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Medicaid Claims Processing Remote Jobs in Raleigh, NC

ActivStyle

Sales Representative

Durham, NC · Remote

$70K/yr

Hybrid (Remote/with Field Visits) Looking for a meaningful career where you can truly impact lives ... process orders and drive sales growth * Communicate and explain Medicare, Medicaid, and private ...

Focused HR Solutions

Project Manager 1.19

Raleigh, NC · Remote

$65 - $80/hr

This job is remote for now due to Covid but all work must be completed on-site at the client ... Required 7 Years * Has an understanding of CMS' Seven Standards and Conditions and Medicaid ...

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All JobsMedicaid Claims Processing JobsMedicaid Claims Processing Remote JobsMedicaid Claims Processing Remote Jobs in Raleigh, NC

Medicaid Claims Processing Remote information

See Raleigh, NC salary details

$11

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$25

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

As of Aug 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 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 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 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 July 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $38,750 per year, or $18.6 per hour.

(Remote Part-Time) Instructor - Medical Billing and Coding

ProTrain

Raleigh, NC • Remote

Contractor

Re-posted 27 days ago

Job description

POSITION OVERVIEW:

ProTrain is currently recruiting for an experienced Live Online instructor with experience teaching Medical Billing & Coding.

Candidates must have experience teaching in a classroom or/and in a synchronous environment, as well as have a minimum of 3 years in Medical Billing & Coding.

This is a part time; contracted teaching position to begin immediately. Future classes will be available to the right candidate.

Course Day/Time: Mondays & Wednesdays or Tuesdays & Thursdays, 7PM - 10PM ET

WHAT YOU WILL DO:

  • Live Online instructor
  • Describe the role of the Certified Medical Billing Specialist
  • Describe the origin of medical language.
  • Analyze the component parts of a medical term.
  • List and define basic prefixes, suffixes, and combining forms.
  • Use basic prefixes, suffixes, and combining forms to build medical terms.
  • Explain common rules for proper medical term formation, pronunciation, and spelling.
  • Assess the responsibilities assigned to insurance billing and coding specialists and electronic claims processors.
  • Describe the health care delivery system.
  • Explain the responsibilities of the billing and coding specialist to protect patient rights under HIPAA.
  • Demonstrate a basic understanding of the anatomy and physiology of body systems and related medical terminology in order to properly process clean claims.
  • Utilize the ICD‐10-CM manual, including V codes, E codes, and the Neoplasm and Hypertension tables.
  • Demonstrate a basic understanding of the ICD-10-CM and ICD-10-PCS
  • Utilize the CPT manual and the various guidelines.
  • Demonstrate diagnostic and procedural coding.
  • Describe basic guidelines for submitting insurance claims.
  • Explain the difference between clean, pending, rejected, incomplete, and invalid claims.
  • Identify solutions for denied and rejected paper and electronic claims.
  • Identify when a paper claim can and cannot be used.
  • Explain the relationship of transactions and security with electronic data.
  • Communicate (verbally and non‐verbally) effectively and appropriately in the workplace.

REQUIRED QUALIFICATIONS:

  • Minimum 3-5 years teaching experience
    • Teaching certification preferred
  • Minimum 3 years in related field of study
  • Billing and Coding Certification
  • Must adhere to weekly class schedule

WHAT WE OFFER:

  • Competitive Salary
  • Flexible, Part-time hours
  • Faculty Development

WHY PROTRAIN?

Founded in 2004, ProTrain offers quality classroom and online training. We provide a CE-Turnkey Solution and partnership opportunities for institutions of higher learning to provide programs to various verticals such as Military Tuition Assistance (TA), Military Spouses (MyCAA), Wounded Warriors, Veterans, Unemployed (WIA), Corporate and Individuals.
ProTrain is an affordable solution for students seeking to prepare for an in-demand career that will help move them and America forward to achieve the goal of Education 2 Employment! Personal Training Assessment Managers will work with you throughout the entire process before, during and after to assist with the student’s program of study.
At ProTrain, we realize that learning is a commitment that we are all making to have a better future. Our clients’ needs (partners and students) are paramount. We are committed to your success and ours, one student at a time.

ProTrain is an Equal Opportunity Employer.

For more information, visit us at www.ProTrainEDU,org

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