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Medical Insurance Claims Processor Jobs (NOW HIRING)

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Insurance Claims Specialist

Waterloo, IA · On-site

$23/hr

Process claim denials and spearhead the insurance appeals process to ensure proper reimbursement ... Stay current on and ensure strict compliance with all medical/payer guidelines and regulations.

Crown Administrators

Claims Processor

Austin, TX · On-site

$16.75 - $21.25/hr

Strong knowledge of medical terminology, medical coding, and insurance billing practices ... Proven experience in medical claims processing and healthcare reimbursement Technical Knowledge:

Collabera

Claims Processor

Mason, OH

$16 - $20.25/hr

... days, Medical, Dental and Vision insurance, 401K retirement savings plan, Life Insurance ... Accurately and efficiently processes manual claims and other simple processes such as matrix and ...

Marpai Administrators LLC

Claims Processor

Atlanta, GA · Remote

$24 - $30/hr

The Claims Processor is responsible to adjudicate claims, complete work assignments and meet ... Expansive knowledge of medical terminology. * Excellent verbal and written communication skills as ...

New

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Third-Party Medical Claims Processor

Fresno, CA · On-site

$18 - $20/hr

Exciting Opportunity for a Medical Biller / Claims Processor in Fresno, CA! We are seeking a ... insurance company. Prior TPA exposure is highly preferred due to the nature of this employer ...

90 Degree Benefits

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Experienced Medical Claims Processor (TPA)

Charlotte, NC · On-site

$18 - $21/hr

This is a non-exempt position that will be responsible for determining insurance coverage, processing and resolving medical claims, documenting actions, and ensuring legal compliance. Applicant must ...

Brewer Global

Claims Processor

Henderson, NV · On-site

$17/hr

... between insurance policy holders, providers, and claimants. This position is onsite, contract-to ... Handle inbound and outbound telephone calls to obtain pertinent medical and claim information

Conduent, Inc.

Claims Processor

KY · Remote

$18/hr

In addition, Conduent provides a variety of benefits to employees including health insurance ... medical condition, use of a guide dog or service animal, military/veteran status, citizenship ...

Carrot

Claims Processor

Des Moines, IA

$24 - $28/hr

Process 53+ claims each working day, maintaining a quality assurance score of 93% or higher ... Knowledgeable with insurance regulations and industry best practices * Experience working at a fast ...

Redeemer Health

Claims Processor

Philadelphia, PA · On-site

$16.25 - $20.50/hr

With medical and dental coverage, access to childcare & fitness facilities on campus, investment in ... insurance payers. Reviews and corrects claim edits identified by Hospital EHR and claim ...

MVT Holdings

Claims Processor I

Las Cruces, NM · On-site

$15/hr

The Claims Processor serves as a mediator on claims between company drivers, Insurance and at times 3 rd parties. Is responsible for the maintenance, audit and management of files assigned to he or ...

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Medical Insurance Claims Processor information

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$13

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

As of Jun 30, 2026, the average hourly pay for medical insurance claims processor in the United States is $21.04, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $23.80 per hour, depending on experience, location, and employer.

Is a claims processor job in demand?

Medical insurance claims processor jobs are in steady demand due to the ongoing need for healthcare administration and insurance processing. Employment in this field is expected to grow as healthcare providers and insurers seek skilled workers familiar with claims software and regulations. The role often requires attention to detail and knowledge of medical billing procedures.

What does a medical claims processor do?

A medical claims processor reviews and processes insurance claims submitted by healthcare providers or patients to ensure accuracy and compliance with policy guidelines. They verify patient information, coding, and billing details, often using specialized software, to determine claim approval or denial. This role requires attention to detail and knowledge of medical billing and coding standards.

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.

How much do claims processors make in the US?

Medical insurance claims processors in the US typically earn a median annual salary of around $40,000 to $45,000. Salaries can vary based on experience, location, and certifications, with some earning over $50,000 annually in certain regions or with specialized skills.

How to become a health insurance claims processor?

To become a medical insurance claims processor, typically one needs a high school diploma or equivalent, along with training in medical billing and coding. Many employers prefer candidates with certification in medical billing and coding, such as the Certified Professional Coder (CPC) or Certified Billing and Coding Specialist (CBCS), and proficiency with claims processing software. On-the-job training is common, and strong attention to detail and knowledge of insurance policies are essential for success.

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, and why are they important?

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.
More about Medical Insurance Claims Processor jobs
What cities are hiring for Medical Insurance Claims Processor jobs? Cities with the most Medical Insurance Claims Processor job openings:
What states have the most Medical Insurance Claims Processor jobs? States with the most job openings for Medical Insurance Claims Processor jobs include:
What job categories do people searching Medical Insurance Claims Processor jobs look for? The top searched job categories for Medical Insurance Claims Processor jobs are:
What are popular job titles related to Medical Insurance Claims Processor jobs? For Medical Insurance Claims Processor jobs, the most frequently searched job titles are:
Medical Insurance Claims Processor jobs near you
Infographic showing various Medical Insurance Claims Processor job openings in the United States as of June 2026, with employment types broken down into 1% As Needed, and 99% Full Time. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $43,763 per year, or $21 per hour.
Medical Claims Processor

Medical Claims Processor

Northwest Administrators

Federal Way, WA • On-site

$34.30/hr

Other

Medical, Dental, Vision, Retirement, PTO

This job post has expired today. 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 life claims and the importance of claims being processed timely and accurately. If hired in the role, you will:

  • Process and handling of life 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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