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Medical Claims Jobs in Raleigh, NC (NOW HIRING)

Ultimate LLC

Medical Biller

Raleigh, NC · 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 ...

DAN

Claims Coordinator

Durham, NC · Hybrid

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 ...

Campbell University

Athletic Trainer

Buies Creek, NC · 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 ...

Actalent

Pharmacy Technician

Cary, NC · 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 ...

Jobtailor

Claims Supervisor

Cary, NC · On-site

• Supervise, train, and monitor assigned claims adjusters and other claims personnel • Assist Claims Leadership in overseeing and handling claims • Manage operations of the designated area of ...

Erie Insurance

Claims Supervisor

Cary, NC · On-site

Low contributions to medical and prescription premiums. We currently pay up to 97% of employees ... Assists the Claims Leadership in the overseeing and handling of claims. This selected candidate ...

Erie Insurance

Claims Facilitator

Cary, NC · 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 ...

Erie Insurance

Claims Facilitator

Cary, NC · 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 ...

Accentuate Staffing

Claims Processor

Raleigh, NC · Hybrid

$20/hr

Accentuate Staffing is currently recruiting for a hybrid Claims processor to join an established commercial insurance company in Raleigh. This role will be hybrid (2 days from home ). The Claims ...

New

IQVIA, Inc.

Clinical Trials Feasibility Analyst

Durham, NC · On-site

$88K - $220K/yr

Work with real-world data modalities such as Medical Claims, Electronic Health Record data. * Use tools or SQL databases to get data and then format and communicate it in a way that study teams can ...

IQVIA

Clinical Trials Feasibility Analyst

Durham, NC · On-site +1

$88K - $220K/yr

Work with real-world data modalities such as Medical Claims, Electronic Health Record data. * Use tools or SQL databases to get data and then format and communicate it in a way that study teams can ...

Actalent

Pharmacy Technician

Cary, NC · 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 ...

IQVIA

Clinical Trials Feasibility Analyst

Durham, NC · On-site +1

$88K - $220K/yr

Work with real-world data modalities such as Medical Claims, Electronic Health Record data. * Use tools or SQL databases to get data and then format and communicate it in a way that study teams can ...

Erie Insurance

Claims Facilitator

Raleigh, NC · On-site

Low contributions to medical and prescription premiums. We currently pay up to 97% of employees ... Position Summary Under minimal supervision, settles claims within limits of authority. * This is an ...

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Medical Claims information

See Raleigh, NC salary details

$5

$16

$18

How much do medical claims jobs pay per hour?

As of Sep 12, 2026, the average hourly pay for medical claims in Raleigh, NC is $16.36, according to ZipRecruiter salary data. Most workers in this role earn between $14.95 and $17.74 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:

Medical Claims jobs near you
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.

Medical Biller

Raleigh, NC • On-site

Ultimate LLC
Software Development • 1 - 5K employees
Learn more about Ultimate LLCexternal

$18 - $22/hr

Other

Posted 4 days ago

Job description

Job Description
Ultimate Staffing is seeking a Medical Biller in Raleigh.
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, Los Angeles County Fair Chance Ordinance, and San Francisco Fair Chance Ordinance.
Job Reference: JN -082026-429786

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