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Medical Claims Jobs in Reston, VA (NOW HIRING)

Crawford and Company

Claims Specialist-WC

Fairfax, VA · On-site

$16.10 - $29.44/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Approves payments of medical bills on lost time disability claims within area of payment authority up to, but not exceeding, $2,500 after compensability has been determined. * Evaluates medical ...

GEICO

Principal Claims Product Tester

Bethesda, MD · On-site

$100K - $157K/yr

First-party medical claims knowledge. * Experience supporting centralized service organizations. * Experience analyzing large datasets using Excel or similar tools to identify trends, root causes ...

Geico

Principal Claims Product Tester

Bethesda, MD · On-site

$100K - $157K/yr

First-party medical claims knowledge. * Experience supporting centralized service organizations. * Experience analyzing large datasets using Excel or similar tools to identify trends, root causes ...

C-MCI

Medical Billing Specialist

Fairfax, VA · On-site +1

$18.50 - $24/hr

The ideal candidate will have expertise in medical coding, claims submission, payer interactions, and denial management, ensuring optimized billing practices for maximum reimbursement and minimal ...

Peraton

Medical Review Nurse- Medicare

Herndon, VA · On-site

$66K - $106K/yr

Responsibilities may include additional research on medical claims data and other sources of information to identify problems, review sophisticated data model output, and utilize a variety of tools ...

Peraton

Medical Review Nurse- Medicare

Reston, VA · On-site

$66K - $106K/yr

Responsibilities may include additional research on medical claims data and other sources of information to identify problems, review sophisticated data model output, and utilize a variety of tools ...

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All JobsMedical Claims JobsMedical Claims Jobs in Reston, VA

Medical Claims information

See Reston, VA salary details

$5

$17

$19

How much do medical claims jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for medical claims in Reston, VA is $17.51, according to ZipRecruiter salary data. Most workers in this role earn between $16.01 and $18.99 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 Reston, VA?

The most popular types of Medical Claims jobs in Reston, VA are:

What are popular job titles related to Medical Claims jobs in Reston, VA?

For Medical Claims jobs in Reston, VA, the most frequently searched job titles are:

What job categories do people searching Medical Claims jobs in Reston, VA look for?

The top searched job categories for Medical Claims jobs in Reston, VA are:

What cities near Reston, VA are hiring for Medical Claims jobs?

Cities near Reston, VA with the most Medical Claims job openings:

Medical Claims jobs near you
Infographic showing various Medical Claims job openings in Reston, VA as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 14% Part Time, and 7% Contract. Highlights an 89% Physical, 2% Hybrid, and 9% Remote job distribution, with an average salary of $36,412 per year, or $17.5 per hour.

Medical Claims (Billing) Team Leader

GT Independence

Silver Spring, MD • On-site

Other

Posted 5 days ago

GT Independence rating

6.4

Company rating: 6.4 out of 10

Based on 57 frontline employees who took The Breakroom Quiz

88th of 242 rated social care providers

Job description

Claims Team Leader

GT Independence is a family-founded, leading national Financial Management Services (FMS) provider that supports individuals participating in self-direction programs, helping them manage their long-term care and support services at home and in community-based settings. Dedicated to promoting personal choice, independence, and quality of life, GT Independence delivers reliable, person-centered financial and administrative services that empower individuals to direct their own care. With a growing national presence, the organization continues to expand its impact through innovation, service excellence, and a strong commitment to the people and communities it serves.

The Claims Team Leader is responsible for the supervision, training and development of a team of claims specialists. The Claims Team Leader manages the submission of claims data, payments and works with team members and agencies to resolve outstanding claim issues.

Responsibilities

  • Be the point person for questions from your team members. Coordinate answers with agencies and/or internal departments including Operations.
  • Sign off/approve credit memos and employee receivables.
  • Assist with administrative accounting procedures per Controller/CFO.
  • Audit team performance, monitor team metrics and manage claims process.
  • Train new employees and existing employees in department procedures and agency requirements.
  • Assist in developing claims procedures for all new agencies prior to transitioning to Claims Specialist.
  • Prepare A/R reports for your team's agencies to monitor unpaid claims. Work with team members and agencies to collect outstanding payments.
  • Communicate with Claims Manager including but not limited to: training issues, agency challenges, unbilled items and A/R issues.

Qualifications

  • 2 years of experience relevant to the work performed
  • High School Diploma or GED required; Associate degree preferred
  • Strong ability to lead and mentor multiple team members

As an organization focused on helping both the people we serve and our employees succeed, we foster a culture where individuals can grow, thrive, and make a meaningful difference every day.

Join us in our mission: To help people live a life of their choosing regardless of age or ability.

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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