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Medical Claims Processor Jobs in Everett, WA (NOW HIRING)

Geico

Principal Claims Product Tester

Seattle, WA · On-site

$100K - $157K/yr

You will play a key role in advancing our testing organization from primarily manual processes to ... First-party medical claims knowledge. * Experience supporting centralized service organizations.

Walgreens

Specialty Billing Technician

Seattle, WA · On-site

$22.50 - $29.50/hr

Ensure all required documentation for billing is completed and accurate prior to claim submission (i.e., medical claims billing). * Process reimbursement checks/payment in accordance with policy.

Walgreens

Specialty Billing Technician

Seattle, WA · On-site

$20.75 - $26.75/hr

Ensure all required documentation for billing is completed and accurate prior to claim submission (i.e., medical claims billing). * Process reimbursement checks/payment in accordance with policy.

Walgreens

Specialty Billing Technician

Seattle, WA · On-site

$20.75 - $26.75/hr

Ensure all required documentation for billing is completed and accurate prior to claim submission (i.e., medical claims billing). * Process reimbursement checks/payment in accordance with policy.

Puget Sound Energy

Claims Adjuster

Bellevue, WA

$72K - $103K/yr

... process. The Claims department contributes to PSE's success by providing prompt and thorough ... Employees are eligible for medical, dental, vision, basic life, and short- and long-term disability ...

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All JobsMedical Claims Processor JobsMedical Claims Processor Jobs in Everett, WA

Medical Claims Processor information

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$15

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How much do medical claims processor jobs pay per hour?

As of Aug 20, 2026, the average hourly pay for medical claims processor in Everett, WA is $21.51, according to ZipRecruiter salary data. Most workers in this role earn between $19.13 and $23.89 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 most popular types of Medical Claims Processor jobs in Everett, WA are:

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The top searched job categories for Medical Claims Processor jobs in Everett, WA are:

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Cities near Everett, WA with the most Medical Claims Processor job openings:

Medical Claims Processor jobs near you
Infographic showing various Medical Claims Processor job openings in Everett, WA as of August 2026, with employment types broken down into 65% Full Time, 17% Temporary, and 18% Contract. Highlights an 59% In-person, 20% Hybrid, and 21% Remote job distribution, with an average salary of $44,731 per year, or $21.5 per hour.

Appeals Specialist (Medical Claims)

Northwest Administrators, Inc.

Seattle, WA • Hybrid

$30.70 - $41.54/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 19 days ago

Job description

Do you enjoy working with a great team of people? Do you provide exceptional service even when having to solve issues that may be complex and difficult? Does the phrase "details matter" describe your approach to everything? If you answered "YES" then you may be the person we're seeking for our Appeals Specialist position!

What you'll be doing...

The Appeals Specialist will assist in the operations of the Health and Welfare Claims Department and will primarily focus on member disputes and appeals.

  • Review and process member and provider appeals, ensuring accuracy and adherence to policies
  • Analyze claims, benefits, contracts and regulations to make informed appeal decisions
  • Collaborate with internal teams to prepare and present appeal cases for resolution
  • Clearly communicate appeal outcomes to members, providers and representatives
  • Provide guidance and support to members and providers on appeal procedures

This position has a hybrid work schedule with 3 days per week in the office. The position can be based in our Seattle, Mountlake Terrace or Federal Way office.

Who you are...

  • Educated. Bachelor's degree or combination of relevant education and experience
  • Experienced. Medical claims processing and/or appeals experience highly preferred
  • Analytical. Interpret and retain detailed information from multiple plan descriptions
  • Problem Solver. Strong analytical problem solver with great attention to detail
  • Communicator. Excellent interpersonal, written and verbal communication skills
  • Organized. Exceptional organizational skills and ability to manage competing priorities

Who we are...

Northwest Administrators, Inc. is an industry leader in third-party administration of employee benefits. We administer one of the largest multi-employer pension plans in the country, along with numerous large health and welfare plans. As part of our team, you will benefit from many training and development opportunities and can expect a better-than-market benefits package. See what our associates are saying about us at Northwest Administrators Inc. | Careers (nwadmin.com)

If hired, you can expect...

  • Hourly rate range of $30.70 - $41.54 per hour (dependent on experience & qualifications) 
  • Medical, dental (w/orthodontia), vision, Rx benefits, disability & life insurance
  • Optional benefits: health flex spending, dependent care assistance & pet insurance
  • Generous 401(k) plan with company base contribution & match
  • Paid Vacation (10 days), Sick Leave (10 days) and Holidays (10 days)
  • Work-life balance

Apply