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

Service Insurance Companies

Claims Processor

Austin, TX · On-site

$25/hr

About the Role: The Claims Processor will work closely with all Processors, Adjusters and ... Enter, print, sort and mail checks for indemnity and medical claims. * Enter new claims into system ...

Service Insurance Companies

Claims Processor

Austin, TX · On-site

$25/hr

About the Role: The Claims Processor will work closely with all Processors, Adjusters and ... Enter, print, sort and mail checks for indemnity and medical claims. * Enter new claims into system ...

IA American

Claims Processor L1

Austin, TX · On-site

$16.75 - $21.25/hr

Claims Processor L1 Build the future with us Are you driven by helping customers feel confident and secure when unexpected vehicle repairs arise? As a Claims Processor I, you will play a key role in ...

New

iA American Warranty Group, Inc.

Claims Processor L1

Austin, TX · On-site

$16.75 - $21.25/hr

Claims Processor L1 Build the future with us Are you driven by helping customers feel confident and secure when unexpected vehicle repairs arise? As a Claims Processor I , you will play a key role in ...

iA American Warranty Group, Inc.

Claims Processor L1

Austin, TX · On-site

$16.75 - $21.25/hr

Claims Processor L1 Build the future with us Are you driven by helping customers feel confident and secure when unexpected vehicle repairs arise? As a Claims Processor I , you will play a key role in ...

iA American Warranty Group, Inc.

Claims Processor L1

Austin, TX · Hybrid

$16.75 - $21.25/hr

Claims Processor L1 Build the future with us Are you driven by helping customers feel confident and secure when unexpected vehicle repairs arise? As a Claims Processor I , you will play a key role in ...

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 ...

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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 Sep 7, 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:

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

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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 100% Full Time. Highlights an 65% In-person, and 35% Remote job distribution, with an average salary of $40,137 per year, or $19.3 per hour.

Claims Processor

Service Insurance Companies

Austin, TX • On-site

$25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago

Job description

**This is an in-office role, based in Austin, TX. Applicants must be authorized to work for ANY employer in the U.S. Visa is not available.**

Service Insurance Companies is on the search for a Claims Processor to join the team!

About the Role: The Claims Processor will work closely with all Processors, Adjusters and Supervisors providing clerical and administrative support.


Responsibilities: 

  • Receive, identify, sort, date stamp and distribute in compliance with each States Workers Compensation rules and statutes, and the company’s deadlines, all mail, faxes and all official State forms and letters. 
  • Assists in the process of workers compensation claims and maintain claim files along with administrative work.
  • Handle all certified and overnight mail.
  • Enter, print, sort and mail checks for indemnity and medical claims.
  • Enter new claims into system with accuracy and detail.
  • Operates all office equipment.
  • Answer and direct incoming calls with a professional demeanor. 
  • Maintain filing; responsible for records retention and miscellaneous projects, as needed.
  • Handles task assigned for different adjusters, processes State forms, police reports, Return to Provider, Cease & Desist, and Retro Utilization Review letters. Serves as back up to various Support team members. 
  • Must have the ability to work in different claim systems along with other digital processes.
  • Must be willing to handle other duties as assigned. 
  • Assists with Electronic Data Interchange (EDI).
  • Providing customer service and support for the Adjusters and Supervisors.


Experience, Knowledge & Skills: 

  • Office and/or administrative experience required.
  • Basic knowledge of office procedures.
  • Working knowledge of MSWord and Excel.
  • Ability to work with speed and accuracy.
  • Must maintain a positive behavior by acting and communicating in a professional manner, to get along with customers, clients, co-workers, and management.
  • Must have the ability to communicate clearly and effectively with all types of people.
  • Should have good math and typing skills.
  • Good oral and written communication.
  • Must be detail oriented and able to prioritize.
  • Nice to have: Bilingual in Spanish.


Professional Qualifications:

  • High school diploma.
  • Preference of Workers Compensation experience, but not mandatory.


Benefits:

Service Insurance Companies Offers a competitive benefits package including: 

  • Healthcare: Medical, Dental & Vision
  • Voluntary Benefits: Life, Disability, Accident and Illness Insurance
  • Pet Insurance
  • 401K Matching
  • Generous paid time off & holidays
  • Tuition Reimbursement & training
  • Group discounts available

Salary Range: Starting at $52,000 ($25 P/HR). Actual compensation for this role will depend on several factors including the cost of living associated with your work location, your qualifications, skills, competencies, and relevant experience.


8:00am - 5:00pm