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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

$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 ...

Vanguard Group Staffing

Be Seen First

Medical Claims Processor

White Plains, NY · On-site

$24 - $30/hr

Long Term Temporary, Possible Temporary- to -Direct Hire Medical Billing/Claims Coordinator ... Triage balance billing/fee negotiation inquiries and ensure all documents are processed in a timely ...

NTT Data Americas, Inc.

Medical Claims Processor

$17 - $18/hr

Medial Claims Processor Industry : Healthcare FSLA status : Non-Exempt Department : Operations ... Company benefits may include medical, dental, and vision insurance, flexible spending or health ...

NTT DATA

Medical Claims Processor

$17 - $18/hr

Medial Claims Processor In this role the candidate will be responsible for processing of ... Required skills for this role include 2+ year(s) of medical claims experience and 2+ year(s) using ...

NTT DATA

Medical Claims Processor - Remote

$18/hr

Medical Claims Processing Specialist Location: Remote-Work From Home Pay Rate: $18.00 per hour Start Date: 8/26/2026 Shift: M-F 7:00-4:00 pm CT Employment Type: Contract to Hire In this role the ...

ICONMA

Claims processor

$17.50 - $22/hr

Claims Processor Our client, a IT Services and Consulting company, is looking for a Claims ... Analyze medical claims and supporting documentation to determine eligibility and payment amounts ...

NTT DATA

Medical Claims Processor, Remote

$17.50 - $22/hr

Remote Claims Processing Associate NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team. In this role, the candidate will be responsible for:

Senior LIFE

Claims Processor - Johnstown

Johnstown, PA · On-site

$15.50 - $19.75/hr

Processing of medical claims (Outpatient Hospital, Physician, DME, Pharmacy, Ambulance, etc.) * Verification of Provider contract language for accurate payment adjudication. * Weekly claims ...

Senior LIFE

Claims Processor - Johnstown

Johnstown, PA · On-site

$16.75 - $21.25/hr

Processing of medical claims (Outpatient Hospital, Physician, DME, Pharmacy, Ambulance, etc.) * Verification of Provider contract language for accurate payment adjudication. * Weekly claims ...

SeniorLIFE of PA

Claims Processor - Johnstown

Johnstown, PA · On-site

$16.75 - $21.25/hr

Processing of medical claims (Outpatient Hospital, Physician, DME, Pharmacy, Ambulance, etc.) * Verification of Provider contract language for accurate payment adjudication. * Weekly claims ...

Senior LIFE

Claims Processor - Johnstown

Johnstown, PA · Hybrid

$15.50 - $19.75/hr

Processing of medical claims (Outpatient Hospital, Physician, DME, Pharmacy, Ambulance, etc.) * Verification of Provider contract language for accurate payment adjudication. * Weekly claims ...

Senior LIFE

Claims Processor - Johnstown

Johnstown, PA · Hybrid

$15.50 - $19.75/hr

Processing of medical claims (Outpatient Hospital, Physician, DME, Pharmacy, Ambulance, etc.) * Verification of Provider contract language for accurate payment adjudication. * Weekly claims ...

Karna, LLC

$20 - $25/hr

Description Join the new Bakinaw-Karna Joint Venture Team as a Temporary, Full-Time Medical Claims Processor. Become an integral part of a team dedicated to servicing the World Trade Center Health ...

KARNA LLC

$22 - $25/hr

Job Type Full-time Description Join the new Bakinaw-Karna Joint Venture Team as a Temporary, Full-Time Medical Claims Processor. Become an integral part of a team dedicated to servicing the World ...

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Medical Claims Processor information

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$13

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$25

How much do medical claims processor jobs pay per hour?

As of Aug 9, 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.

Is a medical claims processor job in demand?

Medical claims processor jobs are in demand due to the ongoing need for healthcare administration and insurance processing. The role requires attention to detail and familiarity with claims processing software, and employment is expected to grow as healthcare coverage expands and insurance companies seek qualified staff.

What do you need to be a medical claims processor?

To become a medical claims processor, you typically need a high school diploma or equivalent, strong attention to detail, and familiarity with medical billing and coding software. Some employers prefer candidates with certification in medical billing or coding, such as the Certified Professional Coder (CPC). Good organizational skills and the ability to work with sensitive information are also important.

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:
What are popular job titles related to Medical Claims Processor jobs? For Medical Claims Processor jobs, the most frequently searched job titles are:
Medical Claims Processor jobs near you
Infographic showing various Medical Claims Processor job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $40,493 per year, or $19.5 per hour.

Medical Claims Processor

Datamark, Inc.

El Paso, TX • On-site

$16.50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 9 days ago

Job description

Join the DATAMARK, Inc. 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 requires critical thinking and strong judgment? If so, we have the perfect role for you! As a Medical Claims Processor at DATAMARK, you'll play a vital role in the success of our operations by ensuring accurate and efficient back-office support.
We are seeking a detail-oriented and performance-driven Medical Claims Processor to support patients prescribed complex and high-cost drug therapies. In this role, you will be responsible for verifying insurance coverage, conducting research, and resolving coverage-related issues to ensure timely and accurate prescription processing.
This is a back-office position that requires strong analytical skills, efficiency, and comfort with outbound calls to insurance providers and patients.
  • Verify insurance coverage for new and existing patients to support timely prescription fulfillment
  • Pull and review customer accounts to assess eligibility, benefits, and coverage limitations
  • Conduct detailed research across multiple systems and portals
  • Initiate and complete outbound calls (OB calls) to insurance companies, pharmacies, and other partners to resolve coverage issues
  • Accurately document findings, decisions, and next steps in internal systems
  • Meet or exceed productivity expectations while maintaining accuracy
  • Identify and escalate complex cases or discrepancies as appropriate
  • Support patients requiring specialty, high-cost, or complex therapies through thorough and timely insurance determination

Requirements
  • Previous experience in insurance verification, benefits investigation, pharmacy operations, or healthcare administration preferred
  • Knowledge of medical insurance terminology (deductibles, copays, prior authorizations, etc.)
  • Strong attention to detail and ability to process high volumes of information accurately
  • Excellent reading comprehension and research abilities
  • Comfortable making outbound calls to resolve insurance or coverage-related issues
  • Strong problem-solving and critical-thinking skills
  • Ability to manage productivity metrics in a fast-paced environment
  • Basic computer proficiency and experience navigating multiple systems

Benefits
  • Health Care Plan (Medical, Dental & Vision)
  • Retirement Plan (401k, IRA)
  • Life Insurance (Basic, Voluntary & AD&D)
  • Paid Time Off
  • Short Term & Long Term Disability
  • Training & Development
  • Wellness Resources
  • $16.50 per hour

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