Medical Claims Examiner Jobs in West Virginia
Medical Claims Examiner jobs in West Virginia are concentrated in health insurance administration, managed care, and hospital revenue cycle operations, with steady demand from entry-level reviewers through senior examiners. The busiest hiring markets are Charleston, Huntington, and Morgantown, where established employers like Highmark West Virginia, WVU Medicine, and The Health Plan maintain ongoing claims processing teams. Demand is strongest for examiners with experience in medical coding review, Medicare and Medicaid adjudication, and denial management. See the openings below and apply to the ones that match your experience.
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- Conducting brief health assessments and obtaining medical history information.
- Documenting details related to illnesses, surgeries, medications, healthcare providers, and provider contact information.
- Recording physical measurements such as height, weight, blood pressure, pulse, and waist-to-hip ratio.
- Collecting blood and urine specimens, and occasionally saliva samples.
- Performing venipuncture using a two-tube vacutainer system; strong phlebotomy skills are required.
- Conducting electrocardiograms (EKGs) using portable equipment when needed (training provided).
- Preparing specimens for shipment and ensuring all required documentation is completed accurately. Examinations typically take between 15 and 45 minutes, depending on the specific requirements of the insurance carrier.
- Successfully pass a background check.
- Possess a valid driver's license, reliable transportation, proof of auto insurance, and a mobile phone.
- Maintain a professional appearance and demeanor.
- Demonstrate strong phlebotomy and venipuncture skills.
- Have a working knowledge of medical terminology and human anatomy.
- Be proficient with computers, printers, and scanners.
- Exhibit strong organizational, communication, and time-management skills.
- Accurately obtain and document medical histories.
- Maintain strict confidentiality and comply with HIPAA regulations.
- Work independently with minimal supervision.
- Effectively communicate with branch offices, clients, and insurance agents.
- Ability to perform EKGs is preferred; training will be provided if necessary.
Schedule: This is an independent contractor position that offers the flexibility to create and manage your own schedule.
- Compensation is based on examiner availability and the number of completed examinations.
- Payments and reimbursements are issued biweekly through direct deposit.
- Conducting brief health assessments and obtaining medical history information.
- Documenting details related to illnesses, surgeries, medications, healthcare providers, and provider contact information.
- Recording physical measurements such as height, weight, blood pressure, pulse, and waist-to-hip ratio.
- Collecting blood and urine specimens, and occasionally saliva samples.
- Performing venipuncture using a two-tube vacutainer system; strong phlebotomy skills are required.
- Conducting electrocardiograms (EKGs) using portable equipment when needed (training provided).
- Preparing specimens for shipment and ensuring all required documentation is completed accurately. Examinations typically take between 15 and 45 minutes, depending on the specific requirements of the insurance carrier.
- Successfully pass a background check.
- Possess a valid driver's license, reliable transportation, proof of auto insurance, and a mobile phone.
- Maintain a professional appearance and demeanor.
- Demonstrate strong phlebotomy and venipuncture skills.
- Have a working knowledge of medical terminology and human anatomy.
- Be proficient with computers, printers, and scanners.
- Exhibit strong organizational, communication, and time-management skills.
- Accurately obtain and document medical histories.
- Maintain strict confidentiality and comply with HIPAA regulations.
- Work independently with minimal supervision.
- Effectively communicate with branch offices, clients, and insurance agents.
- Ability to perform EKGs is preferred; training will be provided if necessary.
Schedule: This is an independent contractor position that offers the flexibility to create and manage your own schedule.
- Compensation is based on examiner availability and the number of completed examinations.
- Payments and reimbursements are issued biweekly through direct deposit.
See All 11 Medical Claims Examiner Jobs in West Virginia
Find roles in West Virginia that match your experience and apply in just a few clicks.
Find Medical Claims Examiner JobsMedical Claims Examiner Jobs by City in West Virginia
Where West Virginia roles are concentrated, by current openings.
Medical Claims Examiner Job Market in West Virginia
A snapshot from current West Virginia openings, updated as new roles post.
Who's Hiring
What West Virginia Employers Look For
The qualifications that appear most often in medical claims examiner jobs across West Virginia.
- High school diploma or associate degree in health information, billing, or related field
- Working knowledge of ICD-10 and CPT coding systems for accurate claims review
- Familiarity with Medicare, Medicaid, and commercial insurance adjudication guidelines
- One or more years of experience in claims processing, billing, or health insurance
- Proficiency with claims management software such as FACETS, TriZetto, or similar platforms
- Strong attention to detail and ability to meet production and accuracy benchmarks
Medical Claims Examiner Jobs in West Virginia: Frequently Asked Questions
How do you become a medical claims examiner in West Virginia?
West Virginia does not require a state-issued license specifically for medical claims examiners, so entry is driven by education and employer requirements rather than a licensing board. Most employers in Charleston, Huntington, and Morgantown prefer candidates with an associate degree or coursework in health information management, medical billing, or a related field. Earning a nationally recognized credential such as the Certified Professional Biller from AAPC or the Registered Health Information Technician from AHIMA substantially strengthens a West Virginia application.
Which companies hire medical claims examiners in West Virginia?
Companies currently hiring medical claims examiners in West Virginia include APPS Paramedical, Quest Diagnostics, and WV Foundation for Rape Information and Services, per current listings on Migrate Mate as of July 2026. West Virginia's dominant employers in this role tend to be regional health insurers, integrated health systems, and third-party administrators serving the state's large Medicare and Medicaid populations.
Which West Virginia cities have the most medical claims examiner jobs?
Charleston, Logan, and Oceana have the most medical claims examiner openings in West Virginia. Charleston leads because it is home to the state's largest health insurance carriers and hospital system administrative offices, while Huntington and Morgantown generate demand through WVU Medicine's extensive revenue cycle operations and the concentration of regional managed care organizations in those metros.
Are there remote medical claims examiner jobs in West Virginia?
Yes, and more than most fields, because claims examination is a desk-based analytical role that translates well to remote work. About 33% of medical claims examiner openings tied to West Virginia are remote or hybrid as of July 2026, reflecting how widely health insurers and third-party administrators have adopted distributed teams. The most consistently remote positions involve high-volume adjudication, denial review, and Medicare or Medicaid claims auditing rather than roles requiring in-person coordination with clinical staff.
How can I get hired as a medical claims examiner in West Virginia with little or no experience?
The most realistic entry path is applying for a claims processor or billing specialist role at one of West Virginia's large health systems or insurers, such as WVU Medicine or Highmark West Virginia, which regularly hire candidates from medical billing certificate programs offered at institutions like BridgeValley Community and Technical College or Mountwest Community and Technical College. Lateral moves from medical receptionist, patient access representative, or insurance verification positions are common stepping stones. Completing a CPB or RHIT credential before applying gives an inexperienced candidate a concrete edge over other applicants.
Where can I find and apply to medical claims examiner jobs in West Virginia?
You can find and apply to medical claims examiner jobs in West Virginia on Migrate Mate, which lists current openings tied to the state. Search the listings to find roles that match your experience level, specialty, and preferred location or remote arrangement, then apply directly to the ones that fit.
See All 11 Medical Claims Examiner Jobs in West Virginia
Find roles in West Virginia that match your experience and apply in just a few clicks.
Find Medical Claims Examiner Jobs