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Medical Insurance Claims Processor Jobs (NOW HIRING)

Amwins

Claims Processor

Scottsdale, AZ

$17.25 - $21.75/hr

Are you ready to make a meaningful impact in the dynamic world of insurance? Join Amwins Self-Funded, LLC., as a Claims Processor. This is an in-office position, that offers the flexibility to work ...

APS Medical

Clerical - Claims Processor

Maumee, OH · On-site

$16/hr

Clerical - Claims Processor Job Category: Insurance Requisition Number: CLAIM001023 Posted ... Prepare and submit medical records to insurers and other requesters * Verify patient insurance ...

Group1001

Inforce, Claims Processor

Zionsville, IN · On-site

Group 1001 is a consumer-centric, technology-driven family of insurance companies on a mission to ... The In-Force, Claims Processor position is responsible for the reviewing and processing of death ...

Group1001

Inforce, Claims Processor

Zionsville, IN · On-site

In-Force, Claims Processor Group 1001 is a consumer-centric, technology-driven family of insurance companies on a mission to deliver outstanding value and operational performance by combining ...

Belcan

Coordinator - Claims Processor

Mason, OH · On-site

$22.55/hr

Coordinator - Claims Processor Job Number: 366102 Category: Finance/Accounting Description: Job ... Benefits offered may include health care, dental, vision, life insurance; 401(k); education ...

WPS Health Solutions

Foreign Claims Processor

$18.50/hr

Two (2) or more years of prior health insurance experience, i.e., Claims Processor, Customer Service Representative, or Billing Representative preferred. Remote Work Requirements * Wired (ethernet ...

WPS Health Solutions

Foreign Claims Processor

$18.50/hr

Two (2) or more years of prior health insurance experience, i.e., Claims Processor, Customer Service Representative, or Billing Representative preferred. Remote Work Requirements * Wired (ethernet ...

New

NTT DATA

Medical Claims Processor - Remote

$17.50 - $22/hr

Remote Claims Processing Associate At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our ...

Mindlance

Office/Administration - Claims Processor

Mason, OH · On-site

$16 - $20.25/hr

GENERAL FUNCTION The Claims Coordinator accurately and efficiently processes all types of claims from source documents, maintaining compliance with the insurance plan requirements and with high ...

Ampcus

Claims - Processor, Claims I

Baltimore, MD · On-site

$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 receive ...

WPS Health Solutions

Foreign Claims Processor

$18.50/hr

Two (2) or more years of prior health insurance experience, i.e., Claims Processor, Customer Service Representative, or Billing Representative preferred. Remote Work Requirements * Wired (ethernet ...

WPS Health Solutions

Foreign Claims Processor

$18.50/hr

Two (2) or more years of prior health insurance experience, i.e., Claims Processor, Customer Service Representative, or Billing Representative preferred. Remote Work Requirements * Wired (ethernet ...

New

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 ...

Karna LLC

Experienced Healthcare Claims Processor

$22 - $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 ...

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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 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 - Remote

Medical Claims Processor - Remote

NTT DATA Americas, Inc.

Remote

$18/hr

Other

Dental, Vision, Life, Retirement

This job post has expired 1 day ago. Applications are no longer accepted.

NTT Data rating

7.3

Company rating: 7.3 out of 10

Based on 90 frontline employees who took The Breakroom Quiz

109th of 207 rated it services

Job description

At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company's growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring, the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here.

NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team.

Medical Claims Processing Specialist

Location: Remote-Work From Home

Pay Rate: $18.00 per hour

Start Date: 8/6/2026

Shift: M-F 7:00-4:00 pm CT

Employment Type: Contract to Hire

In this Role the candidate will be responsible for:

  • Processing of Professional claim forms files by provider

  • Reviewing the policies and benefits

  • Comply with company regulations regarding HIPAA, confidentiality, and PHI

  • Abide with the timelines to complete compliance training of NTT Data/Client

  • Work independently to research, review and act on the claims

  • Prioritize work and adjudicate claims as per turnaround time/SLAs

  • Ensure claims are adjudicated as per clients defined workflows, guidelines

  • Sustaining and meeting the client productivity/quality targets to avoid penalties

  • Maintaining and sustaining quality scores above 98.5% PA and 99.75% FA.

  • Timely response and resolution of claims received via emails as priority work

  • Correctly calculate claims payable amount using applicable methodology/ fee schedule

Requirements:

  • 1-3 year(s) hands-on experience in Healthcare Claims Processing

  • 2+ year(s) using a computer with Windows applications using a keyboard, navigating multiple screens and computer systems, and learning new software tools

  • High school diploma or GED.

  • Previously performing - in P&Q work environment; work from queue; remotely

  • Key board skills and computer familiarity -

  • Toggling back and forth between screens /can you navigate multiple systems.

  • Working knowledge of MS office products - Outlook, MS Word and MS-Excel .

  • Must be able to work 7am - 4 pm CST online/remote (training is required on-camera ).

  • Effective troubleshooting where you can leverage your research, analysis and problem-solving abilities

  • Time management with the ability to cope in a complex, changing environment

  • Ability to communicate (oral/written) effectively in a professional office setting

Preferred Skills & Experiences:

  • Amisys Preferred

NTT DATA provides a reasonable range of compensation for U.S. based positions. The starting hourly range for this remote role is $18.00. This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications.

This position is eligible for company benefits including participation in medical, dental, and vision insurance, flexible spending or health savings account, and AD&D insurance, employee assistance, participation in a 401K program, and additional voluntary or legally required benefits.

About NTT DATA

NTT DATA is a $30 billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize and transform for long-term success. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure and connectivity. We are one of the leading providers of digital and AI infrastructure in the world. NTT DATA is a part of NTT Group, which invests over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future. Visit us at us.nttdata.com (http://us.nttdata.com/en)

NTT DATA endeavors to make https://us.nttdata.com (https://us.nttdata.com/en) accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at https://us.nttdata.com/en/contact-us . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. NTT DATA is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. For our EEO Policy Statement, please click here (https://us.nttdata.com/en/compliance#eeos) . If you'd like more information on your EEO rights under the law, please click here (https://us.nttdata.com/en/compliance#know-your-rights) . For Pay Transparency information, please click here (https://us.nttdata.com/en/compliance#ppnp) .

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About NTT DATA

Sourced by ZipRecruiter

NTT DATA Services is a global business and IT services provider specializing in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services. We are part of the NTT family of companies, a partner to 85 % of the Fortune 100.

Industry

It services

Company size

10,000+ Employees

Headquarters location

Plano, TX, US

Year founded

1967

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