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Medical Insurance Claims Processor Jobs in Georgia

Karna, LLC

$20 - $25/hr

Claims Review and Processing: Analyze and process a variety of complex medical claims in accordance ... Understanding of medical terminology, healthcare services, and insurance procedures (worker ...

KARNA LLC

$20 - $25/hr

Understanding of medical terminology, healthcare services, and insurance procedures (worker ... appeals process. * Ability to efficiently manage a high volume of claims. * Customer service ...

Parker's Kitchen

Claims Specialist

Savannah, GA · On-site

Notify insurance carriers of new claims and serve as the primary point of contact throughout the ... process, including coordinating return-to-work efforts with managers, medical providers, and Human ...

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All JobsMedical Insurance Claims Processor JobsMedical Insurance Claims Processor Jobs in Georgia

Medical Insurance Claims Processor information

See Georgia salary details

$11

$17

$23

How much do medical insurance claims processor jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for medical insurance claims processor in Georgia is $17.77, according to ZipRecruiter salary data. Most workers in this role earn between $13.80 and $20.10 per hour, depending on experience, location, and employer.

What is the difference between Medical Insurance Claims Processor vs Medical Billing Specialist?

AspectMedical Insurance Claims ProcessorMedical Billing Specialist
CredentialsHigh school diploma; certifications like CPC or CPC-HHigh school diploma; certifications like CPC or CPC-H
Work EnvironmentHealthcare offices, insurance companiesHealthcare offices, billing departments
Primary ResponsibilitiesReview and process insurance claims, ensure accuracyGenerate bills, follow up on payments, manage accounts

While both roles involve healthcare billing and insurance, Medical Insurance Claims Processors focus on reviewing and submitting insurance claims, ensuring they are correctly processed. Medical Billing Specialists handle the entire billing cycle, including generating invoices and managing payments. Both roles require similar certifications and often work in healthcare or insurance settings, but their core functions differ in scope and daily tasks.

What are some common challenges faced by medical insurance claims processors, and how can they be managed?

Medical Insurance Claims Processors often encounter challenges such as navigating complex insurance policies, dealing with frequent policy changes, and communicating with both providers and patients to resolve discrepancies. Staying organized and detail-oriented is crucial, as missing documentation or incorrect coding can delay claim approvals. Regularly attending training sessions on insurance regulations and collaborating closely with billing teams can help manage these challenges and ensure accurate, timely claim processing.

What does a medical insurance claims processor do?

A Medical Insurance Claims Processor reviews and processes insurance claims submitted by healthcare providers or patients. They verify the accuracy of claim information, ensure services are covered by the patient’s insurance policy, and calculate the payment amounts. Claims processors also communicate with providers and policyholders to resolve discrepancies or request additional information when necessary. Their work helps ensure timely and accurate reimbursement for medical services.

What are the key skills and qualifications needed to thrive as a medical insurance claims processor?

To thrive as a Medical Insurance Claims Processor, you need a solid understanding of medical terminology, health insurance policies, and claims processing procedures, typically supported by a high school diploma or associate degree. Familiarity with claims management software, coding systems like ICD-10 and CPT, and electronic health record (EHR) platforms is essential. Attention to detail, analytical thinking, and strong communication skills help ensure accuracy and efficiency when handling sensitive information and resolving claim issues. These skills are crucial for minimizing errors, expediting claims resolution, and maintaining compliance with industry regulations.
What are popular job titles related to Medical Insurance Claims Processor jobs in Georgia? For Medical Insurance Claims Processor jobs in Georgia, the most frequently searched job titles are:
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What cities in Georgia are hiring for Medical Insurance Claims Processor jobs? Cities in Georgia with the most Medical Insurance Claims Processor job openings:
What are popular job titles related to Medical Insurance Claims Processor jobs in GA? For Medical Insurance Claims Processor jobs in GA, the most frequently searched job titles are:
Medical Insurance Claims Processor jobs near you
Infographic showing various Medical Insurance Claims Processor job openings in Georgia 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 $36,953 per year, or $17.8 per hour.

Claims Processor SelfFunded

Marpai Administrators LLC

Atlanta, GA • On-site

$16.25 - $20.75/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 24 days ago

Job description

Marpai Administrators is a technology company transforming the Third-Party Administration sector serving employers with self-funded health plans. Marpai Administrators (“Marpai”) is an AI-powered national TPA (third party administrator) using deep learning and machine learning to maximize population health outcomes with the greatest cost efficiency for any health plan budget. We create healthier members and a healthier bottom line. Marpai proactively targets at-risk members with meaningful clinical interventions to improve outcomes.

ABOUT THE POSITION:

The Claims Processor will be responsible to for reviewing claims for accuracy, completeness, and eligibility. The Claims Processor is responsible to adjudicate claims, complete work assignments and meet established departmental metrics.

WHAT YOU WILL BE DOING:

Data entry of claims into system.

Review, analyze adjudicate claims

Validate the information on all claims to ensure there is no missing or incomplete information

Ability to understand and apply benefits as outlined in plan document

Maintain/manage all claim inventories in accordance with health plan and regulatory policies

Display maturity, composure and ability to operate under stressful conditions.

Complete daily assignments and update required spreadsheet

Complete end of day summary

Flexibility to change work direction as determined by management

Meet departmental standards for quality, production and attendance.

Analyst is flexible and able to commit to overtime based on business needs

Other duties as required

WHAT DO YOU NEED

Associates degree preferred

2+ yrs claims processing

Strong analytical, research, and communication skills.

Expansive knowledge of medical terminology.

Excellent verbal and written communication skills as well as exemplary organizational skills.

Work closely with leadership to assist in mitigating trends as necessary.

Independent judgment in decision-making and problem solving.

Computer skills in MS Word, Excel, PowerPoint, & Outlook at the intermediate or higher level.

Ability to multi-task & anticipate potential needs/problems.

Strong attention to detail.

Ability to understand and apply on-line documentation policies and procedures.

Excellent customer services skills including an ability to follow through, take ownership and drive all assigned tasks to completion.

Ability to handle large volumes of work, solve problems and manage multiple assignments while meeting critical deadlines.

HIPAA Compliance

WORK REQUIREMENTS:

Fast paced, dynamic work environment requiring the ability to be adaptive, innovative and flexible

Travel minimal

WHY WORK AT MARPAI?

We have great benefits:

Generous PTO

Medical and Prescription

EAP

FSA / HSA / Dependent Care

Dental

Vision

Life and Disability

STD/LTD

Voluntary Benefits: Critical Illness, Accident, Hospital

401k with Employer Match

LegalShield

Identity Theft Protection

Marpai is an equal opportunity workplace. We are committed to equal opportunity regardless of race, color, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, or veteran status.

This is a remote position.

Apply