ZipRecruiter

Log In

1

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

Sedgwick

Medical Bill Processor

Austin, TX · On-site

$21 - $22/hr

... Services & Insurance Medical Bill Processor This is a detail-oriented data entry position ... Codes provider bills in accordance with claims management system notes and state guidelines.

New

TAS Environmental Services

Dispatcher

San Marcos, TX · On-site

Send medical claims to insurance companies Follow up on claims: Ensure that insurance companies pay ... Proficiency in logistics management and supply chain processes. Fleet management systems.

previous pagenext page

Showing results 21-40

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:

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 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.

Accounts Receivable Specialist (REMOTE)

Central Health

Austin, TX • On-site, Remote

$19.75 - $26/hr

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

Overview

Reporting to the Accounts Receivable Supervisor, this role supports the operations of the CommunityCare Revenue Cycle Management (RCM) team related to the follow up and resolution of outstanding insurance claims. Goal of the position is to follow up on, investigate and resolve claims that have been submitted to insurance for payment and to create detailed notes that provide insight into the current status of the individual claims.

Responsibilities

Essential Functions:

  • Contact insurance carriers on a daily basis to follow up on/collect past due amounts on outstanding medical claims regarding denials or benefit changes.
  • Maintain an accurate, up to date aging of assigned accounts including AR analysis and follow up.
  • Keep educated on billing and medical policies for all payers.
  • Have a working knowledge of In and Out of Network reimbursement processes/methodologies.
  • Create and follow up on appeals needed to protest denials or incorrect payments.
  • Review complex denials/tasks assigned by the payment posting team and resolve accordingly including reviewing refund requests, disputes and appeal as necessary.
  • Work across all RCM departments to get issues related to claims payment resolved.
  • Uphold and ensure compliance and attention to all company policies and procedures as well as the overall mission and values of the organization.
  • Work with AR Supervisor to review/resolve open accounts as assigned.
  • Perform other duties as assigned.

Knowledge, Skills and Abilities:

  • High level of skill at building relationships and providing excellent customer service. 
  • Ability to utilize computers for data entry, research and information retrieval. 
  • Strong attention to detail and accuracy and multitasking. 
  • Must have highly developed problem-solving skills. 
  • Executes excellent customer service and professionalism when interacting with staff, payers, patients and families to ensure all are treated with kindness and respect.
  • Through leadership and by example, ensures that services are provided in accordance with state and federal regulations, organizational policy, and accreditation/compliance requirements.
  • Acts in accordance with CommUnityCare's mission and values, while serving as a role model for ethical behavior.
  • Promptly identify issues and reports them to their direct supervisor. 
  • Maintain regular and predictable attendance. 
  • Acts in accordance with CommunityCare's mission and values, while serving as a role model for ethical behavior
  • Manage high volumes of work and organize/maintain a schedule independently. 
  • Must be able to effectively monitor steps in claims processing operations.
Qualifications

Minimum Education:

  • High School Diploma or GED

Minimum Experience:

  • 3 years of experience managing Accounts Receivable and performing direct follow up with payers.
  • 1 year experience communicating effectively, both orally and in writing, with insurance payers and internal company communications.
  • 3 years working with medical terminology, ICD10, CPT, HCPCs coding and HIPAA requirements.
  • 2 years of experience with data processing and analytical skills, proficiency in Excel and Microsoft Office Suite as well as medical practice management software and electronic medical records.
  • 3 years of experience working with commercial, government and state insurance payers and their reimbursement policies and procedures.
  • 3 years' experience working complex insurance issues, including assigning correct payer, EOB adjustments and refunds to accounts.
Employment Type: FULL_TIME

Apply