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Medical Claims Jobs (NOW HIRING)

Robert Half

Medical Claims Representative

Chicago, IL · On-site

$22.80 - $26.40/hr

We are looking for a detail-oriented Medical Claims Representative to support healthcare claims operations for a Contract position based in Lincolnwood, Illinois. This role focuses on reviewing ...

KARNA LLC

Medical Claims Review Nurse

Atlanta, GA · On-site

This position for a medical claims review nurse on the World Trade Center (WTC) Health Program will have a direct impact on members of the program. The nurse will be responsible for reviewing claims ...

Next Step Systems

Medical Claims Examiner

Tucson, AZ · On-site

Medical Claims Examiner, Tucson, AZ Under general supervision from the Director of Operations, the responsibility of Medical Claims Examiner consists of processing claim data and adjudicating medical ...

Franklin Billing Specialist

Be Seen First

Medical Claims Specialist

Franklin, TN · On-site

$15 - $35/hr

We are seeking a Medical Claims Specialist with at least 3 years of experience in Physician Revenue Cycle Management . You will handle the submission, tracking, and appeal of professional (CMS-1500 ...

Franklin Billing Specialist

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Medical Claims Specialist

Franklin, TN · On-site

$15 - $35/hr

We are seeking a Medical Claims Specialist with at least 3 years of experience in Physician Revenue Cycle Management . You will handle the submission, tracking, and appeal of professional (CMS-1500 ...

Next Step Systems

Medical Claims Examiner

Tucson, AZ · On-site

Medical Claims Examiner, Tucson, AZ The responsibilities of the Medical Claims Examiner consist of processing claims data and adjudicating medical and inpatient claims received from all provider ...

Searhc

Medical Claims Specialist

Juneau, AK · On-site

$25 - $28.45/hr

Pay Range:$25.00 - $28.45 Under the direction of the Director of Purchased/Referred Care (PRC), the Medical Claims Specialist is primarily responsible for timely and accurately processing/payment of ...

Datamark, Inc.

Medical Claims Processor

El Paso, TX · On-site

$16.50/hr

Team as a Medical Claims Processor! Are you looking for an exciting opportunity where your attention to detail and problem-solving skills make a real impact? Do you thrive in an environment that ...

Next Step Systems

Medical Claims Examiner

Tucson, AZ · On-site

Medical Claims Examiner, Tucson, AZ The Medical Claims Examiner needs experience with ICD-10, Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), In-Patient ...

KARNA LLC

Medical Claims Review Nurse

$95K - $110K/yr

This position for a medical claims review nurse on the World Trade Center (WTC) Health Program will have a direct impact on members of the program. The nurse will be responsible for reviewing claims ...

NWA

Medical Claims Processor

Federal Way, WA · On-site

$34.30/hr

Medical Claims Processor This could be the opportunity for you! At NWA, we process claims per specific plan requirements. These plans are highly customized and can vary greatly. A successful claim ...

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Medical Claims information

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$5

$16

$18

How much do medical claims jobs pay per hour?

As of Jun 30, 2026, the average hourly pay for medical claims in the United States is $16.83, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $18.27 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 the medical claims field, candidates typically need a high school diploma or equivalent, with some roles requiring 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 help establish a career in medical claims.

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.

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 jobs are often senior roles such as Medical Billing Manager or Coding Director, which require extensive experience, certifications like CPC or CCS, and strong leadership skills. These positions typically offer higher salaries due to increased responsibilities and expertise in coding, billing processes, and compliance management.

Do I need a degree to be a claims specialist?

A degree is not always required to become a medical claims specialist, but many employers prefer candidates with a high school diploma or equivalent. Relevant skills such as knowledge of insurance procedures, attention to detail, and familiarity with claims processing software are important, and some roles may require certification or training programs.

Is it hard to get hired as a medical biller?

Getting hired as a medical biller can be competitive, but having relevant certifications, such as Certified Professional Biller (CPB), and proficiency with billing software can improve job prospects. Entry-level positions are often available, but experience and knowledge of healthcare regulations can enhance employability.
More about Medical Claims jobs
What cities are hiring for Medical Claims jobs? Cities with the most Medical Claims job openings:
What are the most commonly searched types of Medical Claims jobs? The most popular types of Medical Claims jobs are:
What states have the most Medical Claims jobs? States with the most job openings for Medical Claims jobs include:
What job categories do people searching Medical Claims jobs look for? The top searched job categories for Medical Claims jobs are:
Medical Claims jobs near you
Infographic showing various Medical Claims job openings in the United States as of June 2026, with employment types broken down into 1% As Needed, 77% Full Time, 15% Part Time, and 7% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $35,000 per year, or $16.8 per hour.
Medical Claims Processor

Medical Claims Processor

Northwest Administrators

Mountlake Terrace, WA • On-site

$34.30/hr

Other

Medical, Dental, Vision, Retirement, PTO

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Are you an experienced medical claims processor? This could be the opportunity for you!
What you'll be doing...
At NWA, we process claims per specific plan requirements. These plans are highly customized and can vary greatly. A successful claim processor at NWA understands the nuances involved with medical claims and the importance of claims being processed timely and accurately. If hired in the role, you will:

  • Process medical claims accurately, thoroughly and according to plan requirements
  • Follow up on claims needing additional information
  • Refer problem claims to a supervisor and/or auditor for review
  • Monitor "inbox" to ensure that claims and referrals are handled timely
  • Special projects as assigned
Located in Mountlake Terrace, WA, Federal Way, WA or Seattle, WA.
Who you are...
  • Organized. Able to juggle and prioritize workloads, have strong analytical skills
  • Experienced. Knowledgeable about medical claims processing, minimum 1 year
  • Communicator. Strong verbally and in writing including interpersonal skills
  • Service Minded. Passionate about customer service--delivering it like you expect to receive it
  • Detailed. Attentive to detail with excellent problem-solving skills
  • Technically Savvy. Proficient with technology, intermediate level Excel and Word
Who we are...
Northwest Administrators, Inc. is an industry leader in third-party administration of employee benefits. We administer one of the largest multi-employer pension plans in the country, along with numerous large health and welfare plans. As part of our team, you will benefit from many training and development opportunities and can expect a better-than-market benefits package. See what our associates are saying about us at Northwest Administrators Inc. | Careers (nwadmin.com)
If hired, you can expect...
  • Union scale wages, raises every 6 months, starting at $24.64/hr. up to $34.30/hr
  • Medical, Dental, Vision & Rx benefits
  • Employer provided/fully funded Defined Benefit Pension
  • Up to 8.6 days of Paid Leave and 10 Holidays
  • Strong team environment with good work-life balance

Equal Employment Opportunity
NWA is proud to be an Equal Employment Opportunity employer. All employment decisions are based on business needs, job requirements and individual qualifications, without regard to race, color, religion, national origin, sex, sexual orientation, gender identity or expression, age, physical or mental disability, marital status, amnesty, veteran status, citizenship, family medical history or genetic information or any other characteristic protected by local, state, or federal laws. NWA prohibits any discrimination or harassment based on any of these characteristics.
We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact Human Resources at HR@nwadmin.com to request accommodation.
Northwest Administrators Inc. | Privacy Policy (nwadmin.com)

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