ZipRecruiter

Log In

1

Medical Insurance Claims Processor Jobs (NOW HIRING)

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 ...

PGBA, LLC

Claims Processor II

Columbia, SC · On-site

$15.75 - $20/hr

Examines and processes complex or specialty claims according to business/contract regulations ... Life Insurance * Paid Time Off (PTO) * On-site cafeterias and fitness centers in major locations

Ourhrconnect

Claims Processor II

Columbia, SC

$15.75 - $20/hr

Examines and processes complex or specialty claims according to business/contract regulations ... Life Insurance * Paid Time Off (PTO) * On-site cafeterias and fitness centers in major locations

APS Medical

Clerical - Claims Processor

Toledo, OH · On-site

$16/hr

Prepare and submit medical records to insurers and other requesters * Verify patient insurance information * Submit claims * Adjust accounts and work on balance reconciling projects * Enter patient ...

1199SEIU Funds

Hospital Claims Processor V

Manhattan, NY

$18.75 - $23.75/hr

Process and evaluate hospital claims manually or through claims work flow * Validate information ... hospital or medical claims in a health insurance or benefits environment required * Basic ...

1199SEIU Funds

Hospital Claims Processor V

Manhattan, NY · On-site

$18.75 - $23.75/hr

Process and evaluate hospital claims manually or through claims work flow * Validate information ... hospital or medical claims in a health insurance or benefits environment required * Basic ...

Conduent, Inc.

Remote Claims Processor

Chesapeake, VA · On-site +1

$15/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 ...

Ourhrconnect

Claims Processor I

Columbia, SC

$15.75 - $20/hr

Summary Responsible for the accurate and timely processing of claims. Description Logistics: PGBA ... Employees will receive supplemental pay for health insurance until they are enrolled in our health ...

Conduent, Inc.

Remote Claims Processor

VA · Remote

$15/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 ...

M&T Bank

CAM Claims Processor II

Getzville, NY · On-site

$20.55 - $34.25/hr

Process/File claims according to investor/insurer/statutory & regulatory guidelines within assigned service level agreements. * Communicate/interact with attorneys, tax collectors, homeowners ...

CareFirst

Claims Processor I (Remote)

Baltimore, MD · Remote

$17 - $21.25/hr

Applies training materials, correspondence and medical policies to ensure claims are processed accurately. Partners with Quality team for clarity on procedures and/or difficult claims and receives ...

Acrisure

Insurance Claims Specialist

Middleton, WI · On-site

$50K - $60K/yr

... process * Review claim documentation, medical records, and supporting materials to assist with ... claims, legal support, investigations, case management, negotiations, or insurance related ...

M&T Bank

CAM Claims Processor III

Getzville, NY · On-site

$22.61 - $37.67/hr

Process/file claims according to investor/insurer/statutory & regulatory guidelines within assigned service level agreements. * Review and ensure all invoices are included with the claim. * Research ...

next page

Showing results 1-20

All JobsMedical Insurance Claims Processor Jobs

Medical Insurance Claims Processor information

See salary details

$13

$21

$27

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

As of Jun 9, 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.

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, 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 100% Part Time. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $43,763 per year, or $21 per hour.
Experienced Healthcare Claims Processor

Experienced Healthcare Claims Processor

Karna, LLC

Remote

$20 - $25/hr

Other

This job post has expired today. Applications are no longer accepted.

Job description

Description

Join the new Bakinaw-Karna Joint Venture Team as a Temporary, Full-Time Medical Claims Processor. Become an integral part of a team dedicated to servicing the World Trade Center Health Program. In this role, you will leverage your meticulous attention to detail and commitment to accuracy in processing complex medical claims. If you're eager to make a positive impact in our community through your administrative skills, we encourage you to apply!


*Minimum of 5 years' experience in medical claims processing, including professional and facility claims as well as complex and high-dollar claims*

Job Responsibilities:

  • Claims Review and Processing: Analyze and process a variety of complex medical claims in accordance with program policies and procedures, ensuring accuracy and compliance.
  • Critical Analysis: Analyze claims and adjudicate them according to program guidelines, employing critical thinking to navigate complex scenarios.
  • Timely Processing: Ensure claims are processed promptly to meet client standards and regulatory requirements, employing effective problem-solving skills to address any barriers.
  • Issue Resolution: Proactively resolve claim discrepancies and issues by collaborating with other departments, utilizing analytical skills to identify root causes and implement solutions.
  • Confidentiality Maintenance: Uphold the confidentiality of patient records and company information as per HIPAA regulations.
  • Detailed Record Keeping: Maintain thorough records of claims processed, denied, or requiring further investigation, ensuring transparency and traceability.
  • Trend Monitoring: Analyze and report on trends in claim issues or irregularities to management, contributing to process improvement initiatives; Assists Team Leads with reporting.
  • Audit Participation: Engage in audits and compliance reviews to ensure adherence to internal and external regulations, using critical thinking to evaluate processes.
  • Mentoring: Mentors and trains new claims processors as needed.

Requirements


  • High school diploma or equivalent.
  • Minimum of 5 years' experience in medical claims processing, including professional and facility claims as well as complex and high-dollar claims.
  • Familiarity with ICD-10, CPT, and HCPCS coding systems.
  • Understanding of medical terminology, healthcare services, and insurance procedures (worker's compensation experience is a plus).
  • Strong attention to detail and accuracy.
  • Ability to interpret and apply insurance program policies and government regulations effectively.
  • Excellent written and verbal communication skills.
  • Proficient in Microsoft Office Suite (Word, Excel, Outlook).
  • Capacity to work independently as well as collaboratively within a team.
  • Commitment to ongoing education and training in industry standards and technology advancements.
  • Experience with claim denial resolution and the appeals process.
  • Ability to efficiently manage a high volume of claims.
  • Customer service-oriented with strong problem-solving capabilities.
  • Must be flexible and have the ability to adjust to the needs of the client and changes in the program.

PM18


#remote

Apply