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Medicaid Claims Processing Remote Jobs (NOW HIRING)

ImagenetLLC

Claims Examiner - Remote

Tampa, FL · Remote

$17 - $18/hr

We are looking for Experienced Claims Processor to join our rapidly growing team. Experience is ... Job Type: Full-time This is a fully remote position Pay: $17-18 per hour DOE Responsibilities:

Imagenet

Claims Examiner - Remote

Jacksonville, NC · Remote

$17 - $18/hr

We are looking for Experienced Claims Processor to join our rapidly growing team. Experience is ... Job Type: Full-time This is a fully remote position Pay: $17-18 per hour DOE Responsibilities:

Imagenet

Claims Examiner - Remote

Boise, ID · Remote

$17 - $18/hr

We are looking for Experienced Claims Processor to join our rapidly growing team. Experience is ... Job Type: Full-time This is a fully remote position Pay: $17-18 per hour DOE Responsibilities:

Imagenet

Claims Examiner - Remote

Saint Louis, MO · Remote

$17 - $18/hr

We are looking for Experienced Claims Processor to join our rapidly growing team. Experience is ... Job Type: Full-time This is a fully remote position Pay: $17-18 per hour DOE Responsibilities:

Imagenet

Claims Examiner - Remote

Tampa, FL · On-site +1

We are looking for Experienced Claims Processor to join our rapidly growing team. Experience is ... Job Type: Full-time This is a fully remote position Responsibilities: * Review and adjudicate ...

WPS

Appeals Claims Processor

Madison, WI · On-site +1

$19.60/hr

This is a 100% remote opportunity within any of our approved remote worker states. We are open to ... processing role. * Knowledge of TRICARE Policy Manuals and eligibility guidelines, claims ...

Ascendo Resources

GAP Claims Processor

Tampa, FL · Remote

$25 - $27/hr

Prior experience with high-volume claims processing environments. * Associate's degree or equivalent work experience. Work Environment * Fully remote for candidates with direct GAP Claims experience ...

New

IQVIA

Medical Biller/Claims Processing

Houston, TX · Remote

$23/hr

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to ...

IQVIA

Medical Biller/Claims Processing

Las Vegas, NV · Remote

$23/hr

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to ...

IQVIA

Medical Biller/Claims Processing

Newark, NJ · Remote

$23/hr

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to ...

IQVIA

Medical Biller/Claims Processing

Miami, FL · Remote

$23/hr

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to ...

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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 Jun 10, 2026, the average hourly pay for medicaid claims processing remote 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 the key skills and qualifications needed to thrive as a Medicaid Claims Processing Remote professional, and why are they important?

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.
More about Medicaid Claims Processing Remote jobs
What cities are hiring for Medicaid Claims Processing Remote jobs? Cities with the most Medicaid Claims Processing Remote job openings:
What are the most commonly searched types of Medicaid Claims Processing jobs? The most popular types of Medicaid Claims Processing jobs are:
What states have the most Medicaid Claims Processing Remote jobs? States with the most job openings for Medicaid Claims Processing Remote jobs include:
What job categories do people searching Medicaid Claims Processing Remote jobs look for? The top searched job categories for Medicaid Claims Processing Remote jobs are:
Medicaid Claims Processing Remote jobs near you

Claims Examiner - Remote

ImagenetLLC

Tampa, FL • Remote

$17 - $18/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 8 days ago

Job description

Imagenet LLC is a premier healthcare technology company revolutionizing medical claims processing as well as document management with unparalleled service, security, and efficiency. Our core mission is to help clients reduce costs and increase productivity by providing streamlined solutions in document imaging, data validation, adjudication, and on-demand retrieval of documents and data.


We are looking for Experienced Claims Processor to join our rapidly growing team.

Experience is required for this position.


Job Overview:

In this role, you will be responsible for accurately and efficiently processing medical claims in compliance with payer requirements and internal policies.


Job Type: Full-time 

This is a fully remote position 

Pay: $17-18 per hour DOE


Responsibilities:

  • Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of appropriate reimbursement methodologies.
  • Verify patient eligibility, provider credentialing, and coverage details to facilitate accurate claims processing.
  • Communicate with internal resources, and internal stakeholders to resolve claim discrepancies, request additional information, or clarify issues.
  • Participate in ongoing training and professional development activities.
  • Maintain accurate and detailed records of claims processing activities.
  • Review claim forms and supporting documents
  • Determine eligibility, verify data accuracy
  • Request additional information when needed
  • Process claims end-to-end
  • Identify and escalate complex or unusual claims for further review or investigation.
  • Participate in ongoing training and professional development activities.
  • Handle more complex claims with multiple services, providers


Experience:

  • 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 perform basic to intermediate mathematical computation routines
  • Medical terminology strongly preferred
  • Understanding of ICD-9 & ICD-10
  • Basic MS office computer skills
  • Ability to work independently or within a team
  • Time management skills
  • Written and verbal communication skills
  • Attention to detail
  • Must be able to demonstrate sound decision-making skills


What We Offer

  • Remote work offered
  • Equipment provided
  • Paid training to set you up for success
  • Comprehensive benefits: Medical, Dental, Vision, Life, HSA, 401(k)
  • Paid Time Off (PTO)
  • 7 paid holidays
  • A supportive team and a company that values internal growth


Ready to Grow Your Career?

We’d love to meet you! Click “Apply Now” and tell us why you’d be a great addition to the Imagenet team.


About Imagenet, LLC

Imagenet is a leading provider of back-office support technology and tech-enabled outsourced services to healthcare plans nationwide. Imagenet provides claims processing services, including digital transformation, claims adjudication and member and provider engagement services, acting as a mission-critical partner to these plans in enhancing engagement and satisfaction with plans’ members and providers.


The company currently serves over 70 health plans, acting as a mission-critical partner to these plans in enhancing overall care, engagement and satisfaction with plans’ members and providers. The company processes millions of claims and multiples of related structured and unstructured data elements within these claims annually. The company has also developed an innovative workflow technology platform, JetStreamTM, to help with traceability, governance and automation of claims operations for its clients.


Imagenet is headquartered in Tampa, operates 10 regional offices throughout the U.S. and has a wholly owned global delivery center in the Philippines.

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