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Medical Claims Processor Jobs in Virginia (NOW HIRING)

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 ...

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 ...

Kinsale Management, Inc

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 ...

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

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 ...

Markel Corporation

Claims Technician

Richmond, VA · On-site

$19.69 - $27.08/hr

... process in accordance with the Markel Service Standards. The Claims Technician may be called upon ... medical condition; citizenship status; pregnancy, childbirth, or related medical conditions ...

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Medical Claims Processor information

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$13

$19

$25

How much do medical claims processor jobs pay per hour?

As of Sep 6, 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

What are the most commonly searched types of Medical Claims Processor jobs in Virginia?

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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Cities in Virginia with the most Medical Claims Processor job openings:

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

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

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.

Sr. Healthcare Claims Processing Tester

3B Staffing LLC

Herndon, VA • Hybrid

Full-time

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Duration: 6 months
Rate: $77.00
Location: Hybrid, 1-2 times a month onsite in Reston, VA- candidates must live in the DMV area
Work authorization: Green Card and USC

Summary: CareFirst is seeking a senior healthcare Claims Processing tester to support FEPOC's upcoming "Member Transition Project," which consists of onboarding benefit offerings for all US postal employees onto the FEP program.

  • Min 10 -12 years of testing experience
  • Min 3 years of healthcare claims processing testing experience on an enterprise claims processing system such as FEP Bridge, Facets, NASCO, Amisys, HealthEdge etc.
  • Hands-on recent automation testing experience using Selenium
  • BCBS industry experience
  • Experience with Appium and Gurkin for writing automated test scripts

Apply