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Medical Claims Processor Jobs (NOW HIRING)

CHI Health Clinic

Claims Processor

Omaha, NE · Remote

$18.96 - $26.78/hr

Job Summary and Responsibilities As our Claims Processor, you will be a vital part of our Revenue Cycle Management team, responsible for ensuring accurate and timely submission of medical claims to ...

CHI Health Clinic

Claims Processor

Omaha, NE · Remote

$18.96 - $26.78/hr

Job Summary and Responsibilities As our Claims Processor, you will be a vital part of our Revenue Cycle Management team, responsible for ensuring accurate and timely submission of medical claims to ...

New

CHI Health Clinic

$18.96 - $26.78/hr

Job Summary and Responsibilities As our Claims Processor, you will be a vital part of our Revenue Cycle Management team, responsible for ensuring accurate and timely submission of medical claims to ...

CHI Health Clinic

Claims Processor

Omaha, NE · On-site +1

$18.96 - $26.78/hr

Job Summary and Responsibilities As our Claims Processor, you will be a vital part of our Revenue Cycle Management team, responsible for ensuring accurate and timely submission of medical claims to ...

New

Healthcare Support Staffing

Claims Processor

Tampa, FL

$14 - $17/hr

Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories ... Minimum 2 year medical claims processing experience Knowledge of health benefit plans and health ...

Ageatia Global Solutions

Processor, Claims I

$17.50 - $22/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 ...

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 ...

Kelly

Be Seen First

Claims Processor

Springfield, IL · On-site

$17 - $17.75/hr

Join our team as a Claims Processor! In this role, you will be responsible for reviewing and ... Solid computer and typing skills * 6+ months of office-clerical, medical, or insurance 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 ...

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 ...

Zenith American Solutions, Inc.

Claims Processor

Tualatin, OR · On-site

$17.75 - $22.50/hr

Processes routine claims which could include medical, dental, vision, prescription, death, Life and AD&D, Workers' Compensation, or disability. * May provide customer service by responding to and ...

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 ...

Northwood, Inc.

Be Seen First

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 ...

Zenith American Solutions, Inc.

Claims Processor

Tualatin, OR · On-site

$17.75 - $22.50/hr

Processes routine claims which could include medical, dental, vision, prescription, death, Life and AD&D, Workers' Compensation, or disability. * May provide customer service by responding to and ...

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Medical Claims Processor information

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How much do medical claims processor jobs pay per hour?

As of Jul 24, 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.

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 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 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 July 2026, with employment types broken down into 90% Full Time, 8% Part Time, and 2% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $40,493 per year, or $19.5 per hour.
Remote Medical Claims Processor I (Temporary role)

Remote Medical Claims Processor I (Temporary role)

Broadway Ventures

Remote

$20 - $23/hr

Full-time, Temporary

Medical, Dental, Vision, Life, Retirement, PTO

Posted 15 days ago

Job description

At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), we empower government and private sector clients by delivering tailored solutions that drive operational success, sustainability, and growth. Built on integrity, collaboration, and excellence, we're more than a service provider-we're your trusted partner in innovation.
This role is Temp thru November with a chance for follow-on work.
Become an integral part of a dedicated team supporting the World Trade Center Health Program. In this role, you will leverage your strong attention to detail and commitment to accuracy in processing complex medical claims. If you are eager to make a positive impact in the community through your administrative skills, we encourage you to apply.
Work Schedule
  • Remote
  • Monday through Friday, 8:30 AM to 5:00 PM EST
  • Must be able to work 8am - 5pm Eastern Standard Time
Responsibilities
Claims Review and Processing
  • Analyze and process a variety of complex medical claims in accordance with program policies and procedures, ensuring accuracy and compliance.

Critical Analysis
  • Adjudicate claims according to program guidelines, applying critical thinking skills to navigate complex scenarios.

Timely Processing
  • Ensure prompt claims processing to meet client standards and regulatory requirements.
  • Identify and resolve any barriers using effective problem-solving strategies.

Issue Resolution
  • Collaborate with internal departments to proactively resolve discrepancies and issues.
  • Use analytical skills to identify root causes and implement solutions.

Confidentiality Maintenance
  • Uphold confidentiality of patient records and company information in accordance with HIPAA regulations.

Detailed Record Keeping
  • Maintain thorough and accurate records of claims processed, denied, or requiring further investigation.

Trend Monitoring
  • Analyze and report trends in claim issues or irregularities to management.
  • Assist Team Leads with reporting to contribute to continuous process improvements.

Audit Participation
  • Engage in audits and compliance reviews to ensure adherence to internal and external regulations.
  • Critically evaluate and recommend process improvements when necessary.

Mentoring
  • Mentor and train new claims processors as needed.
Requirements
  • High school diploma or equivalent.
  • Minimum of five years of experience in medical claims processing, including professional and facility claims, as well as complex and high-dollar claims.
    • Billing experience doesn't count towards years of experience qualification
  • Familiarity with ICD-10, CPT, and HCPCS coding systems.
  • Understanding of medical terminology, healthcare services, and insurance procedures (experience with worker's compensation claims is a plus).
  • Strong attention to detail and accuracy.
  • Ability to interpret and apply insurance program policies and government regulations effectively.
  • Excellent written and verbal communication skills.
  • Proficiency in Microsoft Office Suite (Word, Excel, Outlook).
  • Ability to work independently and collaboratively within a team environment.
  • Commitment to ongoing education and staying current with industry standards and technology advancements.
  • Experience with claim denial resolution and the appeals process.
  • Ability to manage a high volume of claims efficiently.
  • Strong problem-solving capabilities and a customer service-oriented mindset.
  • Flexibility to adjust to the evolving needs of the client and program changes.

Benefits: $20-$23/hr
  • 401(k) with employer matching
  • Health insurance
  • Dental insurance
  • Vision insurance
  • Life insurance
  • Flexible Paid Time Off (PTO)
  • Paid Holidays

What to Expect Next:
After submitting your application, our recruiting team will review your qualifications. This may include a brief telephone interview or email communication to verify resume details and discuss compensation expectations. Interviews will be conducted with the most qualified candidates. Broadway Ventures conducts background checks and drug testing prior to the start of employment. Some positions may also require fingerprinting.
Broadway Ventures is an equal opportunity employer and a VEVRAA federal contractor. We do not discriminate against applicants or employees on the basis of race, color, religion, sex, national origin, age, disability, protected veteran status, or any other status protected by applicable law.
Reasonable accommodations are available for applicants with disabilities. Broadway Ventures utilizes the OFCCP-approved Voluntary Self-Identification of Disability Form (CC-305).
The pay range shown is a good-faith estimate of the compensation Broadway Ventures reasonably expects to pay for this position at the time of posting. It is not a guarantee of any particular wage, salary, or total compensation. Actual pay offered depends on job-related factors, which may include skills, experience, education, certifications and licensure, geographic work location, contract funding and budget. For positions covered by the Service Contract Act, pay is also governed by the applicable Department of Labor wage determination, which the government may revise.
Some positions are posted in support of a contract proposal that has not yet been awarded. Where that is the case, the position and its final compensation are contingent upon award of the contract to Broadway Ventures and on the terms of the awarded contract, including any government-approved labor rates and the applicable wage determination.
Broadway Ventures offers a comprehensive benefits package. A general description of benefits is below.
  • 401(k) and company match
  • PTO that grows the longer you stay
  • Health, Vision, Dental
  • Company provided Life Insurance and Voluntary Life Insurance
  • Short Term Disability and Long Term Disability

Apply