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Medical Claims Processor Jobs in Virginia (NOW HIRING)

AppleOne

FHA VA Claims Associate

Virginia Beach, VA · Remote

$28/hr

... leadership focused on quality, process improvement, and successful team performance. Key ... medical, dental, vision, 401k and any statutory sick pay where required. We are committed to ...

C-MCI

Medical Billing Specialist

Fairfax, VA · On-site +1

$18.50 - $24/hr

CMCI is seeking a detail-oriented and experienced Medical Billing Specialist to oversee claims processing, revenue cycle management, and contribute valuable insights to develop AI-powered tools that ...

Crawford and Company

Claims Specialist-WC

Fairfax, VA · On-site

$16.10 - $29.44/hr

Works closely with claimants, witnesses and members of the medical profession and other persons pertinent to the investigation and processing of claims. * Verifies policy coverage for submitted ...

Kinsale Insurance

Claims Examiner

Richmond, VA

$73K - $90K/yr

Conduct and coordinate investigations across all phases of the claims process * Evaluate liability ... Ability to analyze medical records, contracts (including risk transfer provisions), property damage ...

Kinsale Management, Inc

Claims Examiner

Richmond, VA

$73K - $90K/yr

Conduct and coordinate investigations across all phases of the claims process * Evaluate liability ... Ability to analyze medical records, contracts (including risk transfer provisions), property damage ...

Kinsale Insurance

Claims Examiner

Richmond, VA · On-site

$73K - $90K/yr

Conduct and coordinate investigations across all phases of the claims process * Evaluate liability ... Ability to analyze medical records, contracts (including risk transfer provisions), property damage ...

Dollartree

Director, Claims Litigation

Chesapeake, VA · On-site

Utilize tools to manage tender, subrogation and recovery processes. * Coordinate and set procedures ... Knowledge of medical terminology, medical treatment protocols, and legal proceedings * Ability to ...

Dollar Tree

Director, Claims Litigation

Chesapeake, VA · On-site

Utilize tools to manage tender, subrogation and recovery processes. * Coordinate and set procedures ... Knowledge of medical terminology, medical treatment protocols, and legal proceedings * Ability to ...

Trice Healthcare

Coding Payment Resolution Spec

Richmond, VA · On-site

$18.50 - $23.75/hr

... claims, or other coding reasons and processing charge corrections based on medical record reviews, contracts, regulations as directed by the Supervisor Clinical / Coding Payment Resolution.

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Medical Claims Processor information

See Virginia salary details

$13

$19

$25

How much do medical claims processor jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for medical claims processor in Virginia is $19.30, according to ZipRecruiter salary data. Most workers in this role earn between $17.16 and $21.44 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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The most popular types of Medical Claims Processor jobs in Virginia are:

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

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Medical Claims Processor jobs near you
Infographic showing various Medical Claims Processor job openings in Virginia as of August 2026, with employment types broken down into 64% Full Time, 18% Temporary, and 18% Contract. Highlights an 68% In-person, 16% Hybrid, and 16% Remote job distribution, with an average salary of $40,146 per year, or $19.3 per hour.

FHA VA Claims Associate

AppleOne

Virginia Beach, VA • Remote

$28/hr

Full-time

Medical, Dental, Vision, Retirement

Posted 20 days ago

Job description

Job Summary
Our client is seeking an experienced FHA VA Claims Associate for a remote contract opportunity supporting mortgage insurance claims within a foreclosure and default servicing environment. This role is ideal for a detail-oriented claims professional with hands-on experience in FHA, VA, USDA, or supplemental foreclosure claims filing, QA/QC testing, and pre-submission review.
This opportunity offers remote work with equipment provided, a structured 40-hour work week, and the chance to contribute to a specialized mortgage servicing team focused on accuracy, compliance, and timely claims resolution. The position is expected to last 2 to 4 months, with potential to become a full-time role. Candidates can expect a professional, collaborative work environment with training support and leadership focused on quality, process improvement, and successful team performance.
Key Responsibilities
- Perform pre-submission quality assurance reviews of FHA, VA, USDA, and supplemental foreclosure claims.
- Validate claim data, calculations, reconciliations, advances, recoverable balances, and required supporting documentation.
- Review FHA Claims Part B and CWCOT documentation to ensure accuracy and filing readiness.
- Identify, research, and resolve claim discrepancies, missing information, documentation gaps, and calculation issues.
- Maintain accurate records of QA findings, workflow status, production activity, and internal system notes.
- Collaborate with claims processors, servicing teams, and leadership to improve accuracy, workflow efficiency, and compliance.
Compensation and Benefits
- Pay rate: $25-$28 per hour.
- Job type: Direct Hire
- Work arrangement: Remote opportunity with equipment provided.
- Schedule: 40-hour work week.
- Standard work hours: Based on Eastern Time, generally 8:00 AM to 5:00 PM, with possible flexibility for other time zones.
- Training schedule: To be determined, may include on-the-job training or a more formal training class.


Equal Opportunity Employer / Disabled / Protected Veterans
The Know Your Rights poster is available here:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf
The pay transparency policy is available here:
https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf
For temporary assignments lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.
We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.
AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.
https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf
We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
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Company Description

This company offers growth and a great group of people to work with.

AppleOne logo

About AppleOne

Sourced by ZipRecruiter

AppleOne is a renowned staffing service based in Glendale, California, USA. Positioned in the Human Resources industry, the company offers extensive staffing and recruiting solutions, such as temporary, full-time, and part-time placement, to companies across diverse industry sectors. The company was established by Bernie Howroyd in 1964, launching the business to aid others in finding excellent jobs and companies in finding excellent people.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Glendale, CA, US

Year founded

1964

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