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

RemX

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Medical Claims Eligibility Specialist - Billing & Collections

Houston, TX · On-site

$22/hr

Process billing for in-network and out-of-network medical claims . * Review and resubmit claims under the No Surprises Act when applicable. * Maintain accurate electronic and physical claim files.

RemX

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Medical Claims Quality Auditor

Houston, TX · On-site

$25/hr

Medical Claims Quality Auditor $25/hr | Houston Heights Area | Full-Time | Contract to Hire Join a ... Understanding of dispute resolution or arbitration processes preferred * Strong attention to detail ...

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 ...

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 ...

TEEMA GROUP

Staff Accountant - 100% Remote

Houston, TX · Remote

$30 - $35/hr

Coordinate with external claims processors regarding patient medical expenses * Reconcile monthly government capitation payments against member eligibility records * Verify financial information in ...

Health Care Service Corporation

Claim Technician

Houston, TX · On-site +1

$17.75 - $26.17/hr

Experience processing medical claims. Preferred Job Qualifications: * Referral preference given to applicants able to take and meet testing criteria. * Must have trained on the six-eight-week Blue ...

Houston Retina Associates

AR Specialist

Houston, TX · On-site

$18.25 - $24.25/hr

Position Summary The A/R Specialist is responsible for the company's third-party medical claims processing and assisting patients and office staff with questions on insurance claims, authorizations ...

EyeSouth Partners LLC

AR Specialist

Houston, TX · On-site

$18.25 - $24.25/hr

The A/R Specialist is responsible for the company's third-party medical claims processing and assisting patients and office staff with questions on insurance claims, authorizations, statements, and ...

Houston Retina Associates

AR Specialist

Houston, TX · On-site

$18.25 - $24.25/hr

Position Summary The A/R Specialist is responsible for the company's third-party medical claims processing and assisting patients and office staff with questions on insurance claims, authorizations ...

Sydiera

Medical Biller & Coder (Remote)

Houston, TX · Remote

$19.25 - $25.50/hr

Process and submit medical claims accurately and efficiently * Review patient charts and assign proper ICD-10, CPT, and HCPCS codes * Communicate with insurance companies, providers, and team members ...

Addison Group

Medical Billing Specialist

Houston, TX · Remote

$19 - $25/hr

File electronic and paper claims with appropriate documentation and attachments. * Research and ... Strong understanding of insurance guidelines and the patient registration process. * Experience ...

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Medical Claims Processor information

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$13

$18

$24

How much do medical claims processor jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for medical claims processor in Houston, TX is $18.59, according to ZipRecruiter salary data. Most workers in this role earn between $16.54 and $20.67 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 Houston, TX?

The most popular types of Medical Claims Processor jobs in Houston, TX are:

What are popular job titles related to Medical Claims Processor jobs in Houston, TX?

For Medical Claims Processor jobs in Houston, TX, the most frequently searched job titles are:

What job categories do people searching Medical Claims Processor jobs in Houston, TX look for?

The top searched job categories for Medical Claims Processor jobs in Houston, TX are:

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

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

Medical Claims Processor jobs near you
Infographic showing various Medical Claims Processor job openings in Houston, TX 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 $38,670 per year, or $18.6 per hour.

Medical Claims Eligibility Specialist - Billing & Collections

RemX

Houston, TX • On-site

$22/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 21 days ago

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Job description

Medical Claims Eligibility Specialist - Billing & Collections

$22/Hour | Contract-to-Hire | Houston Heights (77018) | Monday-Friday, 8 AM-5 PM | 100% Onsite

A growing healthcare services organization is seeking a Medical Claims Specialist with experience in medical billing, insurance collections, high-dollar claims, or complex claims review. This is an excellent opportunity for candidates looking to expand their healthcare reimbursement and claims expertise, with the potential for career advancement and increased pay based on performance.

Responsibilities

  • Review and analyze Explanation of Benefits (EOBs) and payment remittance documents to determine claim eligibility for dispute resolution.
  • Perform insurance collections and follow up on outstanding claim payments.
  • Process billing for in-network and out-of-network medical claims.
  • Review and resubmit claims under the No Surprises Act when applicable.
  • Maintain accurate electronic and physical claim files.
  • Review a variety of medical claims, including:
    • HCFA 1500
    • UB-92/UB-04
    • Surgery and anesthesia claims
    • COB claims
    • DRG/RCC pricing
    • High-dollar and complex medical claims
  • Apply knowledge of insurance reimbursement guidelines and payment methodologies.

Qualifications

  • High School Diploma or GED required.
  • Experience in medical billing, medical collections, claims processing, or insurance reimbursement.
  • Experience reviewing EOBs and payment remittances.
  • Strong attention to detail and accuracy.
  • Ability to manage changing priorities in a fast-paced environment.
  • Proficiency with Microsoft Office and intermediate Excel skills.
  • No Surprises Act experience is a plus.

Ideal backgrounds: Medical Biller, Medical Collections Specialist, Claims Specialist, Insurance Follow-Up Representative, or Healthcare Reimbursement Specialist.

Important: Candidates should live within approximately 30 minutes of the Houston Heights area due to traffic and the fully onsite schedule.

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Industry

Recruiting and staffing services

Company size

501 - 1,000 Employees

Headquarters location

Atlanta, GA, US

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