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Medical Claims Jobs in Raleigh, NC (NOW HIRING)

Robert Half

Medical Insurance Claims Specialist

Durham, NC · On-site

$20 - $23/hr

We are looking for a Medical Insurance Claims Specialist to join a growing revenue cycle team in Durham, North Carolina. This contract-to-permanent opportunity is ideal for someone who thrives in a ...

NeighborHealth Center

Medical Billing Manager

Raleigh, NC · On-site

$47K - $62K/yr

... claims within standard billing cycle timeframe. 4. Oversee payment processing for accuracy and ... Required Knowledge, Experience, or Licensure/Registration 1. Associate's degree in medical billing ...

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 ...

Erie Insurance

Claims Facilitator

Raleigh, NC

$40K - $64K/yr

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

New

Erie Insurance

Claims Facilitator

Cary, NC

$40K - $64K/yr

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

Erie Insurance

Claims Facilitator

Cary, NC · On-site

$40K - $64K/yr

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

Elevance Health

Claims Representative I

Durham, NC

$16.23 - $24.36/hr

Claims Representative I Claims Representative I Location : This role enables associates to work ... medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase ...

Sedgwick

Claims Representative, Auto

Raleigh, NC · On-site

$50K - $55K/yr

A comprehensive benefits package is offered including but not limited to, medical, dental, vision ... Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive ...

NC League of Municipalities

Claims Asst II

Raleigh, NC · On-site

$18.25 - $23/hr

Claims Admin II The NC League of Municipalities is seeking a Claims Admin II to provide clerical and administrative support within the claims department. This position focuses on handling claim ...

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All JobsMedical Claims JobsMedical Claims Jobs in Raleigh, NC

Medical Claims information

See Raleigh, NC salary details

$5

$16

$18

How much do medical claims jobs pay per hour?

As of Aug 1, 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.

How to get into medical claims?

To enter a medical claims role, candidates typically need a high school diploma or equivalent, with some positions preferring postsecondary education or certifications in health insurance or medical billing. Relevant skills include attention to detail, knowledge of insurance policies, and proficiency with claims processing software. Gaining experience through internships or entry-level positions can also improve job prospects.

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

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.

Is claims a stressful job?

Medical claims jobs can be stressful due to the need for accuracy, attention to detail, and meeting strict deadlines. Employees often handle complex cases and sensitive information, which can contribute to work pressure, especially during high-volume periods or audits.

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.

What is the highest paying medical billing job?

The highest paying medical billing roles are often senior positions such as Medical Billing Managers or Coding Directors, which require extensive experience, certifications like CPC or CCS, and strong knowledge of billing software. These roles can earn six-figure salaries, especially in large healthcare organizations or specialized medical fields.

What is the highest paying adjuster job?

The highest paying adjuster jobs are typically senior or specialized roles such as catastrophe or large-loss adjusters, which require extensive experience and certifications like the Chartered Property Casualty Underwriter (CPCU). These positions often offer higher salaries due to the complexity and scale of claims handled. Adjusters working for large insurance companies or in managerial positions tend to earn the most in the field.
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 are popular job titles related to Medical Claims jobs in Raleigh, NC? For Medical Claims jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Medical Claims jobs in Raleigh, NC look for? The top searched job categories for 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 July 2026, with employment types broken down into 89% Full Time, 9% Part Time, and 2% Contract. Highlights an 88% Physical, 4% Hybrid, and 8% Remote job distribution, with an average salary of $34,020 per year, or $16.4 per hour.

Medical Insurance Claims Specialist

Robert Half

Durham, NC • On-site

$20 - $23/hr

Temporary

Posted 9 days ago

Job description

We are looking for a Medical Insurance Claims Specialist to join a growing revenue cycle team in Durham, North Carolina. This contract-to-permanent opportunity is ideal for someone who thrives in a complex claims environment, can work independently, and is motivated to resolve payer-related issues with persistence and sound judgment. The role supports specialized insurance and billing operations, requiring close attention to payer guidelines, regional differences, and accurate claim follow-up. This position offers strong training, career growth potential, and a hybrid schedule with onsite work Monday through Wednesday.
Responsibilities:
• Manage medical insurance claims across an assigned group of states, taking ownership of payer follow-up and resolution activities within your region.
• Review and address claim issues by interpreting payer requirements, identifying coverage or billing discrepancies, and pursuing appropriate next steps for reimbursement.
• Verify patient and insurance eligibility details to support accurate claim submission and reduce avoidable denials.
• Post payments and reconcile billing activity while maintaining accuracy in documentation and account updates.
• Communicate with insurance carriers to clarify claim status, provide needed education on specialized services, and advocate for proper claim handling.
• Partner with billing and collections team members, supervisors, and managers to resolve complex accounts and improve reimbursement outcomes.
• Maintain organized records of claim actions, payer responses, and follow-up efforts in accordance with internal standards.
• Contribute to a high-accountability team environment by managing daily work consistently, meeting attendance expectations, and taking full ownership of assigned responsibilities.• Experience working with medical claims, insurance claims, or medical billing in a healthcare revenue cycle setting.
• Knowledge of patient eligibility verification and insurance eligibility processes.
• Ability to navigate complex payer guidelines and adjust approach based on state-specific or payer-specific requirements.
• Strong problem-solving skills with the initiative to investigate difficult claim scenarios and pursue resolution independently.
• Dependable work habits, including consistent attendance, punctuality, and the ability to manage a full workday effectively.
• Comfort working in a specialized, fast-paced environment where priorities may shift and teamwork is essential.
• Clear communication skills for interacting with payers and collaborating across billing, insurance, and collections functions.
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About Robert Half

Sourced by ZipRecruiter

Founded in 1948, Robert Half pioneered the idea of professional talent solutions to connect opportunities at great companies with highly skilled job seekers. As business needs changed, we evolved to offer specialized talent solutions for finance and accounting, technology, administrative and customer support, creative and marketing, and legal fields. In 2002, we introduced our subsidiary, Protiviti, a global independent risk consulting and internal audit service, to support companies as they faced more strategic business challenges.

Industry

Recruiting and staffing services

Company size

10,000+ Employees

Headquarters location

San Ramon, CA, US

Year founded

1948

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