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Medical Claims Processor Jobs in Michigan (NOW HIRING)

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Medical Insurance Claims Processor

Kalamazoo, MI · On-site

Medical Claims Processor with Excellent Customer Service Skills A working knowledge of medical billing and coding is desirable. The ideal candidate will possess a strong work ethic, excellent ...

New

Northwood, Inc.

Claims Processor

Warren, MI · On-site

$15/hr

Claims Processor for durable medical equipment and pharmaceutical claims submitted from contracted and out of network providers. Responsible for processing claims in a timely manner, verifying ...

Brinks

Coin Processor-Warehouse

Detroit, MI

$19.45 - $23.25/hr

The Coin Processor - Warehouse Role: In branch locations around the world, we're doing the critical coin accounting work that keeps modern commerce moving. Our work is essential, so our team members ...

New

The AF Group

Medical Only Claims Trainee

Lansing, MI · On-site

Evaluates medical reports and correspondence for appropriate action/documentation ... Supports the customer service work and processes for the multi-functional claims team; Communicates ...

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All JobsMedical Claims Processor JobsMedical Claims Processor Jobs in Michigan

Medical Claims Processor information

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$12

$16

$22

How much do medical claims processor jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for medical claims processor in Michigan is $16.97, according to ZipRecruiter salary data. Most workers in this role earn between $15.10 and $18.85 per hour, depending on experience, location, and employer.

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 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.

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 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.

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 positions may offer on-the-job training or certification programs.
More about Medical Claims Processor jobs

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For Medical Claims Processor jobs in Michigan, the most frequently searched job titles are:

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What are popular job titles related to Medical Claims Processor jobs in MI?

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Medical Claims Processor jobs near you
Infographic showing various Medical Claims Processor job openings in Michigan as of August 2026, with employment types broken down into 63% Full Time, 19% Temporary, and 18% Contract. Highlights an 68% In-person, 16% Hybrid, and 16% Remote job distribution, with an average salary of $35,293 per year, or $17 per hour.

Medical Insurance Claims Processor

Company Name Withheld

Kalamazoo, MI • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 3 days ago

New

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Job description

Employee Benefits Insurance Company Seeking:

  • Medical Claims Processor with Excellent Customer Service Skills

A working knowledge of medical billing and coding is desirable.

The ideal candidate will possess a strong work ethic, excellent customer service and communication skills and a strong attention to detail. Proficiency in Microsoft Excel, Word and Outlook is required.

The Medical Claims Processor position requires the ability to review, analyze and research healthcare insurance claims in order to verify pricing, confirm plan benefits and process the claim for payment. The position will require the ability to effectively communicate via phone and electronically with members and healthcare providers.

This is a full-time (40 hours per week) in-office position with excellent benefits. This position is in our Kalamazoo office.

We offer excellent benefits including paid vacation, paid holidays, health, dental, vision and disability insurance, 401(k), FSA and a wellness program.