ZipRecruiter

Log In

1

Medical Claims Processor Jobs in Detroit, MI (NOW HIRING)

Northwood, Inc.

Claims Processor

Warren, MI · On-site

$15/hr

Claims Processor for durable medical equipment and pharmaceutical claims submitted from contracted and out of network providers. Responsible for processing claims in a timely manner, verifying ...

BeneSys, Inc.

Claims Analyst (Troy, MI)

Troy, MI · Remote

Claims Analyst (Troy, MI) Summary - The Claims Analyst will be responsible for medical, dental, and vision claims processing of claims submitted electronically or on hard copy. Each Analyst will ...

BeneSys

Claims Analyst (Troy, MI)

Troy, MI · On-site

Claims Analyst (Troy, MI) Summary - The Claims Analyst will be responsible for medical, dental, and vision claims processing of claims submitted electronically or on hard copy. Each Analyst will ...

BeneSys

Specialty Claims Analyst (Troy, MI)

Troy, MI · On-site

$21 - $24/hr

Qualifications - Individual must be skilled in medical claims processing and knowledge of medical terminology. Have two (2) years of experience in a related field, required. Good reasoning and phone ...

BeneSys, Inc.

Specialty Claims Analyst (Troy, MI)

Troy, MI · Remote

$21 - $24/hr

Qualifications - Individual must be skilled in medical claims processing and knowledge of medical terminology. Have two (2) years of experience in a related field, required. Good reasoning and phone ...

Hylant

Claims Advocate

Ann Arbor, MI · On-site

Proactively manage the claims process for assigned clients/claims liaising with clients, adjusters, carriers, and other external parties as well as Hylant client executives and client services team ...

Hylant

Claims Advocate

Ann Arbor, MI · On-site

Proactively manage the claims process for assigned clients/claims liaising with clients, adjusters, carriers, and other external parties as well as Hylant client executives and client services team ...

Hylant

Claims Advocate

Detroit, MI · On-site

Proactively manage the claims process for assigned clients/claims liaising with clients, adjusters, carriers, and other external parties as well as Hylant client executives and client services team ...

Hylant

Claims Advocate

Ann Arbor, MI · On-site

Proactively manage the claims process for assigned clients/claims liaising with clients, adjusters, carriers, and other external parties as well as Hylant client executives and client services team ...

MEDLOGIX, LLC

Field Case Manager - RN

Southfield, MI · On-site

$80K/yr

Medlogix has a powerful mix of medical expertise, proven processes and innovative technology that delivers a more efficient, disciplined insurance claims process. The result is lower expenses and ...

360care

AR Follow Up Specialist

Troy, MI

$19.25 - $25.25/hr

... medical claims to insurance companies that have been denied, left pending or require remittance ... Working overpayment report by identifying refunds due to patient or insurance company and process ...

New

360care

AR Follow Up Specialist

Detroit, MI

$20 - $26.50/hr

... medical claims to insurance companies that have been denied, left pending or require remittance ... Working overpayment report by identifying refunds due to patient or insurance company and process ...

New

360care

AR Follow Up Specialist

Detroit, MI · On-site

$20 - $26.50/hr

This position is responsible for the timely follow up of technical or professional medical claims ... Working overpayment report by identifying refunds due to patient or insurance company and process ...

New

360care

AR Follow Up Specialist

Troy, MI

$19.25 - $25.25/hr

This position is responsible for the timely follow up of technical or professional medical claims ... Working overpayment report by identifying refunds due to patient or insurance company and process ...

New

next page

Showing results 1-20

All JobsMedical Claims Processor JobsMedical Claims Processor Jobs in Detroit, MI

Medical Claims Processor information

See Detroit, MI salary details

$13

$19

$25

How much do medical claims processor jobs pay per hour?

As of Aug 20, 2026, the average hourly pay for medical claims processor in Detroit, MI is $19.27, according to ZipRecruiter salary data. Most workers in this role earn between $17.12 and $21.39 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 Detroit, MI?

The most popular types of Medical Claims Processor jobs in Detroit, MI are:

What are popular job titles related to Medical Claims Processor jobs in Detroit, MI?

For Medical Claims Processor jobs in Detroit, MI, the most frequently searched job titles are:

What job categories do people searching Medical Claims Processor jobs in Detroit, MI look for?

The top searched job categories for Medical Claims Processor jobs in Detroit, MI are:

Medical Claims Processor jobs near you
Infographic showing various Medical Claims Processor job openings in Detroit, MI as of August 2026, with employment types broken down into 66% Full Time, 16% Temporary, and 18% Contract. Highlights an 59% In-person, 20% Hybrid, and 21% Remote job distribution, with an average salary of $40,087 per year, or $19.3 per hour.

Claims Processor

Northwood, Inc.

Warren, MI • On-site

$15/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 26 days ago

Job description

Claims Processor for durable medical equipment and pharmaceutical claims submitted from contracted and out of network providers. Responsible for processing claims in a timely manner, verifying insurance coverage for date of service/diagnosis and reviewing all paperwork for proper documentation and payment of claims. Comply with all company information security policies and responsibilities as detailed during onboarding and annual security awareness training.

Company Description

Northwood plays an integral role in health plan benefit administration for durable medical equipment, prosthetics, orthotics and medical supplies.

Northwood also serves auto and workers compensation clients and their PIP claimants.