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Medical Claims Processor Jobs in Baltimore, MD (NOW HIRING)

Ampcus

Claims - Processor, Claims I

Baltimore, MD · On-site

$17 - $21.25/hr

Applies training materials, correspondence and medical policies to ensure claims are processed accurately. Partners with Quality team for clarity on procedures and/or difficult claims and receive ...

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

Process medical claims and learn systems and workflows Adjustments & Disputes (Core Role) * Investigate and resolve claim discrepancies and provider disputes * Perform adjustments, reprocessing, and ...

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

Process medical claims and learn systems and workflows Adjustments & Disputes (Core Role) * Investigate and resolve claim discrepancies and provider disputes * Perform adjustments, reprocessing, and ...

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

Process medical claims and learn systems and workflows Adjustments & Disputes (Core Role) * Investigate and resolve claim discrepancies and provider disputes * Perform adjustments, reprocessing, and ...

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

Process medical claims and learn systems and workflows Adjustments & Disputes (Core Role) * Investigate and resolve claim discrepancies and provider disputes * Perform adjustments, reprocessing, and ...

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

Process medical claims and learn systems and workflows Adjustments & Disputes (Core Role) * Investigate and resolve claim discrepancies and provider disputes * Perform adjustments, reprocessing, and ...

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

Process medical claims and learn systems and workflows Adjustments & Disputes (Core Role) * Investigate and resolve claim discrepancies and provider disputes * Perform adjustments, reprocessing, and ...

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

Process medical claims and learn systems and workflows Adjustments & Disputes (Core Role) * Investigate and resolve claim discrepancies and provider disputes * Perform adjustments, reprocessing, and ...

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

Process medical claims and learn systems and workflows Adjustments & Disputes (Core Role) * Investigate and resolve claim discrepancies and provider disputes * Perform adjustments, reprocessing, and ...

System One

Client Relationship Manager

Baltimore, MD · Remote

Prioritize effectively as issue types and volume fluctuate daily What We're Looking For (Must-Haves) * 3+ years of medical claims experience (claims processing, denials, investigations, or claims ...

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All JobsMedical Claims Processor JobsMedical Claims Processor Jobs in Baltimore, MD

Medical Claims Processor information

See Baltimore, MD 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 Baltimore, MD is $19.34, according to ZipRecruiter salary data. Most workers in this role earn between $17.21 and $21.49 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 Baltimore, MD?

The most popular types of Medical Claims Processor jobs in Baltimore, MD are:

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

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The top searched job categories for Medical Claims Processor jobs in Baltimore, MD are:

Medical Claims Processor jobs near you
Infographic showing various Medical Claims Processor job openings in Baltimore, MD as of August 2026, with employment types broken down into 65% Full Time, 17% Temporary, and 18% Contract. Highlights an 58% In-person, 21% Hybrid, and 21% Remote job distribution, with an average salary of $40,235 per year, or $19.3 per hour.

Claims - Processor, Claims I

Ampcus

Baltimore, MD • On-site

$17 - $21.25/hr

Other

Re-posted 27 days ago

Job description

Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented Team. Job Title: Claims - Processor, Claims I. Location: Baltimore, MD. ( Remote) Purpose:
  • Under direct supervision, reviews and adjudicates paper/electronic claims. Determines proper handling and adjudication of claims following organizational policies and procedures.
Essential functions:
  • 60% Examines and resolves non-adjudicated claims to identify key elements of processing requirements based on contracts, policies and procedures. Process product or system-specific claims to ensure timely payments are generated and calculate deductibles and maximums as well as research and resolve pending claims. The Claims Processor also uses automated system processes to send pending claims to ensure accurate completion according to medical policy, contracts, policies and procedures allowing timely considerations to be generated using multiple systems.
  • 25% Completes research of procedures. Applies training materials, correspondence and medical policies to ensure claims are processed accurately. Partners with Quality team for clarity on procedures and/or difficult claims and receive coaching from leadership. Required participation in ongoing developmental training to perform daily functions.
  • 10% Completes productivity daily data that is used by leadership to compile performance statistics. Reports are used by management to plan for scheduling, quality improvement initiatives, workflow design and financial planning, etc.
  • 5% Collaborates with multiple departments providing feedback and resolving issues and answering basic processing questions.
Qualifications:
  • To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
Knowledge, Skills and Abilities (KSAs):
  • Demonstrated analytical skills, Proficient.
  • Demonstrated reading comprehension and ability to follow directions provided, Proficient.
  • Basic written/oral communication skills, Proficient.
  • Demonstrated ability to navigate computer applications, Proficient.
Education:
  • Level: High School Diploma or GED.
Experience:
  • Less than one year's experience processing claim documents.
Preferred Qualifications:
  • 1-3 years Claims processing, billing, or medical terminology experience.
Ampcus is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veterans or individuals with disabilities.
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About Ampcus

Sourced by ZipRecruiter

Ampcus Inc. is a ISO 20000, ISO 27000, ISO 9001, CMMI DEV/3 SM and CMMI SVC/3 SM certified global provider of a broad range of Technology and Business consulting services. From strategy to execution, our disciplined yet flexible approach starts and ends with our clients. By listening hard and working harder, client goals become our goals. Their success is our satisfaction. It’s why our clients sleep well at night. We believe that the success of an engagement is determined by strong project management, as well as clear communication and mutual commitment working collaboratively. Our methodology begins with listening to the customer about their needs, then working with their team to gain a clear understanding of the requirements, while providing knowledge transfer of best practices for the organization.

Industry

It services

Company size

1,001 - 5,000 Employees

Headquarters location

Chantilly, VA, US

Year founded

2004

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