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Medical Insurance Claims Jobs in Ohio (NOW HIRING)

Medical Claims Coordinator/Processor

Mason, OH · On-site

$17 - $22.50/hr

Medical Claims Biller The Medical Claims Biller is responsible for monitoring insurance carrier adjudication of TeamVision medical claims for one or more doctor practices. Utilize a practice EHR ...

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Medical Insurance Claims information

See Ohio salary details

$13

$19

$27

How much do medical insurance claims jobs pay per hour?

As of Aug 29, 2026, the average hourly pay for medical insurance claims in Ohio is $19.94, according to ZipRecruiter salary data. Most workers in this role earn between $16.44 and $21.92 per hour, depending on experience, location, and employer.

What is a medical insurance claims job?

A Medical Insurance Claims job involves processing and reviewing insurance claims submitted by healthcare providers or patients. Professionals in this role assess claims for accuracy, verify patient coverage, and determine the amount payable by the insurance company. They may also communicate with healthcare providers, policyholders, and adjusters to resolve discrepancies and ensure proper claim adjudication. Strong attention to detail and knowledge of medical billing codes and insurance policies are essential for success in this field.

What are the typical daily responsibilities of someone working in medical insurance claims?

Professionals in Medical Insurance Claims are responsible for reviewing and processing insurance claims submitted by healthcare providers or patients, verifying the accuracy of billing information, and ensuring compliance with policy guidelines. They regularly communicate with insurance companies, medical offices, and occasionally patients to resolve discrepancies or request additional information. The role involves considerable attention to documentation, data entry, and adhering to deadlines to expedite claim decisions. Teamwork is often essential, as collaboration with billing specialists and other administrative staff helps streamline claim resolution and maintain efficient workflow.

What are the key skills and qualifications needed to thrive in the medical insurance claims position?

To thrive in Medical Insurance Claims, a strong understanding of healthcare billing, insurance policies, and claims processing procedures is essential, typically supported by a diploma or relevant experience in medical administration. Familiarity with claims management software, medical coding systems (such as ICD-10 and CPT), and knowledge of HIPAA regulations is commonly required. Attention to detail, problem-solving skills, and effective written and verbal communication help individuals excel in this role. These competencies ensure timely, accurate claims processing and positive working relationships with providers, insurers, and patients.

How to become a medical insurance claims adjuster?

To become a medical insurance claims adjuster, you typically need a high school diploma or equivalent, with some roles preferring postsecondary education or relevant coursework in insurance or healthcare. Gaining experience in insurance claims processing or healthcare settings is beneficial, and obtaining a state license may be required depending on the jurisdiction. Strong attention to detail, communication skills, and familiarity with claims processing software are important for success in this role.

What are the most commonly searched types of Medical Insurance Claims jobs in Ohio?

The most popular types of Medical Insurance Claims jobs in Ohio are:

Infographic showing various Medical Insurance Claims job openings in Ohio as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 12% Part Time, and 6% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $41,472 per year, or $19.9 per hour.

Medical Claims Coordinator/Processor

Mason, OH • On-site

AVA Consulting
Recruiting and Staffing Services • 1 - 10 employees

$17 - $22.50/hr

Other

Posted 22 days ago


Job description

Medical Claims Biller

The Medical Claims Biller is responsible for monitoring insurance carrier adjudication of TeamVision medical claims for one or more doctor practices. Utilize a practice EHR system and clearing house to review and submit claims to multiple medical insurance carriers. Review open/unpaid claim balances and take required action.

Major Duties & Responsibilities:

  • Review medical claims and transmit to the insurance carrier using the practice electronic health records (EHR) system and clearing house.
  • Monitor rejected claim reports and adjust claims for resubmission to the insurance carrier.
  • Download insurance carrier explanation of payments (EOPs) to post claim payments and denials in the EHR system.
  • Determine if denied claims can be corrected and re-submitted to the carrier.
  • Review aging reports to research open balances and resubmit within insurance carrier filing limits.
  • Utilize insurance carrier websites and contact carriers as needed to investigate denials and claim status.
  • Partner with the clearing house to distribute patient billing statements and monitor the patient portal to post payments in the EHR system.
  • Initiate overpayment refunds to patients and repayments to insurance carriers when required.
  • Serve as the point of contact for the practice regarding all vision and medical claims.
  • Support the corporate manager in maximizing claim collection rate.

Specific Skills Needed:

Medical Billing, cash application and collection (collection is not calling demanding payment; it's researching why a claim didn't get paid and taking steps necessary to correct the info) Years of Experience: 5 years

Basic Qualifications:

  • High school diploma
  • 3+ years of related work experience
  • Experience with medical billing and coding
  • Ability to prioritize handling of issues
  • Organization skills and ability to multitask
  • Effective communication skills (verbal, written, listening, presentation)

Preferred Qualifications:

  • Experience working in multiple doctor practices
  • Experience working with multiple insurance carriers and an understanding of their claim requirements
  • Proven ability to identify issues and solve problems

AVA Consulting logo

About AVA Consulting

Sourced by ZipRecruiter

AVA is a Premier provider of Top Talent resources for our Client’s Open Job Positions. AVA has consistently been recognized as a “GO TO” Company by our Clients for their resource needs. As a Staffing Services company, we provide Contract (Temporary), Contract to Hire (Temporary to Permanent), Permanent (Direct Placement) and Statement of Work (SOW) resources to Fortune 1000 clients nationwide.

Industry

Recruiting and staffing services

Company size

1 - 10 Employees

Headquarters location

Dallas, TX, US

Year founded

2004