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

Addison Group

Medical Billing Specialist

Houston, TX · On-site

$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 ...

IQVIA

Claims Audit Coordinator, Billing

Houston, TX · Hybrid

Review claims for completeness and accuracy and correct invalid or incomplete claims as needed ... Knowledge of medical billing processes, insurance terminology, and reimbursement practices.

SYDIERA

Medical Biller & Coder

Houston, TX · On-site +1

$18 - $23/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 ...

Orion180

Field Claims Adjuster

Houston, TX · On-site

The adjuster ensures claims are processed efficiently and fairly, in accordance with policy terms ... Medical, dental, vision, 401k, paid holidays, PTO, and more. The office environment is fast-paced ...

CareSet Systems

SAS Statistician

Houston, TX · On-site

$95K/yr

Double data output rate by reducing processing time and error rates within 6 months * Create ... Experience working with medical claims data * Rapidly takes in and comprehends new information

CareSet Systems

SAS Statistician

Houston, TX · On-site

$95K/yr

Double data output rate by reducing processing time and error rates within 6 months * Create ... Experience working with medical claims data * Rapidly takes in and comprehends new information

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.

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

Medical Claims Processor information

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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.
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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:

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

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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 Billing Specialist

Addison Group

Houston, TX • On-site

$19 - $25/hr

Contractor

Medical, Dental, Vision, Retirement

Posted 26 days ago

Job description

Job Title: Medical Billing Specialist
Location: Houston, TX (Must be local to Houston)
Industry: Healthcare / Revenue Cycle Management
Pay: $19-$25 per hour (based on experience)
Benefits: This position is eligible for medical, dental, vision, and 401k.
About Our Client:
Addison Group is partnering with a growing healthcare organization seeking a Medical Billing Specialist with strong professional and facility billing experience. This role is ideal for a detail-oriented billing professional who understands complex claim packaging, insurance guidelines, and technical claim correction.
Job Description:
The Medical Billing Specialist is responsible for ensuring accurate and timely submission of medical claims to commercial and government payers. This position requires strong knowledge of CMS-1500 claim forms, insurance guidelines, claim packaging/bundling protocols, and resolving technical claim errors prior to submission.
This is a hybrid position requiring onsite work during the first 90 days, followed by a structured hybrid schedule.
Key Responsibilities:
  • Review and submit professional and facility claims for prompt reimbursement.
  • Identify and resolve claim "loader" errors prior to submission.
  • Work charge tasks and ensure all claim checklist requirements are cleared.
  • Ensure proper packaging/bundling of services per contract and payer guidelines.
  • File electronic and paper claims with appropriate documentation and attachments.
  • Research and correct invalid or rejected claims.
  • Maintain accurate documentation of filing activity and abnormal trends.
  • Perform data entry of CMS-1500 claims and reconcile daily charge reports.
  • Collaborate with providers and internal departments to ensure claim accuracy.
  • Maintain organized storage of claim batches, EOBs, and supporting documentation.
  • Ensure compliance with HIPAA and company confidentiality standards.

Requirements:
  • CPC or CPC-A certification highly preferred.
  • Minimum 3+ years of recent medical billing experience.
  • Strong professional (profee) and facility billing experience required.
  • Experience working with CMS-1500 claims and packaging protocols.
  • Knowledge of ICD-9/10 and CPT coding required.
  • Strong understanding of insurance guidelines and the patient registration process.
  • Experience correcting technical claim errors and working claim edits.
  • Proficiency in Microsoft Word, Excel, email, and data entry systems.
  • Stable work history required (tenure is important).
  • Specialty experience in cardiology, radiology, or anesthesiology preferred but not required.

Additional Details:
  • Schedule: Monday-Friday, 8:00am-5:00pm
  • Work Model:
    • First 90 days: Onsite (Monday-Thursday)
    • After 90 days: Hybrid (3 days onsite / 2 days remote)
  • Dress Code: Business casual
  • Start Date: ASAP

Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.
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