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Medical Claims Jobs (NOW HIRING)

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 ...

Redirect Health

Medical Claims Specialist

Phoenix, AZ · On-site

$20.75/hr

About This Role Medical Claims Specialist helps ensure claims are handled accurately and thoughtfully, so people can focus on getting the care they need without stress, confusion, or unexpected costs.

Adecco

Medical Claims Examiner

San Antonio, TX

$22.50/hr

Recent medical claims experience (required) * Hands-on experience with medical claims adjudication * Working knowledge of Medicaid and Medicare regulations * Strong understanding of healthcare ...

Adecco

Medical Claims Examiner

San Antonio, TX

$22.50/hr

Recent medical claims experience (required) * Hands-on experience with medical claims adjudication * Working knowledge of Medicaid and Medicare regulations * Strong understanding of healthcare ...

NTT DATA

Medical Claims Processor

$17 - $18/hr

Required skills for this role include 2+ year(s) of medical claims experience and 2+ year(s) using a computer with Windows applications that required you to use a keyboard, navigate multiple screens ...

Vanguard Group Staffing

Be Seen First

Medical Claims Processor

White Plains, NY · On-site

$24 - $30/hr

Long Term Temporary, Possible Temporary- to -Direct Hire Medical Billing/Claims Coordinator - Monday through Friday, 9am to 5pm, Fully On-Site. * Communicate via telephone and written correspondence ...

NTT Data Americas, Inc.

Medical Claims Processor

$17 - $18/hr

... Medical Claims experience * 2+ year(s) using a computer with Windows applications that required you to use a keyboard, navigate multiple screens and computer systems, and learn new software tools ...

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Medical Claims information

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How much do medical claims jobs pay per hour?

As of Aug 10, 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 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.
More about Medical Claims jobs
What cities are hiring for Medical Claims jobs? Cities with the most Medical Claims job openings:
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Medical Claims jobs near you
Infographic showing various Medical Claims job openings in the United States 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 $35,000 per year, or $16.8 per hour.

Medical Claims Processor

Datamark, Inc.

El Paso, TX • On-site

$16.50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 8 days ago

Job description

Join the DATAMARK, Inc. 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 requires critical thinking and strong judgment? If so, we have the perfect role for you! As a Medical Claims Processor at DATAMARK, you'll play a vital role in the success of our operations by ensuring accurate and efficient back-office support.

We are seeking a detail-oriented and performance-driven Medical Claims Processor to support patients prescribed complex and high-cost drug therapies. In this role, you will be responsible for verifying insurance coverage, conducting research, and resolving coverage-related issues to ensure timely and accurate prescription processing.

This is a back-office position that requires strong analytical skills, efficiency, and comfort with outbound calls to insurance providers and patients.

  • Verify insurance coverage for new and existing patients to support timely prescription fulfillment
  • Pull and review customer accounts to assess eligibility, benefits, and coverage limitations
  • Conduct detailed research across multiple systems and portals
  • Initiate and complete outbound calls (OB calls) to insurance companies, pharmacies, and other partners to resolve coverage issues
  • Accurately document findings, decisions, and next steps in internal systems
  • Meet or exceed productivity expectations while maintaining accuracy
  • Identify and escalate complex cases or discrepancies as appropriate
  • Support patients requiring specialty, high-cost, or complex therapies through thorough and timely insurance determination

Requirements

  • Previous experience in insurance verification, benefits investigation, pharmacy operations, or healthcare administration preferred
  • Knowledge of medical insurance terminology (deductibles, copays, prior authorizations, etc.)
  • Strong attention to detail and ability to process high volumes of information accurately
  • Excellent reading comprehension and research abilities
  • Comfortable making outbound calls to resolve insurance or coverage-related issues
  • Strong problem-solving and critical-thinking skills
  • Ability to manage productivity metrics in a fast-paced environment
  • Basic computer proficiency and experience navigating multiple systems

Benefits

  • Health Care Plan (Medical, Dental & Vision)
  • Retirement Plan (401k, IRA)
  • Life Insurance (Basic, Voluntary & AD&D)
  • Paid Time Off
  • Short Term & Long Term Disability
  • Training & Development
  • Wellness Resources
  • $16.50 per hour