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Medical Claims Processor Jobs in Boston, MA (NOW HIRING)

Global Channel Management

Claims Processor

Westford, MA · On-site

$17.75 - $22.25/hr

Claims Processor Westford, Massachusetts, United States $ 16.00 - 17.00 (US Dollar) About the Job Claims Processor needs 1+years experience Claims Processor requires: * Ability to learn and adopt new ...

Elevance Health

SCA Claims Processor I

Hingham, MA · On-site

$17.75/hr

SCA Claims Processor I Location:??This role enables associates to work virtually full-time, with ... medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase ...

New

Elevance Health

SCA Claims Processor I

Hingham, MA · On-site

$17.75/hr

SCA Claims Processor I Location:This role enables associates to work virtually full-time, with the ... medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase ...

IQVIA

Senior Data Quality Analyst

Burlington, MA · On-site +1

S. healthcare claims data, including medical, pharmacy/Rx, eligibility, provider, and member data. * Strong knowledge of healthcare payer data, claims processing, benefit design, coding systems (ICD ...

IQVIA

Senior Data Quality Analyst

Burlington, MA · On-site +1

S. healthcare claims data, including medical, pharmacy/Rx, eligibility, provider, and member data. * Strong knowledge of healthcare payer data, claims processing, benefit design, coding systems (ICD ...

The CCS Companies

Insurance Recovery Analyst

Norwood, MA · On-site

$24 - $28/hr

... medical billers that are responsible for processing commercial, governmental and/or third-party liability (workmans compensation, general liability, and motor vehicle liability) medical claims. This ...

IQVIA, Inc.

Senior Data Quality Analyst

Burlington, MA · On-site

S. healthcare claims data, including medical, pharmacy/Rx, eligibility, provider, and member data. * Strong knowledge of healthcare payer data, claims processing, benefit design, coding systems (ICD ...

Suffolk Construction

Claims Specialist

Boston, MA · Hybrid

... leading medical and emotional and mental health benefits, dental, and vision insurance plans ... The Claims Specialist will timely and accurately process all claims from filing to closure in ...

Suffolk Construction

Claims Specialist

Boston, MA · On-site

$78K - $106K/yr

... leading medical and emotional and mental health benefits, dental, and vision insurance plans ... The Claims Specialist will timely and accurately process all claims from filing to closure in ...

Suffolk Construction

Claims Specialist

Boston, MA · Hybrid

... leading medical and emotional and mental health benefits, dental, and vision insurance plans ... The Claims Specialist will timely and accurately process all claims from filing to closure in ...

Trice Healthcare

Coding Payment Resolution Spec

Boston, MA · On-site

$20.25 - $26/hr

... claims, or other coding reasons and processing charge corrections based on medical record reviews, contracts, regulations as directed by the Supervisor Clinical / Coding Payment Resolution.

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All JobsMedical Claims Processor JobsMedical Claims Processor Jobs in Boston, MA

Medical Claims Processor information

See Boston, MA salary details

$15

$21

$27

How much do medical claims processor jobs pay per hour?

As of Aug 10, 2026, the average hourly pay for medical claims processor in Boston, MA is $21.15, according to ZipRecruiter salary data. Most workers in this role earn between $18.80 and $23.51 per hour, depending on experience, location, and employer.

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 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 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.

Is a medical claims processor job in demand?

Medical claims processor jobs are in demand due to the ongoing need for healthcare administration and insurance processing. The role requires attention to detail and familiarity with claims processing software, and employment is expected to grow as healthcare coverage expands and insurance companies seek qualified staff.

What do you need to be a medical claims processor?

To become a medical claims processor, you typically need a high school diploma or equivalent, strong attention to detail, and familiarity with medical billing and coding software. Some employers prefer candidates with certification in medical billing or coding, such as the Certified Professional Coder (CPC). Good organizational skills and the ability to work with sensitive information are also important.

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.
More about Medical Claims Processor jobs
What are the most commonly searched types of Medical Claims Processor jobs in Boston, MA? The most popular types of Medical Claims Processor jobs in Boston, MA are:
Medical Claims Processor jobs near you
Infographic showing various Medical Claims Processor job openings in Boston, MA as of August 2026, with employment types broken down into 94% Full Time, and 6% Part Time. Highlights an 85% In-person, 9% Hybrid, and 6% Remote job distribution, with an average salary of $43,989 per year, or $21.1 per hour.

Claims Processor

Global Channel Management

Westford, MA • On-site

$17.75 - $22.25/hr

Other

Re-posted 13 days ago

Job description

Claims Processor

Westford, Massachusetts, United States

$ 16.00 - 17.00 (US Dollar)

About the Job

Claims Processor needs 1+years experience

Claims Processor requires:

  • Ability to learn and adopt new processes quickly and with ease
  • Ability to work remotely and autonomously
  • Data entry test
  • Onsite, 5 days
  • Accustomed to working in a high-paced, high-volume environment
  • Strong attention to detail
  • Medium-advance level of expertise with Microsoft Excel
  • Proficient with Outlook
  • Familiar with cloud-based applications (i.e. OneDrive)
  • Ability to multi-task and perform duties using multiple sources or systems
  • Data entry experience
  • Ability to clearly articulate findings, issues or concerns requiring resolution
Claims Processor Duties

Responsible for the timely and accurate completion of key tasks supporting the successful implementation

Monitor team shared Outlook mailbox for incoming membership documents sent from clients, brokers or Third Party Administrators

Review incoming membership documents (Microsoft Excel and Word) to confirm accuracy in formatting and validity of data; includes communicating when updates are needed for successful membership enrollment and/or submission for processing.

Global Channel Management logo

About Global Channel Management

Sourced by ZipRecruiter

Global Channel Management is a technology company that specializes in various types of recruiting and staff augmentation. Global Channel Management understands the challenges companies face when it comes to the skills and experience needed to fill the void of the day to day function. Organizations need to reduce training and labor costs but at the same time requiring the best talent for the job. GCM's Ownership and Management teams have extensive Staffing, Recruiting, HR and Executive Leadership knowledge, Experience and Expertise. Our Understanding and Commitment to our Client's Satisfaction are key reasons GCM has been successful in establishing long term relationships.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Austell, GA, US

Year founded

2009

Social media

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