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Medical Insurance Claims Processor Jobs in Michigan

Company Name Withheld

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Medical Claims Examiner-Entry Level

Kalamazoo, MI · On-site

... claims processing experience is not required. We provide extensive training and are interested in candidates with experience in medical billing, medical offices, patient accounts, insurance ...

Northwood, Inc.

Claims Processor

Warren, MI · On-site

$15/hr

... medical equipment and pharmaceutical claims submitted from contracted and out of network providers. Responsible for processing claims in a timely manner, verifying insurance coverage for date of ...

Cherokee Insurance Company

Claims Assistant

Wolverine, MI · On-site

$17.75 - $22.75/hr

We are looking for highly detailed, analytical and assertive individuals to assist with the insurance claims process. If you love a challenge and are looking to take a step towards a rewarding career ...

Cherokee Insurance Company

Claims Assistant

Wolverine, MI · On-site

$17.75 - $22.75/hr

We are looking for highly detailed, analytical and assertive individuals to assist with the insurance claims process. If you love a challenge and are looking to take a step towards a rewarding career ...

Cherokee Insurance Company

Claims Assistant

Wolverine, MI · On-site

$17.75 - $22.75/hr

We are looking for highly detailed, analytical and assertive individuals to assist with the insurance claims process. If you love a challenge and are looking to take a step towards a rewarding career ...

The EMAC Group

Mortgage Claims Specialist

Detroit, MI · On-site

POSITION SUMMARY The Claims Specialist is responsible for processing required claims to Fannie Mae, Mortgage Insurance Companies, FHA, VA or other investors to recover advances incurred throughout ...

Dental Care Alliance

Insurance Coordinator

Flint, MI · On-site

$18 - $24/hr

This role is ideal for someone with strong knowledge of dental insurance, claims processing, and ... medical condition, genetic information, military or veteran status, sex, gender, sexual orientation ...

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Medical Insurance Claims Processor information

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

As of Aug 27, 2026, the average hourly pay for medical insurance claims processor in Michigan is $18.34, according to ZipRecruiter salary data. Most workers in this role earn between $14.23 and $20.72 per hour, depending on experience, location, and employer.

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 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 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.

How to become a medical insurance claims processor?

To become a medical insurance claims processor, typically one needs a high school diploma or equivalent, along with training in healthcare billing and coding. Many employers prefer candidates with knowledge of medical terminology, insurance policies, and experience with claims processing software; certifications such as Certified Professional Coder (CPC) can also enhance job prospects.

Is a medical insurance claims processor job in demand?

The demand for medical insurance claims processors remains steady due to ongoing healthcare industry needs and the increasing complexity of insurance claims. Employment in this field is expected to grow as healthcare providers and insurers seek skilled workers familiar with claims processing software and regulations. Certification and experience can enhance job prospects in this role.

What are popular job titles related to Medical Insurance Claims Processor jobs in Michigan?

For Medical Insurance Claims Processor jobs in Michigan, the most frequently searched job titles are:

What job categories do people searching Medical Insurance Claims Processor jobs in Michigan look for?

The top searched job categories for Medical Insurance Claims Processor jobs in Michigan are:

What are popular job titles related to Medical Insurance Claims Processor jobs in MI?

For Medical Insurance Claims Processor jobs in MI, the most frequently searched job titles are:

Medical Insurance Claims Processor jobs near you
Infographic showing various Medical Insurance Claims Processor job openings in Michigan as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 16% Part Time, 2% Temporary, 7% Contract, and 1% Nights. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $38,143 per year, or $18.3 per hour.

Medical Claims Examiner-Entry Level

Company Name Withheld

Kalamazoo, MI • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 8 days ago

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Job description

Medical Claims Examiner – Entry Level

We are seeking a detail-oriented individual to join our team as a Medical Claims Examiner.

Prior medical claims processing experience is not required. We provide extensive training and are interested in candidates with experience in medical billing, medical offices, patient accounts, insurance verification or similar healthcare administration.


Responsibilities

·         Review and process medical claims

·         Research claim, benefit, eligibility, and payment questions

·         Communicate with medical providers and plan members by phone

·         Review EOBs, medical bills, claim forms, and supporting documentation

·         Learn and apply health plan benefits, deductibles, copays, coinsurance.

·         Document claim activity and telephone conversations accurately

·         Work with other staff to resolve claim issues


Qualifications

·         Strong attention to detail and accuracy

·         Good telephone and communication skills

·         Comfortable working with numbers and computer systems

·         Able to research problems and follow them through to resolution

·         Able to learn and consistently apply detailed rules and procedures

·         Professional when dealing with providers and plan members


Helpful experience includes medical billing, healthcare customer service, patient accounts, insurance verification, EOBs, medical terminology, or other detail-oriented healthcare administration.