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Medical Claims Processor Jobs in Atlanta, GA (NOW HIRING)

Robert Half

Medical Billing Specialist

Lawrenceville, GA · On-site

$22.80 - $26.40/hr

Prepare and submit claims with complete and accurate documentation while meeting required processing deadlines. * Maintain consistent accuracy and productivity in a high-volume medical billing ...

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All JobsMedical Claims Processor JobsMedical Claims Processor Jobs in Atlanta, GA

Medical Claims Processor information

See Atlanta, GA salary details

$13

$18

$24

How much do medical claims processor jobs pay per hour?

As of Aug 11, 2026, the average hourly pay for medical claims processor in Atlanta, GA is $18.72, according to ZipRecruiter salary data. Most workers in this role earn between $16.63 and $20.82 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 are the most commonly searched types of Medical Claims Processor jobs in Atlanta, GA? The most popular types of Medical Claims Processor jobs in Atlanta, GA are:
Medical Claims Processor jobs near you
Infographic showing various Medical Claims Processor job openings in Atlanta, GA as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $38,940 per year, or $18.7 per hour.

Claims Processor SelfFunded

Marpai Administrators LLC

Atlanta, GA • On-site

$16.25 - $20.75/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 27 days ago

Job description

Marpai Administrators is a technology company transforming the Third-Party Administration sector serving employers with self-funded health plans. Marpai Administrators (“Marpai”) is an AI-powered national TPA (third party administrator) using deep learning and machine learning to maximize population health outcomes with the greatest cost efficiency for any health plan budget. We create healthier members and a healthier bottom line. Marpai proactively targets at-risk members with meaningful clinical interventions to improve outcomes.

ABOUT THE POSITION:

The Claims Processor will be responsible to for reviewing claims for accuracy, completeness, and eligibility. The Claims Processor is responsible to adjudicate claims, complete work assignments and meet established departmental metrics.

WHAT YOU WILL BE DOING:

Data entry of claims into system.

Review, analyze adjudicate claims

Validate the information on all claims to ensure there is no missing or incomplete information

Ability to understand and apply benefits as outlined in plan document

Maintain/manage all claim inventories in accordance with health plan and regulatory policies

Display maturity, composure and ability to operate under stressful conditions.

Complete daily assignments and update required spreadsheet

Complete end of day summary

Flexibility to change work direction as determined by management

Meet departmental standards for quality, production and attendance.

Analyst is flexible and able to commit to overtime based on business needs

Other duties as required

WHAT DO YOU NEED

Associates degree preferred

2+ yrs claims processing

Strong analytical, research, and communication skills.

Expansive knowledge of medical terminology.

Excellent verbal and written communication skills as well as exemplary organizational skills.

Work closely with leadership to assist in mitigating trends as necessary.

Independent judgment in decision-making and problem solving.

Computer skills in MS Word, Excel, PowerPoint, & Outlook at the intermediate or higher level.

Ability to multi-task & anticipate potential needs/problems.

Strong attention to detail.

Ability to understand and apply on-line documentation policies and procedures.

Excellent customer services skills including an ability to follow through, take ownership and drive all assigned tasks to completion.

Ability to handle large volumes of work, solve problems and manage multiple assignments while meeting critical deadlines.

HIPAA Compliance

WORK REQUIREMENTS:

Fast paced, dynamic work environment requiring the ability to be adaptive, innovative and flexible

Travel minimal

WHY WORK AT MARPAI?

We have great benefits:

Generous PTO

Medical and Prescription

EAP

FSA / HSA / Dependent Care

Dental

Vision

Life and Disability

STD/LTD

Voluntary Benefits: Critical Illness, Accident, Hospital

401k with Employer Match

LegalShield

Identity Theft Protection

Marpai is an equal opportunity workplace. We are committed to equal opportunity regardless of race, color, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, or veteran status.

This is a remote position.

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