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At Home Claims Processing Jobs (NOW HIRING)

IQVIA

Medical Biller/Claims Processing

Flagstaff, AZ · Remote

$23/hr

We are excited to announce that currently we are looking for a 100% remote (work from home-WFH) ... Learn more at IQVIA is proud to be an equal opportunity employer. All qualified applicants will ...

Crown Administrators

Claims Processor

Austin, TX · Remote

$16.75 - $21.25/hr

As a key member of our organization, you will be responsible for processing medical claims accurately, conducting thorough audits to ensure compliance with regulations and policies, and providing ...

Managed Staffing

Claims Processor

Mason, OH · On-site

$16 - $20.25/hr

MAJOR DUTIES & RESPONSIBILITIES: • Processing - Efficiently and accurately processes standard claims or adjustments • Consistently achieves key internals with respect to production, cycle time ...

Ampcus

Claims - Processor, Claims I

Baltimore, MD · Remote

$17 - $21.25/hr

Essential functions: * 60% Examines and resolves non-adjudicated claims to identify key elements of processing requirements based on contracts, policies and procedures. Process product or system ...

Health Admins

Claims Processor

Austin, TX · Remote

$17.50 - $22/hr

As a key member of our organization, you will be responsible for processing medical claims accurately, conducting thorough audits to ensure compliance with regulations and policies, and providing ...

Allied Tech

Claims Specialist

Austin, TX · Remote

$48K - $60K/yr

Claims Specialist We support clients by keeping their insurance claims processing organized ... 200/month home-office stipend * Promote-from-within culture with clear opportunities for ...

KARNA LLC

$22 - $25/hr

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:

Karna, LLC

$20 - $25/hr

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:

Aston Carter

Claims Processor

Omaha, NE · On-site

$20 - $22/hr

The processing portion of this role will be reviewing and validating all files and electronic ... Skills Data entry, Customer service, Claim, Claims processing, Insurance, Health insurance Top ...

Cynet Systems

$17.34 - $21.34/hr

Examine and resolve non-adjudicated claims by identifying processing requirements based on contracts, medical policies, and procedures. * Process product- or system-specific claims to ensure timely ...

Lutheran Services Carolinas

AP CLAIMS PROCESSOR

Salisbury, NC · On-site

$15.25 - $19.50/hr

... at each calendar year. 12. Other duties as assigned. Education: High School Graduate (Required). BA/BS degree (Preferred). Experience: Experience in accounts payables and/or claims processing ...

AllCare Health

Certified Claims Processor I

Grants Pass, OR · On-site

$16.50 - $21/hr

Certified Claims Processor I Certified Claims Processor I at AllCare Health with the Claims ... The employee must be able to work from a home office (for all scheduled shifts, occasionally ...

ImagenetLLC

Claims Examiner - Remote

Omaha, NE · Remote

$17 - $18/hr

At least 1-2 years of experience working closely with healthcare claims or in a claims processing/adjudication environment. * Understanding of health claims processing/adjudication * Ability to ...

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At Home Claims Processing information

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How much do at home claims processing jobs pay per hour?

As of Jun 6, 2026, the average hourly pay for at home claims processing in the United States is $19.16, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $20.67 per hour, depending on experience, location, and employer.

What are at home claims processing jobs?

At home claims processing jobs involve evaluating and handling insurance claims from a remote location, usually your own home. These positions require you to review claims submitted by customers, verify information, process payments, and ensure all documentation is accurate and complete. Most employers provide secure software and training to help you manage claims efficiently. Strong attention to detail, confidentiality, and good communication skills are important for this role. These jobs are popular for those seeking flexible, remote work in the insurance or healthcare industries.

What is the difference between At Home Claims Processing vs Customer Service Representative?

AspectAt Home Claims ProcessingCustomer Service Representative
CredentialsInsurance knowledge, claims processing certificationsCommunication skills, customer service training
Work EnvironmentRemote, home-basedRemote or in-office, customer-facing
Industry UsageInsurance companies, claims departmentsVarious industries including retail, telecom
Job FocusReviewing and processing insurance claimsAssisting customers, resolving inquiries

At Home Claims Processing involves handling insurance claims remotely, requiring specific industry knowledge and certifications. Customer Service Representatives focus on assisting customers across various sectors, often with a broader skill set. While both roles can be remote, their core responsibilities and credentials differ significantly.

What are some common challenges faced by remote claims processors, and how can they be effectively managed?

Remote claims processors often face challenges such as maintaining clear communication with team members, staying organized without in-person supervision, and managing a high volume of claims efficiently. To overcome these, it's helpful to establish a consistent daily routine, utilize digital collaboration tools, and regularly check in with supervisors and colleagues. Staying updated on company policies and industry regulations is also crucial for accurate and timely claims processing.

What are the key skills and qualifications needed to thrive as an At Home Claims Processor, and why are they important?

To thrive as an At Home Claims Processor, you need strong attention to detail, analytical skills, and a solid understanding of insurance policies, typically supported by a high school diploma or relevant experience. Proficiency with claims management software, document management systems, and secure communication platforms is commonly required. Excellent organizational skills, time management, and clear written communication help you excel in a remote environment. These capabilities are essential for ensuring accurate and timely claims processing, maintaining compliance, and delivering high-quality customer service from a home-based setting.
What cities are hiring for At Home Claims Processing jobs? Cities with the most At Home Claims Processing job openings:
What are the most commonly searched types of Claims Processing jobs? The most popular types of Claims Processing jobs are:
What states have the most At Home Claims Processing jobs? States with the most job openings for At Home Claims Processing jobs include:
At Home Claims Processing jobs near you
Infographic showing various At Home Claims Processing job openings in the United States as of May 2026, with employment types broken down into 97% Full Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $39,863 per year, or $19.2 per hour.
Claims Processor - Revenue Cycle Claims Processing - Sharp Corporate - Day Shift - Full Time

Claims Processor - Revenue Cycle Claims Processing - Sharp Corporate - Day Shift - Full Time

Sharp Healthcare

San Diego, CA

$25.15 - $28.95/hr

Full-time

Posted yesterday

Sharp HealthCare rating

8.6

Company rating: 8.6 out of 10

Based on 100 frontline employees who took The Breakroom Quiz

11th of 867 rated healthcare providers

Job description

Hours:

Shift Start Time:

8 AM

Shift End Time:

4:30 PM

AWS Hours Requirement:

8/40 - 8 Hour Shift

Additional Shift Information:

Weekend Requirements:

No Weekends

On-Call Required:

No

Hourly Pay Range (Minimum - Midpoint - Maximum):

$25.150 - $28.950 - $32.420


The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.



What You Will Do
Adjudication of referral claims and all related functions.
Required Qualifications

  • 1 Year Previous claims processing experience in an HMO or indemnity insurance setting (HMO preferred)


Preferred Qualifications

  • H.S. Diploma or Equivalent
  • Other Some college coursework


Essential Functions

  • Claims accuracy
    Process claims accurately according to established procedures/current contracts.
  • Claims processing
    Maintain average adjudication production of 13 claims processed per hour.
  • Customer service
    Enrollee/provider/health plan contact to be professional and courteous. Calls to be returned in a timely fashion.
  • Time management
    Demonstrate ability to work independently and manage time well with any free time used to help in other areas as directed. Inform supervisor when available for additional work assignments.


Knowledge, Skills, and Abilities

  • Strong organizational skills.
  • Working knowledge of medical terminology and RVS/CPT/ICD-9 coding.
  • Ten key by touch. C
  • RT keyboard skills.
  • Good verbal and written skills.
  • Knowledge of standard insurance procedures (pricing, exclusions, etc.

Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class

What Sharp HealthCare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Sharp HealthCare logo

About Sharp HealthCare

Sourced by ZipRecruiter

Sharp HealthCare is a leading healthcare organization based in San Diego, CA, in the US. Founded in 1955, it serves as a critical part of the California healthcare industry, providing a wide range of medical services. The company owns and operates several hospitals, medical groups, and health plans, offering comprehensive healthcare solutions to the residents of San Diego County. The organization's mission is to improve the health of those it serves with a commitment to excellence in all that it does. This commitment is driven by its core values, dubbed "The Sharp Experience," which emphasizes understanding, empathy, and respect towards every individual.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

San Diego, CA, US

Year founded

1955

Social media

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