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Medical Claims Processor Jobs in Charleston, SC (NOW HIRING)

New Hope

MEDICAL BILLING SPECIALIST

North Charleston, SC · On-site

$16 - $20.75/hr

The Medical Billing Specialist position is responsible for accurate and timely processing of medical claims, payment posting, and account reconciliation to support efficient revenue cycle operations.

New Hope

MEDICAL BILLING SPECIALIST

North Charleston, SC · On-site

$16 - $20.75/hr

The Medical Billing Specialist position is responsible for accurate and timely processing of medical claims, payment posting, and account reconciliation to support efficient revenue cycle operations.

HireQuest Inc

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Workers Compensation Claims Assistant

Goose Creek, SC · On-site

Worker's Compensation Claims Assistant Under general direction, ensures timely processing of ... Evaluates accident reports, ensuring the timely processing of medical bills and temporary total ...

New

Sedgwick

Claims Representative , Auto

Charleston, SC · On-site

$50K/yr

Processes auto property damage and lower level injury claims; assesses damage, makes payments, and ... A comprehensive benefits package is offered including but not limited to, medical, dental, vision ...

State Farm

Claim Specialist - WCCS Deployed

Charleston, SC · On-site

$63K - $82K/yr

... claims process while providing Remarkable ® service. Where you'll work: These are deployable ... All medical plans provide 100% coverage for in-network preventative care, AND you and your family ...

Merritt S. Huber, M.D. LLC

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Medical Office Manager

Summerville, SC · On-site

Oversee the medical billing and coding process for physician services * Ensure claims are submitted accurately and timely * Review coding and documentation for accuracy and completeness * Monitor ...

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All JobsMedical Claims Processor JobsMedical Claims Processor Jobs in Charleston, SC

Medical Claims Processor information

See Charleston, SC salary details

$13

$18

$24

How much do medical claims processor jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for medical claims processor in Charleston, SC is $18.22, according to ZipRecruiter salary data. Most workers in this role earn between $16.20 and $20.24 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 Charleston, SC?

The most popular types of Medical Claims Processor jobs in Charleston, SC are:

What are popular job titles related to Medical Claims Processor jobs in Charleston, SC?

For Medical Claims Processor jobs in Charleston, SC, the most frequently searched job titles are:

What job categories do people searching Medical Claims Processor jobs in Charleston, SC look for?

The top searched job categories for Medical Claims Processor jobs in Charleston, SC are:

What cities near Charleston, SC are hiring for Medical Claims Processor jobs?

Cities near Charleston, SC with the most Medical Claims Processor job openings:

Medical Claims Processor jobs near you
Infographic showing various Medical Claims Processor job openings in Charleston, SC as of August 2026, with employment types broken down into 64% Full Time, 17% Temporary, and 19% Contract. Highlights an 59% In-person, 20% Hybrid, and 21% Remote job distribution, with an average salary of $37,894 per year, or $18.2 per hour.

Medical Billing Specialist - Orthopaedics

South Carolina Sports Medicine

North Charleston, SC • On-site

$17.50 - $22.50/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 16 days ago

Job description

We are a busy, well-established orthopaedic practice seeking an experienced Medical Biller to join our dedicated administrative team. The ideal candidate is detail oriented, organized, and knowledgeable in all aspects of medical billing and revenue cycle management. If you thrive in a fast-paced healthcare environment and are committed to providing exceptional support, we'd love to hear from you.

Responsibilities

  • Process and submit accurate medical claims to insurance carriers.
  • Follow up on unpaid, denied, or underpaid claims to ensure timely reimbursement.
  • Review and resolve billing edits, claim rejections, and payment discrepancies.
  • Verify insurance benefits and eligibility when needed.
  • Communicate professionally with insurance companies, patients, and providers regarding billing inquiries.
  • Maintain compliance with HIPAA and all applicable billing regulations.
  • Work collaboratively with providers and office staff to optimize the revenue cycle.

Qualifications

  • Minimum of 3 years of medical billing experience (orthopaedic or specialty practice experience preferred).
  • Strong knowledge of CPT, ICD-10, and HCPCS coding related to orthopaedics.
  • Experience working with commercial insurance, Medicare, Tricare and workers' compensation claims.
  • Proficiency with electronic medical records (EMR) and practice management software (ATHENA)
  • Excellent attention to detail, organizational skills, and problem-solving abilities.
  • Strong communication and customer service skills.
  • Ability to manage multiple priorities in a fast-paced environment.

We Offer

  • Competitive pay based on experience.
  • Health, dental, and vision benefits 
  • Paid time off and holidays.
  • 401-K Retirement plan
  • Supportive team environment.
  • Opportunity for long-term growth with a respected orthopaedic practice.

If you are an experienced medical biller who is passionate about accuracy, efficiency, and providing excellent service, we encourage you to apply. Please submit your resume and a brief cover letter outlining your experience.