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

MET Healthcare Solutions

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Medical Claims Eligibility Specialist II-Hybrid

Houston, TX · On-site

$23 - $25/hr

The Medical Claims Eligibility Specialist II will be responsible for analyzing level II claims information to determine eligibility in the dispute resolution process in accordance with established ...

IQVIA

Medical Biller/Claims Processing

Houston, TX · Remote

$23/hr

Receive medical claims from healthcare providers (HCPs) or patients and ensure all required ... Experience in claim processing Required * Ability to interpret EOBs Required * Insurance ...

RadNet, Inc.

Risk & Claims Manager

Houston, TX · On-site

$95 - $130/hr

... medical care, work status, defense counsel reports, reserves, claim files, Stowers demands and ... Advising on coverage and claims processes, maintaining familiarity with all insurance coverage.

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Socket.dev

Risk & Claims Manager

Houston, TX · On-site

$95 - $135/hr

... medical care, work status, defense counsel reports, reserves, claim files, Stowers demands and ... Advising on coverage and claims processes, maintaining familiarity with all insurance coverage.

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All JobsMedical Claims Processor JobsMedical Claims Processor Jobs in Conroe, TX

Medical Claims Processor information

See Conroe, TX salary details

$11

$16

$22

How much do medical claims processor jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for medical claims processor in Conroe, TX is $16.67, according to ZipRecruiter salary data. Most workers in this role earn between $14.81 and $18.51 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 top searched job categories for Medical Claims Processor jobs in Conroe, TX are:

What cities near Conroe, TX are hiring for Medical Claims Processor jobs?

Cities near Conroe, TX with the most Medical Claims Processor job openings:

Medical Claims Processor jobs near you
Infographic showing various Medical Claims Processor job openings in Conroe, TX as of August 2026, with employment types broken down into 80% Full Time, and 20% Contract. Highlights an 100% In-person job distribution, with an average salary of $34,667 per year, or $16.7 per hour.

Commercial Transportation Claims Processor

Staff Solve

Spring, TX • Remote

$15.25 - $19.25/hr

Full-time

Posted 4 days ago

Job description

Commercial Transportation Claims Processor – Remote
(3PL, Heavy Haul & Rail)
Location: Remote (Must live within 30 mins of Spring, TX)
Job Type: Full-Time, Direct Hire
Salary Range: 70-80k
Reports To: General Counsel
Job Summary
We are seeking an analytical and detail-oriented Commercial Transportation Claims Processor to manage freight loss and damage claims for our heavy-haul, rail, barge and third-party logistics operations. This role specializes in handling claims specifically related to breakbulk cargo (non-containerized, oversized, or bundled commodities) transported via commercial trucking, rail and barge networks, including loading, unloading and storage. You will be responsible for reviewing cargo incident reports, verifying complex transit documentation, managing filed claims, and processing standard cargo payouts. Your expertise ensures financial loss mitigation while maintaining strong relationships with our logistics partners.
Key Responsibilities
  • Claim Intake & Triage: Efficiently log initial notifications of freight loss, damage, or transit delays into our claims system.
  • Documentation Verification: Collect and analyze cargo shipping documents, including Bills of Lading (BOL), rail waybills, delivery receipts, interchange reports, contracts and freight release forms.
  • Breakbulk Analysis: Gather and evaluate damage reports, surveyors' reports, rigging logs, and photographs, video and other relevant evidence.
  • Liability & Coverage Review: Work with insurance carriers to determine liability and coverage under commercial transit policies, transport contracts and carrier tariffs.
  • Claims Processing & Settlement: Validate and process cargo claims, ensuring accurate calculations of actual cash value or contractual limits.
  • Multimodal Coordination: Communicate clearly and professionally with motor carriers, class I railroads, port authorities, and third-party adjusters to gather missing details.
Qualifications & Skills
  • Education: Bachelor's degree required, preferably in Logistics, Supply Chain Management, Risk Management or Business.
  • Experience: 1–3 years of experience in cargo claims processing, freight auditing, freight forwarding, or transportation operations.
  • Industry Knowledge: Basic understanding of commercial trucking operations, rail freight mechanics, and the physical characteristics of breakbulk / project cargo.
  • Technical Proficiency: Strong typing speed and familiarity with logistics management platforms, transportation management systems (TMS), or specialized claims auditing software.
  • Critical Thinking: Strong ability to cross-reference conflicting transit logs, verify timelines, and identify potential fraud.
  • Communication: Excellent written and verbal communication skills to successfully negotiate with rigid carrier dispute departments.
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About Staff Solve

Sourced by ZipRecruiter

Staff Solve, Inc is a customer-driven, full-service employment agency that provides the community with superior customer service in placing skilled professionals for direct hire and temporary positions. We offer personal attention to detail and total commitment to excellence to serve the business and individual needs of our clients and community. Based on our knowledge of the workforce and accomplished staff, Staff Solve has helped thousands of people and organizations for over 27 years. Our mission pushes us to respond in a prompt, effective manner while maintaining the utmost professional standards for excellence and respect in our industry.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Houston, TX, US

Year founded

1994

Social media

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