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Medical Claims Processor Jobs in Merced, CA (NOW HIRING)

Pharmacy Technician

Los Banos, CA · On-site

$18.50 - $22.50/hr

Processes (corrects and resubmits) manual claims for third party program prescription services in a ... medical community, including physicians, nurses, and other health care providers, by medical ...

Pharmacy Technician

Los Banos, CA · On-site

$18.50 - $22.50/hr

Processes (corrects and resubmits) manual claims for third party program prescription services in a ... medical community, including physicians, nurses, and other health care providers, by medical ...

Certified Pharmacy Technician

Turlock, CA · On-site

$19 - $23.25/hr

Processes (corrects and resubmits) manual claims for third party program prescription services in a ... medical community, including physicians, nurses, and other health care providers, by medical ...

Certified Pharmacy Technician

Turlock, CA · On-site

$19 - $23.25/hr

Processes (corrects and resubmits) manual claims for third party program prescription services in a ... medical community, including physicians, nurses, and other health care providers, by medical ...

Certified Pharmacy Technician

Turlock, CA · On-site

$19 - $23.25/hr

Processes (corrects and resubmits) manual claims for third party program prescription services in a ... medical community, including physicians, nurses, and other health care providers, by medical ...

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Medical Claims Processor information

See Merced, CA salary details

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How much do medical claims processor jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for medical claims processor in Merced, CA is $20.56, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $22.84 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.

What are the most commonly searched types of Medical Claims Processor jobs in Merced, CA?

The most popular types of Medical Claims Processor jobs in Merced, CA are:

What are popular job titles related to Medical Claims Processor jobs in Merced, CA?

For Medical Claims Processor jobs in Merced, CA, the most frequently searched job titles are:

What cities near Merced, CA are hiring for Medical Claims Processor jobs?

Cities near Merced, CA with the most Medical Claims Processor job openings:

Infographic showing various Medical Claims Processor job openings in Merced, CA as of August 2026, with employment types broken down into 65% Full Time, 17% Temporary, and 18% Contract. Highlights an 60% In-person, 20% Hybrid, and 20% Remote job distribution, with an average salary of $42,762 per year, or $20.6 per hour.

Summer 2027 Internship - RWE Data Scientist - Virtual

Stryker

Merced, CA • On-site

$35/hr

Other

Posted 4 days ago


Stryker rating

8.2

Company rating: 8.2 out of 10

Based on 112 frontline employees who took The Breakroom Quiz

134th of 499 rated machine equipment manufacturers


Job description

What You Get Out of the Internship

At Stryker, we believe that developing the next generation of talent is just as important as developing life-changing medical technologies. As an intern, you won’t just observe — you’ll contribute to meaningful projects, gain exposure to leaders who will mentor you, and experience a culture of innovation and teamwork that is shaping the future of healthcare. As an intern, you will:

  • Apply classroom knowledge and gain experience in a fast-paced and growing industry setting
  • Implement new ideas, be constantly challenged, and develop your skills
  • Network with key/high-level stakeholders and leaders of the business
  • Be a part of an innovative team and culture
  • Experience documenting complex processes and presenting them in a clear format

Who We Want

Challengers. People who seek out the hard projects and work to find just the right solutions.

Teammates. Partners who listen to ideas, share thoughts and work together to move the business forward.

Charismatic networkers. Relationship-savvy people who intentionally make connections with both internal partners and external contacts.

Strategic thinkers. Interns who propose innovative ideas and consistently exceed their performance objectives.

Customer-oriented achievers. Individuals with an unparalleled work ethic and customer-focused attitude who bring value to their partnerships.

Game changers. Persistent interns who will stop at nothing to live out Stryker’s mission to make healthcare better.

Opportunities Available

As a Real-World Evidence Data Science intern at Stryker, you will:

  • Work cross functionally with different departments including Clinical Affairs, Health Economics & Outcomes Research (HEOR), Regulatory Affairs, and Marketing to support real-world evidence generation programs
  • Assist in the design and execution of observational studies using claims (e.g., Premier PINC AI, NIS) and other real-world data sources
  • Support data extraction, cleaning, and analysis of structured and unstructured healthcare data, including applying NLP techniques to unstructured billing/clinical data
  • Prepare literature review summaries and evidence syntheses to support publication and regulatory submission efforts
  • Build and refine statistical models (e.g., propensity matching, survival analysis) under the mentorship of the RWE Research team
  • Shadow cross-functional team meetings to gain exposure to how RWE informs regulatory, reimbursement, and commercial strategy

What You Need

Required:

  • Currently pursuing a Master’s degree in Biostatistics, Epidemiology, Health Services Research, Health Economics and Outcomes Research (HEOR), Health/Biomedical Informatics, Data Science, or a related quantitative field; must remain enrolled in a degree-seeking program after the internship
  • Cumulative 3.0 GPA or above (verified at time of hire)
  • Must be legally authorized to work in the U.S. and not require employment-based sponsorship now or in the future
  • Proficiency in SQL and at least one statistical/analytical programming language (Python or R)
  • Coursework or applied project experience with observational/real-world data (claims, EHR, or registry data)
  • Strong written and verbal communication skills, with proven ability to collaborate and build relationships
  • Demonstrated leadership, problem-solving, and organizational skills with the ability to manage multiple priorities
  • Proficiency in Microsoft Office (Excel, Word, PowerPoint) and eagerness to learn in a dynamic environment

Preferred:

  • Prior exposure to claims databases (Medicare, MarketScan, Premier PINC AI, Optum) or EHR data structures
  • Familiarity with causal inference methods (propensity score matching, instrumental variables) and/or survival analysis
  • Experience with NLP applied to unstructured healthcare text
  • Prior coursework, thesis, or practicum work in a medtech, pharma, or payer setting

$20 min hourly wage – $35 max hourly wage, sign-on bonus, 11 paid holidays annually, and either paid corporate housing or a living stipend, dependent upon hiring location

Stryker is a global leader in medical technologies and, together with its customers, is driven to make healthcare better. The company offers innovative products and services in MedSurg, Neurotechnology, Orthopaedics and Spine that help improve patient and healthcare outcomes. Alongside its customers around the world, Stryker impacts more than 150 million patients annually.


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