ZipRecruiter

Log In

1

Medical Claims Processor Jobs in Austin, TX (NOW HIRING)

Health Admins

Director Claims Management

Austin, TX · Remote

Command of the point at which the processing clock starts on a clean claim or clean receipt, since client SLAs run from it. * Command of medical terminology, ICD-10 and CPT codes, and claims ...

Addison Group

Claims Representative

Austin, TX · On-site

$21/hr

This position is eligible for Medical, Dental, Vision, & 401K Addison Group is partnering with a ... Process and update claims within internal systems * Move claims through the appropriate stages of ...

Archer Systems

Compass Case Specialist

Austin, TX · On-site

Process incoming correspondence in accordance with established protocols. * Auditing medical claims itemizations and investigating discrepancies. * Drafting, organizing, and sending legal and medical ...

Allied Tech

Medical Billing Specialist

Austin, TX · Remote

$50K - $62K/yr

Medical Billing Specialist Healthcare practices run better when claims are submitted accurately ... Following established processes to deliver consistent, high-quality medical billing support What ...

Allied Tech

Claims Specialist

Austin, TX · Remote

$48K - $60K/yr

Claims Specialist We support clients by keeping their insurance claims processing organized, accurate, and moving quickly through the right next steps. We're looking for someone who is detail ...

Amherst Group

Senior Claims Consultant

Austin, TX · On-site

$110 - $150/hr

Process Improvement & Operational Excellence - Identify opportunities to improve claims processes ... Employer‑paid benefits (medical, dental, vision, health savings account). * Professional career ...

next page

Showing results 1-20

All JobsMedical Claims Processor JobsMedical Claims Processor Jobs in Austin, TX

Medical Claims Processor information

See Austin, TX salary details

$13

$19

$25

How much do medical claims processor jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for medical claims processor in Austin, TX 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 Austin, TX?

The most popular types of Medical Claims Processor jobs in Austin, TX are:

What are popular job titles related to Medical Claims Processor jobs in Austin, TX?

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

What job categories do people searching Medical Claims Processor jobs in Austin, TX look for?

The top searched job categories for Medical Claims Processor jobs in Austin, TX are:

What cities near Austin, TX are hiring for Medical Claims Processor jobs?

Cities near Austin, TX with the most Medical Claims Processor job openings:

Medical Claims Processor jobs near you
Infographic showing various Medical Claims Processor job openings in Austin, TX as of August 2026, with employment types broken down into 66% Full Time, 16% Temporary, and 18% Contract. Highlights an 58% In-person, 21% Hybrid, and 21% Remote job distribution, with an average salary of $40,137 per year, or $19.3 per hour.

COB Claims Trainer - Remote

Gainwell Technologies LLC

Austin, TX • On-site

$47K - $67K/yr

Other

Medical, Life, Retirement, PTO

Posted 10 days ago

Gainwell Technologies rating

7.8

Company rating: 7.8 out of 10

Based on 80 frontline employees who took The Breakroom Quiz

137th of 245 rated software companies

Job description

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.
Summary
The COB Claims Trainer, Professional is responsible for developing, maintaining, and delivering technical training for Coordination of Benefits (COB), Medicaid Reclamation, commercial medical claims processing, appeals, auditing procedures, reimbursement methodologies, and related operational requirements. This position supports claims operations by ensuring employees understand complex requirements, apply procedures consistently, and complete accurate, compliant work.
This role requires strong technical claims knowledge, effective training and facilitation skills, sound judgment, and the ability to translate complex claims policies, operational procedures, quality findings, and research outcomes into practical training solutions for new and existing employees.
Your role in our mission
  • Develop, maintain, and deliver training programs covering Coordination of Benefits (COB), Medicaid Reclamation, commercial medical claims processing, appeals, auditing procedures, and reimbursement methodologies.
  • Facilitate virtual instructor-led training, onboarding programs, re courses, workshops, and one-on-one coaching sessions for new and existing employees.
  • Create and maintain training materials, job aids, process documentation, presentations, assessments, knowledge checks, and standard operating procedures.
  • Translate complex claims policies, procedures, and regulatory requirements into clear, practical learning solutions.
  • Evaluate learner performance through assessments, observations, and practical exercises, providing coaching and feedback to support success.
  • Partner with operations leaders, quality teams, auditors, and subject matter experts to identify training needs and ensure content reflects current business processes.
  • Analyze quality reviews, audit findings, and operational trends to identify knowledge gaps and develop targeted training solutions.
  • Research policy updates, reimbursement changes, system enhancements, and operational requirements to ensure training content remains current and accurate.
  • Update training programs based on changes to Medicaid regulations, client requirements, reimbursement guidelines, and internal processes.
  • Serve as a technical resource for employees and leaders regarding COB and Medicaid claims processing procedures.
  • Support continuous improvement initiatives by measuring training effectiveness and recommending enhancements to curriculum, delivery methods, and learning resources.
  • Perform other auxiliary functions as necessary to support departmental and operational needs.

What we're looking for
  • Significant professional experience as a medical claims examiner, claims auditor, claims processor, or subject matter expert within a healthcare claims environment.
  • Strong knowledge of Medicaid claims processing, Coordination of Benefits (COB), reimbursement methodologies, claims recovery, Medicaid reclamation, and related operational procedures.
  • 3+ years of documented experience in Medicaid reclamation processes, including overpayment identification, recovery efforts, reimbursement reconciliation, and compliance with Medicaid regulations.
  • Previous supervisory, team lead, coaching, training, or employee development experience, with the ability to develop technical training materials, process documentation, job aids, and standard operating procedures.
  • Excellent presentation, facilitation, communication, and interpersonal skills with the ability to effectively train, mentor, and coach employees in a virtual environment.

What you should expect in this role
  • Fully remote opportunity within the United States.
  • Standard Monday through Friday schedule, generally 8:00 a.m. to 5:00 p.m. Central Time, with flexibility to support training events as needed.
  • Frequent collaboration with claims operations, quality, audit, training, and leadership teams.
  • Delivery of virtual training, coaching sessions, assessments, and ongoing employee development activities.
  • Use of video conferencing, presentation technology, claims systems, workflow tools, and reporting resources to support learning and performance.
  • Opportunity to influence operational excellence by improving employee knowledge, accuracy, consistency, and compliance.
  • Work in a dynamic healthcare environment supporting Medicaid and commercial claims operations.
  • Compliance with all client, company, privacy, security, and healthcare program requirements.

The deadline to submit applications for this posting is September 6, 2026.
#LI-REMOTE #LI-JA1 #LI-CM1
The pay range for this position is $47,000.00 - $67,200.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.

What Gainwell Technologies employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Gainwell Technologies logo

About Gainwell Technologies

Sourced by ZipRecruiter

With Health and Cost outcomes that pierce Inequities and Impact Economies, the success of our Nation’s Federal Medicaid program is inextricably tied to the Prosperity of Communities, States and the Nation as a whole. We think that deserves Respect and a Commitment from Innovators who can help those who operate within and around health and human services evolve to meet their goals. At Gainwell, that’s our Sole focus. Built across more than Five Decades, Gainwell has intentionally seized opportunities to advance its digitally enabled services to meet Agencies, Health plans and MCOs where they are on their modernization journeys and propel them into the future of Healthcare. Equally important to our Expanding Technologies and Results. We bring ideas that bring policies to life.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Irving, TX, US

View All Gainwell Technologies Jobs

Apply