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Medical Claims Processor Jobs (NOW HIRING)

Sagility LLC

Claims Processor - Work from Home

$17/hr

Review medical claims thoroughly to ensure no missing or incomplete information * Navigate multiple computer systems and platforms to research and process assigned claims accurately (e.g., verifying ...

Lutheran Services Carolinas

AP CLAIMS PROCESSOR

Salisbury, NC · On-site

$15.25 - $19.50/hr

... medical claims. 5. Contacts billing providers and IDT (interdisciplinary) teams to correct claim authorizations so that claim billings can be properly processed. 6. Researches and processes claims ...

Sagility

Claims Processor - Work from Home

Concord, NC · Remote

$17/hr

Review medical claims thoroughly to ensure no missing or incomplete information * Navigate multiple computer systems and platforms to research and process assigned claims accurately (e.g., verifying ...

Insight Global

Claims Processor

Portland, OR · On-site

$24 - $26/hr

The ideal candidate has strong medical and/or dental claims experience and is comfortable working in a lower‐volume, high‐accuracy environment. Responsibilities: Process medical and/or dental ...

MedPOINT Management

Claims Processor

Sherman Oaks, CA · Remote

$19 - $21/hr

Join MedPOINT Management as a Claims Processor in Sherman Oaks, CA, where you will play a crucial ... Knowledge of medical terminology and insurance policies is a plus. * Strong problem-solving skills ...

Ampcus

Claims Processor

Fairfax, VA · On-site

$17.50 - $22.25/hr

Applies training materials, correspondence and medical policies to ensure claims are processed accurately. Partners with Quality team for clarity on procedures and/or difficult claims and receives ...

MedPOINT Management

Claims Processor

Sherman Oaks, CA · On-site

$17.75 - $22.50/hr

Join MedPOINT Management as a Claims Processor in Sherman Oaks, CA, where you will play a crucial ... Knowledge of medical terminology and insurance policies is a plus. Strong problem-solving skills ...

Next Step Systems

Medical Claims Coder

Tucson, AZ · On-site

Maximize reimbursement and develop effective policies for billing and claim processing. This position is 100% Onsite and NOT open for Remote. Medical Claims Coder Responsibilities: - Submit claims ...

Global Channel Management

Claims Processor

Mason, OH · On-site

$16 - $20.25/hr

Claims Processor Mason, OH, United States $ 16.00 - 17.00 (US Dollar) Or refer someone Job Openings Claims Processor About the job Claims Processor Claims Processor needs office support ...

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 ...

Marpai Administrators LLC

Claims Processor

Cary, NC · Remote

$24 - $30/hr

The Claims Processor is responsible to adjudicate claims, complete work assignments and meet ... Expansive knowledge of medical terminology. * Excellent verbal and written communication skills as ...

Global Channel Management

Claims Processor

Westford, MA · On-site

$17.75 - $22.25/hr

Claims Processor Westford, Massachusetts, United States $ 16.00 - 17.00 (US Dollar) About the Job Claims Processor needs 1+years experience Claims Processor requires: * Ability to learn and adopt new ...

Next Step Systems

Medical Claims Coder

Tucson, AZ · On-site

Maximize reimbursement and develop effective policies for billing and claim processing. This position is 100% Onsite and NOT open for Remote. Medical Claims Coder Responsibilities: - Submit claims ...

Marpai Administrators LLC

Claims Processor

Tampa, FL · Remote

$24 - $30/hr

The Claims Processor is responsible to adjudicate claims, complete work assignments and meet ... Expansive knowledge of medical terminology. * Excellent verbal and written communication skills as ...

Marpai Administrators LLC

Claims Processor

Atlanta, GA · Remote

$24 - $30/hr

The Claims Processor is responsible to adjudicate claims, complete work assignments and meet ... Expansive knowledge of medical terminology. * Excellent verbal and written communication skills as ...

Sagility

Claims Processor - Work from Home

$17/hr

BroadPath, a Sagility Company, is hiring experienced medical Claims Processors to join our remote team! Claims Processors are responsible for the accurate and timely entry, review, and resolution of ...

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Medical Claims Processor information

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$13

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$25

How much do medical claims processor jobs pay per hour?

As of Jun 30, 2026, the average hourly pay for medical claims processor in the United States is $19.47, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $21.63 per hour, depending on experience, location, and employer.

Is it hard to get hired as a medical biller?

Getting hired as a medical claims processor or biller generally requires relevant training or certification, attention to detail, and familiarity with billing software and healthcare regulations. While competition exists, individuals with strong organizational skills and knowledge of medical coding often find it easier to secure positions in this field.

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 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 claims processor do?

A claims processor reviews and verifies insurance claims submitted by healthcare providers or patients to ensure accuracy and completeness. They input data, evaluate documentation, and determine claim approval or denial, often using specialized software. Attention to detail and knowledge of insurance policies are essential for this role.

What does a medical claims processor do?

A medical claims processor reviews and processes insurance claims to determine coverage and payment amounts. They verify patient information, ensure claims are complete and accurate, and follow up on denied or delayed claims using claims processing software. Attention to detail and knowledge of insurance policies are essential for this role.

What jobs pay 2000 a day?

Jobs that can pay $2,000 a day typically include specialized roles such as medical claims processors working in high-volume or high-complexity environments, freelance consultants, certain executive or management positions, and skilled trades like specialized contractors. These roles often require advanced skills, certifications, or significant experience, and may involve freelance work, consulting, or high-stakes responsibilities.

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.

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.
More about Medical Claims Processor jobs
What cities are hiring for Medical Claims Processor jobs? Cities with the most Medical Claims Processor job openings:
What are the most commonly searched types of Medical Claims Processor jobs? The most popular types of Medical Claims Processor jobs are:
Who are the top companies hiring for Medical Claims Processor jobs? The top employers for Medical Claims Processor jobs are:
What states have the most Medical Claims Processor jobs? States with the most job openings for Medical Claims Processor jobs include:
What are popular job titles related to Medical Claims Processor jobs? For Medical Claims Processor jobs, the most frequently searched job titles are:
Medical Claims Processor jobs near you
Infographic showing various Medical Claims Processor job openings in the United States as of June 2026, with employment types broken down into 100% As Needed. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $40,493 per year, or $19.5 per hour.
Claims Processor - Work from Home

Claims Processor - Work from Home

Sagility LLC

Remote

$17/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 23 days ago

Sagility rating

4.6

Company rating: 4.6 out of 10

Based on 29 frontline employees who took The Breakroom Quiz

64th of 72 rated call and contact centers

Job description

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.
Job title:
Claims Processor - Work from Home
Job Description:
BroadPath, a Sagility Company, is hiring experienced medical Claims Processors to join our remote team! Claims Processors are responsible for the accurate and timely entry, review, and resolution of medical claims ranging from simple to moderately complex. This includes reviewing front-end claims and validating information submitted by patients or providers seeking reimbursement from the insurance company. All claim processing must align with CMS guidelines and client-specific policies and procedures.
Schedules, pay rates, and program details may vary based on business needs and client assignment.
Compensation Highlights
  • Base Pay: Starting at $17 per hour
  • Pay frequency: Weekly pay

Schedule Highlights
  • Schedules can fall between the hours of Monday-Friday, 8:00 AM - 10:00 PM Eastern Time, and will be assigned based on business needs

Responsibilities
  • Review medical claims thoroughly to ensure no missing or incomplete information
  • Navigate multiple computer systems and platforms to research and process assigned claims accurately (e.g., verifying pricing, prior authorizations)
  • Apply appropriate benefits to each claim in accordance with claims processing policies, including grievance procedures, state mandates, CMS guidelines, and benefit plan documents
  • Review documentation to assess whether the visit was necessary and whether the policy covers the treatment received
  • Determine if claims should be paid or denied, and complete denial letters when applicable

Qualifications
  • Minimum of one year of recent experience processing medical claims for a health insurance company or payer
  • Familiarity with medical claim forms (CMS-1500 and UB-04)
  • Working knowledge of coding systems: ICD-10, HCPCS, and CPT
  • Proficient in computer navigation and technology, including Microsoft Windows, Excel (advanced functions), and web-based tools and platforms
  • Excellent verbal and written communication skills
  • Ability to remain focused and productive in a high-volume, repetitive task environment
  • High School Diploma or equivalent

At BroadPath, a Sagility Company, we believe that transparency, authenticity, and collaboration are the keys to building strong, connected remote teams. Being on camera is an integral part of our culture. It is how we build relationships, share ideas, and stay engaged. If you are someone who values open communication, connection, and teamwork, you will thrive in our environment where showing up authentically matters.
What to Expect:
  • On-camera participation during interviews, training, team meetings, and regular check-ins.
  • Face-to-face discussions sparking collaboration and engagement
  • A supportive atmosphere where you can express yourself openly and be part of a team that values your contributions.

Benefits:
  • Medical, Dental, and Vision coverage.
  • Life Insurance.
  • Short-Term and Long-Term Disability options.
  • Flexible Spending Account (FSA).
  • Employee Assistance Program.
  • 401(k) with employer contribution.
  • Paid Time Off (PTO).
  • Tuition Reimbursement.

BroadPath, a Sagility Company, may conduct background checks, previous employment verifications, and education verifications, based on position requirements
Diversity Statement
At BroadPath, a Sagility Company, diversity is our strength. We embrace individuals from all backgrounds, experiences, and perspectives. We foster an inclusive environment where everyone feels valued and empowered. Join us and be part of a team that celebrates diversity and drives innovation!
Equal Employment Opportunity/Disability/Veterans
If you need accommodation due to a disability, please email us at HR@Broad-path.com. This information will be held in confidence and used only to determine an appropriate accommodation for the application process
BroadPath, a Sagility Company is an Equal Opportunity Employer. We do not discriminate against our applicants because of race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age, disability, veteran status, genetic information, or any other status protected by applicable law.
Compensation: BroadPath a Sagility Company has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.
Location:
Work@Home USAUnited States of America

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