Attentive to detail with excellent problem-solving skills
  • Technically Savvy. Proficient with technology, intermediate level Excel and Word

Who we are...

Northwest Administrators, Inc. is an industry leader in third-party administration of employee benefits. We administer one of the largest multi-employer pension plans in the country, along with numerous large health and welfare plans. As part of our team, you will benefit from many training and development opportunities and can expect a better-than-market benefits package. See what our associates are saying about us at Northwest Administrators Inc. | Careers (nwadmin.com)

If hired, you can expect...

  • Union scale wages, raises every 6 months, starting at $24.64/hr. up to $34.30/hr
  • Medical, Dental, Vision & Rx benefits
  • Employer provided/fully funded Defined Benefit Pension
  • Up to 8.6 days of Paid Leave and 10 Holidays
  • Strong team environment with good work-life balance 

Apply