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

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 ...

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 ...

J29 Inc.

Medical Reviewer, Coder

Millersville, MD · On-site +1

$18.25 - $24.25/hr

Our team of 260 employees focuses on providing processing, review, and analysis of medical claims, records, data, and audits between areas of compliance, policy, and clinical expertise. Our team is ...

STEPS Behavioral Health

Billing Coordinator

Pikesville, MD · On-site

$45K - $50K/yr

Position Summary As a Billing Coordinator , you will be responsible for coordinating and managing the medical billing and claims process to ensure timely and accurate reimbursement. You'll verify ...

Collabera

Claims Analyst (CSR)

Cockeysville, MD

$18 - $22/hr

... days, Medical, Dental and Vision insurance, 401K retirement savings plan, Life Insurance ... Takes personal ownership to ensure that customer requests are processed quickly and efficiently ...

System One

Healthcare Functional Analysts

Baltimore, MD · On-site

$33/hr

Claims processing familiarity (strong plus) * Basic medical billing familiarity * ICD-10 exposure * Experience with tools such as Luminex (plus, not required) System One, and its subsidiaries ...

System One

Healthcare Functional Analysts

Baltimore, MD · On-site

$33/hr

Claims processing familiarity (strong plus) * Basic medical billing familiarity * ICD-10 exposure * Experience with tools such as Luminex (plus, not required) System One, and its subsidiaries ...

System One

Healthcare Functional Analysts

Baltimore, MD · On-site

$33/hr

Claims processing familiarity (strong plus) * Basic medical billing familiarity * ICD-10 exposure * Experience with tools such as Luminex (plus, not required) System One, and its subsidiaries ...

System One

Healthcare Functional Analysts

Baltimore, MD · On-site

$33/hr

Claims processing familiarity (strong plus) * Basic medical billing familiarity * ICD-10 exposure * Experience with tools such as Luminex (plus, not required) System One, and its subsidiaries ...

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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.
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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.

Client Relationship Manager

System One

Baltimore, MD • Remote

Contractor

Medical, Dental, Vision, Life, Retirement

Re-posted yesterday

Job description

Job Title: Client Relations Manager Location: Baltimore, Maryland Type: Contract To Hire Contractor Work Model: Hybrid – onsite and remote

We’re looking for a Client Relationship Manager who thrives in a fast-paced, high-touch customer service environment. In this role, you’ll manage escalated service issues and serve as a key point of contact for members and brokers—especially when situations are complex, urgent, or sensitive.

Most requests come in via email, with occasional outbound calls needed to clarify details and drive resolution. Your success will come from strong claims knowledge, calm de-escalation, and end-to-end ownership.

What You’ll Be Doing

  • Resolve escalated issues related to medical claims, billing, benefits, and pharmacy (Rx)
  • Research and troubleshoot denied claims, claim status problems, EOB vs. billing discrepancies, and Rx concerns
  • Communicate clearly and professionally (email-first), and make outbound calls when needed
  • Coordinate across internal teams/partners to get answers and close issues quickly
  • Track, document, and manage issues from initial inquiry through final resolution
  • 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 issue resolution)
  • Strong, polished customer service experience—comfortable handling escalations and demanding stakeholders
  • Proven ability to de-escalate, problem-solve, and stay composed under pressure
  • Strong multitasking, time management, and attention to detail
  • Ability to take ownership and drive a problem through to a clear outcome (not just hand-offs)

Nice to Have

  • Medicare experience
  • Experience supporting benefits administration (eligibility, enrollment, billing questions, plan basics)
  • Prior experience interacting with brokers/consultants and HR contacts

System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.

#M-1 #LI-

Ref: #851-Rockville-S1