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Medicaid Claims Processing Remote Jobs in Raleigh, NC

3B Staffing LLC

Sr BI Analyst

Chapel Hill, NC · Remote

... FOR REMOTE: Hiring Requirements * Payment Integrity Experience * Strong SQL skills * Strong Excel skills * 5+ years of healthcare experience * An understanding of claims processing * Bachelor ...

New

3B Staffing LLC

Sr BI Analyst

Chapel Hill, NC · Remote

... FOR REMOTE: Hiring Requirements * Payment Integrity Experience * Strong SQL skills * Strong Excel skills * 5+ years of healthcare experience * An understanding of claims processing * Bachelor ...

New

Erie Insurance

Inside Claims Representative I

Cary, NC · On-site +1

$44K - $71K/yr

This is a remote, work-from-home position. Candidates located within proximity to ERIE's Raleigh ... Documents claim files and facilitates processing of claims in collaboration with other departments.

Erie Insurance

Inside Claims Representative I

Cary, NC · On-site +1

$44K - $71K/yr

This is a remote, work-from-home position. Candidates located within proximity to ERIE's Raleigh ... Documents claim files and facilitates processing of claims in collaboration with other departments.

Erie Insurance

Inside Claims Representative I

Raleigh, NC · On-site +1

$44K - $71K/yr

Remote Salary Range: $44,936.00 - $71,781.00 * salary range is for this level and may vary based on ... Documents claim files and facilitates processing of claims in collaboration with other departments.

Atlantic Medical Management

RCM Coder

Cary, NC · Remote

$17.25 - $23.25/hr

This is a remote position and candidates must be located in North Carolina. Essential Functions ... Resolves disputed claims by gathering, verifying, and providing additional information * Identify ...

AMM Healthcare

RCM Coder

Cary, NC · Remote

$17.25 - $23.25/hr

This is a remote position and candidates must be located in North Carolina. Essential Functions ... Resolves disputed claims by gathering, verifying, and providing additional information * Identify ...

Deloitte

Epic Denials Manager

Raleigh, NC · Remote

... process accounts and claims. Regularly monitors work queues and workflows in Epic, claims ... This is a remote role with minimal travel requirements. A successful candidate would possess these ...

Senture

Medical Director

Raleigh, NC · Remote

While this position allows remote work, the individual must reside within the state of North ... Experience with Medicaid, Medicare, or state healthcare programs. * Previous Credentialing ...

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Medicaid Claims Processing Remote information

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How much do medicaid claims processing remote jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for medicaid claims processing remote in Raleigh, NC is $18.63, according to ZipRecruiter salary data. Most workers in this role earn between $15.87 and $20.10 per hour, depending on experience, location, and employer.

What is Medicaid claims processing remote?

Medicaid Claims Processing Remote refers to the job of reviewing, analyzing, and processing Medicaid insurance claims from a location outside of a traditional office, often from home. Professionals in this role ensure that claims are accurate, complete, and comply with Medicaid regulations before approving or denying payment. Remote workers use specialized software to access claim information securely and may communicate with healthcare providers and patients to gather additional details. This job requires attention to detail, knowledge of Medicaid policies, and the ability to work independently. Remote claims processors play a crucial role in ensuring the timely and accurate reimbursement of healthcare services for Medicaid recipients.

What are the key skills and qualifications needed to thrive as a Medicaid claims processing remote professional?

To thrive in a Medicaid Claims Processing Remote role, you need a solid understanding of medical billing, coding, and Medicaid regulations, typically supported by experience in healthcare administration or claims processing. Familiarity with claims management software, medical coding systems (such as ICD-10 or CPT), and electronic data interchange (EDI) platforms is essential. Strong attention to detail, organizational skills, and effective communication are crucial soft skills for accuracy and collaboration. These skills ensure timely and accurate processing of claims, compliance with regulations, and effective resolution of claim issues in a remote environment.

What are some common challenges faced in a remote Medicaid claims processing position, and how can they be managed?

Working remotely as a Medicaid Claims Processor can present challenges such as staying up-to-date with changing regulations, maintaining attention to detail when reviewing large volumes of claims, and ensuring secure handling of sensitive patient data. To manage these challenges, it's important to regularly participate in team training sessions, utilize checklists or claim management software to minimize errors, and follow strict data security protocols. Open communication with supervisors and colleagues through virtual platforms also helps in resolving complex claims and staying connected with team goals.

What are the most commonly searched types of Medicaid Claims Processing jobs in Raleigh, NC?

The most popular types of Medicaid Claims Processing jobs in Raleigh, NC are:

What are popular job titles related to Medicaid Claims Processing Remote jobs in Raleigh, NC?

For Medicaid Claims Processing Remote jobs in Raleigh, NC, the most frequently searched job titles are:

What job categories do people searching Medicaid Claims Processing Remote jobs in Raleigh, NC look for?

The top searched job categories for Medicaid Claims Processing Remote jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Medicaid Claims Processing Remote jobs?

Cities near Raleigh, NC with the most Medicaid Claims Processing Remote job openings:

Medicaid Claims Processing Remote jobs near you
Infographic showing various Medicaid Claims Processing Remote job openings in Raleigh, NC as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 14% Part Time, 1% Temporary, 3% Contract, and 1% Nights. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $38,750 per year, or $18.6 per hour.

Sr Epic Resolute (Billing & Claims) Certified Analyst

UNC HEALTH

Morrisville, NC • On-site, Remote

$41.45 - $59.58/hr

Full-time

Re-posted 13 days ago

UNC Health rating

7.0

Company rating: 7.0 out of 10

Based on 321 frontline employees who took The Breakroom Quiz

422nd of 898 rated healthcare providers

Job description

Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.
Summary:
UNC Health is seeking an experienced Epic Resolute Certified Analyst to support our Community Connect program. This role supports external partner clinics using UNC Health's Epic platform, with a focus on professional billing (PB), claims management, and end-to-end revenue cycle workflows, with strong alignment to ambulatory operations.
Location: Morrisville, NC (Hybrid: Remote & Onsite)
Team: Community Connect | UNC Health ISD
Responsibilities:
  • Design, build, and support Epic Resolute (Professional Billing & Claims) functionality
  • Maintain billing rules, including charge routing, claim edits, payer setup, and workqueues
  • Support charge capture, claim submission, payment posting, denials, and A/R workflows
  • Troubleshoot billing and claims issues, including rejections, denials, and workflow gaps
  • Partner with revenue cycle, coding, and operational teams to optimize workflows and reduce revenue leakage
  • Support requirements gathering, testing, go-lives, and system enhancements
  • Provide onsite clinic support, including workflow analysis and optimization
  • Ensure data integrity, compliance, and reporting support for revenue cycle performance

Preferred Qualifications:
  • Epic Resolute Certification (Professional Billing) (active)
  • 3+ years of Epic Resolute experience in a healthcare environment
  • Strong knowledge of billing, claims processing, and revenue cycle operations
  • Experience with claim edits, denials management, and A/R follow-up workflows
  • Ability to travel to clinics for onsite support
  • Experience with Community Connect or multi-site environments
  • Experience with workqueues, claim scrubbing, and payer/plan build
  • Understanding of ambulatory (PB) workflows and integrations with Cadence/Prelude
  • Experience supporting go-lives, testing (UAT), and workflow optimization initiatives

Other Information
Education Requirements:
• Bachelor's degree in Computer Science, Information Systems Management or related field (or equivalent combination of education, training and experience).
Licensure/Certification Requirements:
• No licensure or certification required.
Professional Experience Requirements:
• If a Bachelor's degree: Four (4) years of experience with IT systems and/or related operational experience.
• If an Associate's degree: Six (6) years of IT systems and/or related operational experience.
• If a High School diploma or GED: Eight (8) years of IT systems and/or related operational experience.
Knowledge/Skills/and Abilities Requirements:
  • Epic Resolute Certification (Professional Billing) (active)
  • 3+ years of Epic Resolute experience in a healthcare environment
  • Strong knowledge of billing, claims processing, and revenue cycle operations
  • Experience with claim edits, denials management, and A/R follow-up workflows
  • Ability to travel to clinics for onsite support
  • Excellent analytical and communication skills. Ability to work well in a team environment. Demonstrated ability to successfully manage multiple tasks simultaneously. Highly responsive to internal customers.

Job Details
Legal Employer: NCHEALTH
Entity: Shared Services
Organization Unit: ISD Ambulatory Services
Work Type: Full Time
Standard Hours Per Week: 40.00
Salary Range: $41.45 - $59.58 per hour (Hiring Range)
Pay offers are determined by experience and internal equity
Work Assignment Type: Hybrid
Work Schedule: Day Job
Location of Job: US:NC:Morrisville
Exempt From Overtime: Exempt: Yes
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.

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