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Medical Claims Jobs in Spring, TX (NOW HIRING)

CareSet Systems

SAS Statistician

Houston, TX · On-site

$95K/yr

Decode 10+ years of Medicare claims for 50 million patients to extract insights about patients, providers and healthcare journeys for pharmaceutical, biotech and medical device companies. You will be ...

Ccfs

Risk Claims Manager

Houston, TX · Remote

$85K - $95K/yr

Risk Claims Manager Department: Compliance Job Status: Exempt Compensation: Direct Reports: Yes ... Thorough understanding of complex medical treatments, treatment outcomes, tort, venue, and ...

Apache Industrial Services

Claims Manager

Houston, TX · On-site

Claims Manager Position Reports To: Director Risk Management / General Counsel Position Summary Non-Supervisory role, supporting mitigation of the organization's exposure to risk by formulating ...

Apache Industrial Services

Claims Manager

Houston, TX · On-site

Claims Manager Position Reports To: Director Risk Management / General Counsel Position Summary Non-Supervisory role, supporting mitigation of the organization's exposure to risk by formulating ...

Texas Children's Hospital

Claims Examiner

Bellaire, TX · On-site

We are looking for a Claims Examiner, someone who's ready to grow with our company. In this position, you will process and adjudicate claims received for reimbursement to Providers based on extensive ...

Texas Children's Hospital

Claims Examiner

Bellaire, TX · On-site

We are looking for a Claims Examiner, someone who's ready to grow with our company. In this position, you will process and adjudicate claims received for reimbursement to Providers based on extensive ...

Texas Children's Hospital

Claims Examiner

Bellaire, TX · On-site

We are looking for a Claims Examiner, someone who's ready to grow with our company. In this position, you will process and adjudicate claims received for reimbursement to Providers based on extensive ...

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All JobsMedical Claims JobsMedical Claims Jobs in Spring, TX

Medical Claims information

See Spring, TX salary details

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$14

$16

How much do medical claims jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for medical claims in Spring, TX is $14.97, according to ZipRecruiter salary data. Most workers in this role earn between $13.70 and $16.25 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 become a medical claims examiner?

To become a medical claims examiner, candidates typically need a high school diploma or equivalent, with some roles requiring postsecondary education or certification in health insurance or medical billing. Relevant skills include attention to detail, knowledge of medical terminology, and familiarity with claims processing software; certifications such as the Certified Medical Claims Examiner (CMCE) can enhance job prospects.

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 Spring, TX? The most popular types of Medical Claims jobs in Spring, TX are:
What are popular job titles related to Medical Claims jobs in Spring, TX? For Medical Claims jobs in Spring, TX, the most frequently searched job titles are:
What job categories do people searching Medical Claims jobs in Spring, TX look for? The top searched job categories for Medical Claims jobs in Spring, TX are:
What cities near Spring, TX are hiring for Medical Claims jobs? Cities near Spring, TX with the most Medical Claims job openings:
Medical Claims jobs near you
Infographic showing various Medical Claims job openings in Spring, TX as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $31,146 per year, or $15 per hour.

SAS Statistician

CareSet Systems

Houston, TX • On-site

$95K/yr

Full-time

Re-posted 2 days ago

Job description

Company Description
Careset Systems (https://careset.com) - the nation's first vendor with access to 100% Medicare claims - decodes Medicare claims data to guide new drug launches for pharmaceutical companies. CareSet also works with research arm DocGraph to create, maintain, and improve open healthcare datasets, and in 4Q 2016 released data as part of Vice President Joe Biden's Cancer Moonshot Initiative.
Job Description
Decode 10+ years of Medicare claims for 50 million patients to extract insights about patients, providers and healthcare journeys for pharmaceutical, biotech and medical device companies. You will be our in-house statistics expert. You love data, and you love answering questions with data. You are not only able to write clean code, but you understand how to document your methods and approaches to make life easier for the next developer. You also don't just look at numbers and pass them on unexamined. You appreciate that data is only as good as the insights you get from them, and your technical skills help you get to those insights better and faster than anyone else. While numbers are your first language, you also enjoy conversations with people in English.
Outcomes:
  • Standardize SAS Macro library within 3 months
  • Double data output rate by reducing processing time and error rates within 6 months
  • Create process to assess, normalize and standardize our source data within 12 months
  • Train team in SAS within 12 months

Qualifications
  • Advanced degree in Statistics, Mathematics or undergraduate degree in Mathematics or Statistics and 7+ years of practical experience
  • Expert SAS and SAS Macro
  • Intermediate PROC SQL
  • Experience working with medical claims data
  • Rapidly takes in and comprehends new information
  • Efficient - Produces well with little unnecessary activity
  • Analytical - Makes sense of data and draws convincing analyses from it
  • Attention to detail - Knows which details matter and stays on top of them
  • Interest in working at and growing with a start up
  • Bonus: STATA, R, Python experience

Additional Information
Compensation: $95k+ base salary

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