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

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.

RemX

Be Seen First

COI/Eligibiity Specialist II

Houston, TX · On-site

$22/hr

Requires experience with Medical Insurance Collections, Claims Billing or No Surprise Act ... process. * Collections from insurance carriers * Billing for in and out of network claims * Re ...

Ccfs

Risk Claims Manager

Houston, TX · Remote

$85K - $95K/yr

Thorough understanding of complex medical treatments, treatment outcomes, tort, venue, and ... Knowledge of statistical process control desirable.

AllRight Jobs Inc

Medical Biller ARJ/354

Houston, TX · On-site

$20/hr

Patient Account Specialist Senior (Onsite) - Provides medical collection services for TLRA ... of payer claims processing, appeal procedures, provider contracts, and various payment ...

Chubb

ESIS Claims Representative, WC

Houston, TX · On-site

Utilize medical cost containment measures to control loss dollar pay-out. Review status of claims ... Meet and maintain customer service requirements and have the ability to follow ESIS processes.

Sedgwick

Claims Representative, Auto

Houston, TX · On-site

$50K - $55K/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 ...

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

Medical Claims Processor information

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How much do medical claims processor jobs pay per hour?

As of Aug 21, 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:

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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.

Risk & Claims Manager

Socket.dev

Houston, TX • On-site

$95 - $135/hr

Other

Posted 6 days ago

Job description

Company Profile

USA DeBusk provides a comprehensive suite of industrial infrastructure maintenance services to a diverse, blue-chip customer base across a broad range of industrial end markets. With an unrelenting commitment to safety and a passion for applying innovative technologies, USA DeBusk strides to deliver best-in-class services that assist customers in maintaining their assets and optimizing their processes. Founded in 2012, USA DeBusk is headquartered in Houston, Texas, and operates more than 50 offices and service centers across North America, as well numerous customer-site-based locations.

Our team is growing, and we need a high-impact Risk & Claims Manager to join our team of people who want to be the best at what they do, who think just "good" is never good enough, who take pride in their work and want to work with others who feel the same way. Visit us at www.usadebusk.com.

Summary/Objective

The Risk & Claims Manager will serve as the internal subject matter expert for and will be responsible for handling Workers' Compensation, automobile and general liability insurance claims involving the Company commencing from the date of the incident through resolution. The Candidate preferably has extensive experience handling such claims in blue-collar industries such as the industrial service, oilfield or construction sectors. The Candidate will work closely with the Company's executives in the Legal, Safety, Human Resources and Finance departments and with external Company resources such as defense counsel, Broker, carriers and Third Party Administrator/adjusters on matters related to Workers' Compensation, insured automobile and general liability claims. The position also involves reporting to the General Counsel to support claims and related litigation as well as subpoena responses. A key function of this role is managing the full life cycle of all Workers' Compensation, automobile and general liability insurance claims with the Broker and/or carrier and tracking and following up with relevant parties on medical care, work status, defense counsel reports, reserves, claim files, Stowers demands and adjuster activity from inception through claim resolution.

The candidate will provide information and coverage analysis to the General Counsel and other executives in connection with the foregoing and in related litigation. The candidate will report directly to the General Counsel. Exceptional organizational skills are required.

Key Responsibilities

May include, but are not limited to, the following:

  • Reporting directly to the General Counsel and maintaining organized, detailed reports regarding all insurance claims.
  • Providing periodic reports to the General Counsel, executives and relevant department heads on all active claims according to defined schedule.
  • Working collaboratively with Risk, Legal, Safety, Finance and Human Resources teams.
  • Serving as the interface between Company department heads and external Company resources such as defense counsel, Broker, carriers and Third Party Administrator/adjusters regarding Workers' Compensation, insured automobile and general liability claims.
  • Submitting claims to the Broker and/or carrier, detailed follow up with relevant operations team members and tracking the same, including medical care, work status, defense counsel reports, reserves, files and adjuster activity from inception through claim resolution.
  • Monitoring Safety-incident documentation with the Safety department and coordinating with the General Counsel on serious incidents.
  • Managing Certificates of Insurance during insurance renewal, including maintaining a list of priority requests, communicating with the Broker and distributing same to the Operations team.
  • Coordinating with the Broker, operations team and customers to handle insurance endorsements and maintaining a detailed list of same.
  • Supporting General Counsel with invoicing and tracking. Responding to General Counsel's information requests and perform such additional job duties as requested by the General Counsel.
  • Advising on coverage and claims processes, maintaining familiarity with all insurance coverage.
  • Coding and submitting monthly insurance deductible invoices.
  • Reviewing loss-runs from the Third-Party Administrator for open and closed claims in each case while maintaining a claims listing and ensuring consistency of the loss runs with our records.
  • Supporting the General Counsel on complex claims, lawsuits, document discovery, Subpoenas, general requests and claims documentation in connection with claims, lawsuits and coverage issues.
  • Coordinating with Safety, Human Resources and Operations on return-to-work, light-duty placement and claim resolution status.
  • Coordinating with Broker on customer and vendor agreements to confirm compliance with insurance requirements.
  • Serving as a trusted advisor to senior management to develop and execute Risk & Claim strategies that support business objectives.
  • Maintaining in-depth knowledge of Risk & Claims trends and compliance requirements of applicable federal, state and local statutes and regulations.
QualificationsMinimum Qualifications
  • WCP, CWCP, CWC, and/or ARM certifications preferred. Bachelor's degree or relevant work experience in lieu.
  • 5+ years (preferably 10 years) of Workers' Compensation claims handling experience with a strong focus in the blue-collar industries such as the industrial, oilfield or construction sectors.
  • Demonstrated ability to work independently and manage high workloads with tight deadlines.
  • Exceptional organizational skills.
  • Strong written and verbal communication skills; ability to document complex cases clearly.
  • Demonstrated ability to leverage technology (Microsoft Office Suite, advanced skills in Excel) and legal documentation systems.
  • Experience and expertise in supporting multi-state operations.
  • Strong interpersonal and communication skills.
  • Demonstrated ability to build trust and credibility with employees at all levels.
Physical Requirements
  • Must be willing and capable in performing computer-based tasks while sitting or standing at a computer-based workstation for prolonged periods of time.
  • Must be able to make general decisions requiring judgment and perform activities requiring sustained concentration.
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