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Medical Claims Jobs in Raleigh, NC (NOW HIRING)

ON SITE Medical Biller

Raleigh, NC ยท On-site

$18 - $22/hr

Perform completion of claims to payers * Conduct duties in a professional and timely fashion ... Minimum two years Medical Billing/ Medical Claims experience Denied and Rejected Claims experience ...

Pharmacy Technician

Cary, NC ยท On-site

$17.75 - $21.75/hr

Run medical claims and document concise, accurate progress notes so other team members can quickly assess the status of referrals. * Use management information systems to answer questions about ...

Serve as a liaison between DAN Medical Services, DAN Claims, and third-party assistance companies for emergent cases and situations requiring coordinated support. Participate in a rotating on-call ...

Serve as a liaison between DAN Medical Services, DAN Claims, and third-party assistance companies for emergent cases and situations requiring coordinated support. * Participate in a rotating on-call ...

Claims Coordinator

Durham, NC ยท On-site

$50K - $55K/yr

... DAN Medical Services, DAN Claims, and third-party assistance companies for emergent cases and situations requiring coordinated support. โ€ข Participate in a rotating on-call schedule, including ...

Athletic Trainer

Buies Creek, NC ยท On-site

$18 - $24.75/hr

Ensure all medical claims are documented electronically in a timely fashion * Coordinate transportation for student-athletes needing medical attention. * Complete administrative duties assigned by ...

Pharmacy Technician

Cary, NC ยท Hybrid

$22/hr

Process medical claims and document notes regarding referral and patient status updates. * Use pharmacy management systems to assist with refill requests, prescription status updates, insurance ...

Casualty Claims Division Department of Position: Zone Operations Dept Work from: Raleigh Office ... Low contributions to medical and prescription premiums. We currently pay up to 97% of employees ...

Claims Supervisor

Cary, NC ยท On-site

$88K - $141K/yr

Casualty Claims Division Department of Position: Zone Operations Dept Work from: Raleigh Office ... Low contributions to medical and prescription premiums. We currently pay up to 97% of employees ...

Claims Facilitator

Cary, NC ยท On-site

$40K - $64K/yr

Casualty Claims Division Department of Position: Zones Dept Work from: Raleigh Branch Office Salary ... Low contributions to medical and prescription premiums. We currently pay up to 97% of employees ...

Claims Facilitator

Cary, NC ยท Hybrid

$40K - $64K/yr

Casualty Claims Division Department of Position: Zones Dept Work from: Raleigh Branch Office Salary ... Low contributions to medical and prescription premiums. We currently pay up to 97% of employees ...

Claims Processor I

Raleigh, NC ยท On-site

$16.50 - $21/hr

Photocopying claim files, cataloguing medical records and electronic claim file data including EDI ... claims experience or an equivalent combination of education and experience. * PC computer skills ...

Claims Processor I

Raleigh, NC ยท On-site

$16.50 - $21/hr

Photocopying claim files, cataloguing medical records and electronic claim file data including EDI ... claims experience or an equivalent combination of education and experience. * PC Computer skills ...

Pharmacy Technician

Cary, NC ยท Hybrid

$17.25 - $21/hr

Apply knowledge of insurance, medical claims, and prior authorization processes when assisting patients and clinicians with coverage-related inquiries. * Demonstrate professional telephone etiquette ...

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Medical Claims information

See Raleigh, NC salary details

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$14

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How much do medical claims jobs pay per hour?

As of Aug 30, 2026, the average hourly pay for medical claims in Raleigh, NC is $14.86, according to ZipRecruiter salary data. Most workers in this role earn between $13.61 and $16.15 per hour, depending on experience, location, and employer.

What are medical claims?

Medical claims are formal requests submitted by healthcare providers or patients to insurance companies, asking for payment for medical services rendered. These claims contain detailed information about the patient, the services provided, dates of service, and relevant medical codes. Insurance companies review the claims to determine coverage and reimburse providers or patients accordingly. Accurate and timely submission of medical claims is crucial to ensure proper payment and avoid delays or denials.

What are the key skills and qualifications needed to thrive as a medical claims specialist?

To thrive as a Medical Claims Specialist, you need knowledge of medical terminology, insurance policies, and claims processing, typically supported by a high school diploma or relevant certification. Familiarity with claims management software, electronic health records (EHRs), and billing systems such as ICD-10 and CPT coding is essential. Attention to detail, strong organizational skills, and effective communication help ensure accuracy and resolve claim discrepancies. These skills are crucial for ensuring timely and accurate claims processing, minimizing errors, and maintaining compliance with healthcare regulations.

What are some common challenges faced in a medical claims role, and how can they be effectively managed?

Medical claims professionals often encounter challenges such as handling denied or complex claims, navigating frequent regulatory changes, and communicating with both patients and insurance providers. Staying updated with the latest healthcare regulations and payer requirements is essential to minimize claim rejections. Effective time management, attention to detail, and strong communication skills help resolve issues quickly and ensure accurate processing. Collaborating closely with billing teams and healthcare providers also aids in addressing discrepancies and expediting claim approvals.

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

AspectMedical ClaimsMedical Billing Specialist
CredentialsTypically requires knowledge of insurance policies and coding; certifications like CPC or CCS are commonRequires similar certifications; focuses on billing processes and insurance claims
Work EnvironmentHealthcare facilities, insurance companies, billing companiesMedical offices, hospitals, billing companies
Job FocusSubmitting and managing insurance claims for reimbursementPreparing and sending bills to patients and insurers, managing accounts

Medical Claims specialists primarily handle the submission and management of insurance claims to ensure healthcare providers receive payment. Medical Billing Specialists focus on creating and sending bills to patients and insurance companies, managing payments, and maintaining billing records. While both roles require knowledge of insurance processes and coding, Medical Claims roles are more centered on claims submission and follow-up, whereas Medical Billing Specialists handle the overall billing process and patient invoicing.

Is medical claims processing a stressful job?

Medical claims processing can be stressful due to tight deadlines, high accuracy requirements, and the need to handle complex or disputed claims. The job often involves detailed data entry, familiarity with insurance policies, and sometimes dealing with frustrated clients, which can contribute to stress levels. However, workload and stress vary depending on the employer and individual workload management skills.

What are the most commonly searched types of Medical Claims jobs in Raleigh, NC?

The most popular types of Medical Claims jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Medical Claims jobs?

Cities near Raleigh, NC with the most Medical Claims job openings:

Infographic showing various Medical Claims job openings in Raleigh, NC as of August 2026, with employment types broken down into 73% Full Time, 9% Part Time, 9% Temporary, and 9% Contract. Highlights an 100% In-person job distribution, with an average salary of $30,902 per year, or $14.9 per hour.

ON SITE Medical Biller

Raleigh, NC โ€ข On-site

Ultimate Staffing
Recruiting and Staffing Servicesย โ€ขย 501 - 1,000 employees

$18 - $22/hr

Other

This job post hasย expired today.ย Applications are no longer accepted.


Job description

Ultimate Staffing is seeking a Medical Biller in Raleigh (North Hills area).

THIS POSITION WILL REQUIRE ON SITE PRESENCE.

Hours: Monday - Friday, 8am to 5pm

Specific experience with handling Denied and/or Rejected claims required.

Pay rate $18-$22 per hour depending on experience.

Job Duties:

  • Perform completion of claims to payers
  • Conduct duties in a professional and timely fashion
  • Submit billing data to the appropriate insurance providers
  • Process claims
  • Resolve denial instances
  • Achieve maximum reimbursement for services provided
  • Deploy, maintain and report on various programs
  • Do Medicare reviews
  • Do Medi-Cal reviews
  • Conduct audits

Requirements:

Minimum two years Medical Billing/ Medical Claims experience

Denied and Rejected Claims experience is a must

Strong knowledge of BCBS

All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, and Los Angeles County Fair Chance Ordinance.