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Medical Claims Processor Jobs (NOW HIRING)

1199SEIU Funds

Hospital Claims Processor V

Manhattan, NY

$18.75 - $23.75/hr

Process and evaluate hospital claims manually or through claims work flow * Validate information ... Minimum two (2) years experience entering and updating hospital or medical claims in a health ...

1199SEIU Funds

Hospital Claims Processor V

Manhattan, NY

$18.75 - $23.75/hr

Process and evaluate hospital claims manually or through claims work flow * Validate information ... Minimum two (2) years experience entering and updating hospital or medical claims in a health ...

Carrot

Claims Processor

Des Moines, IA · On-site

$24 - $28/hr

Process 53+ claims each working day, maintaining a quality assurance score of 93% or higher * Promptly and empathetically attend to member questions * Support both US and non-complex global claims ...

CornerStone Staffing

Claims Processor

Carmel, IN · On-site

$18/hr

Job Title Claims Processor Location Carmel, IN | Onsite Compensation & Schedule • Pay: $18/hour • Hours: Monday-Friday, 8-hour shift with lunch break; flexible start times between 7:00am-8:00am ...

Zenith American Solutions, Inc.

Claims Processor

$17.50 - $22/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 ...

FedPoint

Claims Processor

Portsmouth, NH · Hybrid

$20.86 - $28.22/hr

FedPoint , a leading third-party insurance administrator, is seeking to hire Claims Processors. You ... Equal Employment Opportunity (EEO) Poster Family and Medical Leave Act (FMLA) Poster Employee ...

ProCare Rx

Claims Processor l

Southfield, MI

$15.75 - $19.75/hr

Receive, analyze and process assigned claims by product (medical, dental, vision, FSA or HRA) and group. Ensure accurate processing based on benefit plan design and/or regulations. * Evaluate ...

Carrot

Claims Processor

Des Moines, IA

$24 - $28/hr

Process 53+ claims each working day, maintaining a quality assurance score of 93% or higher * Promptly and empathetically attend to member questions * Support both US and non-complex global claims ...

Conduent, Inc.

Claims Processor

KY · Remote

$18/hr

Claims Processor (Remote) Are you detail-oriented with claims experience and looking for a remote ... medical condition, use of a guide dog or service animal, military/veteran status, citizenship ...

Redeemer Health

Claims Processor

Philadelphia, PA · On-site

$16.25 - $20.50/hr

With medical and dental coverage, access to childcare & fitness facilities on campus, investment in ... SUMMARY OF JOB Reviews and ensures the timely and accurate daily submission of claims for all ...

FedPoint

Claims Processor

Portsmouth, NH · Hybrid

$20.86 - $28.22/hr

FedPoint , a leading third-party insurance administrator, is seeking to hire Claims Processors ... Equal Employment Opportunity (EEO) Poster Family and Medical Leave Act (FMLA) Poster Employee ...

FedPoint

Claims Processor

Portsmouth, NH · On-site

$20.86 - $28.22/hr

FedPoint , a leading third-party insurance administrator, is seeking to hire Claims Processors. You ... Equal Employment Opportunity (EEO) Poster Family and Medical Leave Act (FMLA) Poster Employee ...

Forest River, Inc.

Claims Processor

Elkhart, IN · On-site

$16.25 - $20.50/hr

Process Warranty Claims submitted by our dealer base. * Answer questions regarding claims via phone/email. * Record retention and reporting. * Scanning documents. * Miscellaneous office duties.

Redeemer Health

Claims Processor

Philadelphia, PA · On-site

$16.25 - $20.50/hr

With medical and dental coverage, access to childcare & fitness facilities on campus, investment in ... SUMMARY OF JOB Reviews and ensures the timely and accurate daily submission of claims for all ...

ProCare Rx

Claims Processor l

Southfield, MI · On-site

$15.75 - $19.75/hr

Receive, analyze and process assigned claims by product (medical, dental, vision, FSA or HRA) and group. Ensure accurate processing based on benefit plan design and/or regulations. * Evaluate ...

Next Step Systems

Medical Claims Examiner

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 Examiner Responsibilities: - Submit claims ...

Next Step Systems

Medical Claims Examiner

Tucson, AZ · On-site

Medical Claims Examiner, Tucson, AZ The responsibilities of the Medical Claims Examiner consist of processing claims data and adjudicating medical and inpatient claims received from all provider ...

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Medical Claims Processor information

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How much do medical claims processor jobs pay per hour?

As of Jun 10, 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 June 2026, with employment types broken down into 5% As Needed, 11% Full Time, 55% Part Time, 1% Temporary, 27% Contract, and 1% Nights. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $40,493 per year, or $19.5 per hour.
Hospital Claims Processor V

Hospital Claims Processor V

1199SEIU Funds

Manhattan, NY

$18.75 - $23.75/hr

Full-time

Medical

Posted 9 days ago

Job description

Responsibilities

  • Review hospital claims and determine action needed to resolve pended claims
  • Process and evaluate hospital claims manually or through claims work flow
  • Validate information entered in hospital claims module (QNXT); determine the process or work flow needed to resolve discrepancies
  • Finalize hospital claims by applying knowledge of eligibility, benefits, pre-authorization rules, contractual policy and operational procedures
  • Review, finalize and respond to call tracking tickets in a timely manner to provider inquires
  • Perform additional duties and special projects as assigned by management


Qualifications

  • High School Diploma or GED required, some College or Degree preferred
  • Minimum two (2) years experience entering and updating hospital or medical claims in a health insurance or benefits environment required
  • Basic keyboarding skills required
  • Strong knowledge of hospital claims, eligibility, benefits, and reauthorization rules; knowledge of health claims system (QNXT)
  • Good knowledge of International Classification of Diseases (ICD-9, ICD-10) and Current Procedural Terminology (CPT) codes
  • Demonstrated organizational, perform multiple priorities, and analytical skills with the ability to follow through on assignments
  • Able to work well independently and in a team environment
  • Ability to meet strict deadlines, work well under pressure and in a fast-paced environment
  • Must meet performance standards including attendance and punctuality
Employment Type: Full time

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