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Medical Claims Representative Jobs (NOW HIRING)

Robert Half

Medical Claims Representative

Pleasanton, CA · On-site

$31.35 - $36.30/hr

We are looking for a Medical Claims Representative to join our team in Pleasanton, California in a Contract to Permanent role. This position is ideal for someone with experience handling medical ...

Cottingham & Butler

Claims Examiner

Dubuque, IA · On-site

Medical Claims Representative SISCO, a Cottingham & Butler company, is continuing to grow and as a result will be adding Medical Claims Representatives to our team! This position is responsible for ...

Cottingham & Butler

Claims Examiner

Dubuque, IA

Medical Claims Representative SISCO, a Cottingham & Butler company, is continuing to grow and as a result will be adding Medical Claims Representatives to our team! This position is responsible for ...

Cottingham & Butler

Claims Examiner

Dubuque, IA

Medical Claims Representative SISCO, a Cottingham & Butler company, is continuing to grow and as a result will be adding Medical Claims Representatives to our team! This position is responsible for ...

SISCO

Claims Examiner

Dubuque, IA

Medical Claims Representative SISCO, a Cottingham & Butler company, is continuing to grow and as a result will be adding Medical Claims Representatives to our team! This position is responsible for ...

Addison Group

Claims Representative

Austin, TX · On-site

$21/hr

This position is eligible for Medical, Dental, Vision, & 401K Addison Group is partnering with a growing insurance administration organization to identify a detail-oriented Claims Representative to ...

EquipmentShare

Claims Representative

Saint Louis, MO · On-site

Future Claims Representative Opportunities at EquipmentShare! EquipmentShare is accepting ... Full medical, dental, and vision coverage for full-time employees * Generous PTO + paid holidays ...

Cottingham & Butler

Claims Representative

Dubuque, IA · On-site

As a Claims Representative you will: * Analyze and process claims * Talk with injured employees ... Salary * Most Benefits start Day 1 * Medical, Dental, Vision Insurance * Flex Spending or HSA ...

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Medical Claims Representative information

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$29

How much do medical claims representative jobs pay per hour?

As of Jul 23, 2026, the average hourly pay for medical claims representative in the United States is $20.88, according to ZipRecruiter salary data. Most workers in this role earn between $17.79 and $23.08 per hour, depending on experience, location, and employer.

What is the difference between Medical Claims Representative vs Medical Billing Specialist?

AspectMedical Claims RepresentativeMedical Billing Specialist
CredentialsHigh school diploma; certification often preferredHigh school diploma; certification often preferred
Work EnvironmentInsurance companies, healthcare providers, third-party payersHealthcare facilities, billing companies, clinics
Job FocusProcessing and reviewing insurance claims for reimbursementPreparing and submitting billing statements to patients and insurers
Common UsageInsurance companies, healthcare providersMedical offices, billing services

While both roles involve handling healthcare financial transactions, Medical Claims Representatives primarily focus on processing insurance claims and ensuring proper reimbursement, whereas Medical Billing Specialists handle the creation and submission of billing statements to patients and insurers. Both roles require similar credentials and often work in healthcare or insurance settings, but their specific responsibilities differ.

What are the key skills and qualifications needed to thrive as a Medical Claims Representative, and why are they important?

To thrive as a Medical Claims Representative, you need strong knowledge of medical terminology, insurance policies, and claims processing, often backed by a high school diploma or associate degree in a related field. Familiarity with claims management software, ICD and CPT coding systems, and electronic health records is typically required. Attention to detail, problem-solving abilities, and effective communication skills are crucial soft skills for success. These skills and qualities are important because they ensure accurate claims processing, minimize errors, and provide excellent service to clients and healthcare providers.

What are some common challenges Medical Claims Representatives face when handling complex claims?

Medical Claims Representatives often encounter challenges such as deciphering intricate medical documentation, ensuring compliance with ever-changing insurance regulations, and managing high volumes of claims with tight deadlines. They must carefully communicate with healthcare providers, policyholders, and other insurance professionals to resolve discrepancies or gather missing information. Staying organized, detail-oriented, and up-to-date on policy guidelines is key to overcoming these obstacles and ensuring accurate and timely claim processing.

What does a Medical Claims Representative do?

A Medical Claims Representative is responsible for processing and reviewing insurance claims related to healthcare services. They evaluate medical documents, verify patient information, and ensure that claims are accurate and comply with insurance policies. Their job also includes communicating with healthcare providers, policyholders, and insurance adjusters to resolve discrepancies or gather additional information. Ultimately, they help ensure claims are paid correctly and in a timely manner.
More about Medical Claims Representative jobs
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Medical Claims Representative jobs near you
Infographic showing various Medical Claims Representative 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 $43,428 per year, or $20.9 per hour.
Medical Claims Representative

Medical Claims Representative

Michigan Farm Bureau Family of Companies

Lansing, MI • On-site

$64K/yr

Full-time

Medical, Dental, Vision, Retirement

Posted 23 days ago

Job description

OBJECTIVE
Medical Claims Representative Objective
To provide efficient investigation, evaluation and negotiation of Michigan No-Fault claims.
RESPONSIBILITIES
Medical Claims Representative Responsibilities
Respond to and control the disposition of all assigned Michigan No-Fault claims.
Work with computer systems keying functions, including but not limited to letter composition, log entry, diary entry, report of investigation composition, and draft production.
Read and apply policy of Michigan No-Fault acts as written.
QUALIFICATIONS
Medical Claims Representative Qualifications
Required
Minimum two to three years medical claims handling experience required.
Must possess a valid driver license with an acceptable driving record.
Preferred
High school diploma or equivalent required. Bachelor's degree in business administration preferred.
Designation in claims insurance preferred.
Note: If a candidate is not selected, an Associate Medical Claims Representative position may be considered on the level of experience and qualifications. This position can be flexible working from personal residence within the state of Michigan.
Farm Bureau offers a full benefit package including medical, dental, vision, and 401K.
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