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Medical Claims Jobs in Reston, VA (NOW HIRING)

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 ...

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

$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 ...

DC Government Careers

Financial Analyst

Washington, DC · On-site

$80K - $103K/yr

The evidence may consist of healthcare claims/medical billing records, database files, financial institution or business records, contracts, expense reports, emails, and other data formats.

Ampcus

Claims Processor

Fairfax, VA · On-site

$17.50 - $22.25/hr

Applies training materials, correspondence and medical policies to ensure claims are processed accurately. Partners with Quality team for clarity on procedures and/or difficult claims and receives ...

Aptive

Provider Relations Liaison

Washington, DC · On-site

$66K - $87K/yr

Liaises with IHSC stakeholders (Field Medical Coordinators and Referral Coordinators) when necessary to explain IHSC and VA FSC policy regarding claims processing. * Assist VA FSC when necessary, in ...

Aptive

Provider Relations Liaison

Washington, DC

$66K - $87K/yr

Liaises with IHSC stakeholders (Field Medical Coordinators and Referral Coordinators) when necessary to explain IHSC and VA FSC policy regarding claims processing. * Assist VA FSC when necessary, in ...

Aptive

Provider Relations Liaison

Washington, DC

$66K - $87K/yr

Liaises with IHSC stakeholders (Field Medical Coordinators and Referral Coordinators) when necessary to explain IHSC and VA FSC policy regarding claims processing. * Assist VA FSC when necessary, in ...

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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 Jul 27, 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.

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 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 July 2026, with employment types broken down into 88% Full Time, 9% Part Time, and 3% Contract. Highlights an 88% Physical, 4% Hybrid, and 8% Remote job distribution, with an average salary of $36,412 per year, or $17.5 per hour.
Medical Billing/Claims/Collections

Medical Billing/Claims/Collections

Robert Half

Bethesda, MD • On-site

$21 - $22/hr

Temporary

Posted 4 days ago

Job description

We are looking for an experienced Medical Billing/Claims/Collections specialist to support a busy healthcare operation in Bethesda, Maryland. This Long-term Contract position is ideal for someone who can manage billing activity, follow up on outstanding claims, and resolve payment issues with accuracy and persistence. The selected candidate will play a key role in maintaining steady reimbursement workflows while working on-site in an office environment.
Responsibilities:
• Process medical claims and billing transactions accurately and in a timely manner to support consistent reimbursement.
• Monitor unpaid accounts, investigate outstanding balances, and pursue collections through appropriate follow-up activities.
• Review denied or rejected claims, identify root causes, and take corrective action to improve payment outcomes.
• Prepare and submit appeals with complete supporting documentation to address claim disputes and reimbursement delays.
• Handle hospital billing tasks in accordance with payer guidelines, internal standards, and billing deadlines.
• Communicate with insurance carriers, patients, and internal stakeholders to clarify account details and resolve payment issues.
• Maintain organized billing records and update account information to ensure accurate documentation and reporting.• Prior hands-on experience in medical billing and healthcare collections is required.
• Proven ability to work denials and manage appeals through resolution.
• Knowledge of hospital billing practices and payer reimbursement processes.
• Strong attention to detail with the ability to review claims for accuracy and completeness.
• Comfortable working in an in-office setting in Bethesda, Maryland.
• Effective communication skills for interacting with payers, patients, and internal teams.
• Ability to manage multiple accounts and deadlines in a fast-paced environment.
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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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