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Medicaid Claims Processing Remote Jobs (NOW HIRING)

NTT DATA

Healthcare Claims Processor, Remote

$17.50 - $22/hr

Remote Claims Processing Associate NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team. In this role, the candidate will be responsible for:

My3Tech Inc

Medicaid Staff

Remote Duration: Long Term Medicaid Staff Duties: * Assist HFS Executive Staff with Medicaid policy ... Administration, Provider Management, Member Management, Claims Processing, Pharmacy Program, Drug ...

Diverse Lynx

Claims Adjudicator

$19/hr

Tampa, FL (Remote after 8 Week Onsite Training) Duration: Full Time Salary: $19/Hr. + Benefits Job ... Understanding of Medicare and Medicaid eligibility and claims processing. * Preferred: Experience ...

Conduent, Inc.

Claims Processor

KY · Remote

$18/hr

Claims Processor (Remote) Are you detail-oriented with claims experience and looking for a remote opportunity where your performance is rewarded? We're hiring Claims Processors to join our team! Pay ...

Conduent, Inc.

Claims Processor

KY · Remote

$18/hr

Claims Processor (Remote) Are you detail-oriented with claims experience and looking for a remote opportunity where your performance is rewarded? We're hiring Claims Processors to join our team! Pay ...

ImageNetLLC

Claims Examiner - Remote

Tampa, FL · Remote

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 ...

Imagenet

Claims Examiner - Remote

Tampa, FL · Remote

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 ...

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 ...

Cynet Systems

Claims Processor - Remote / Telecommute

$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 ...

NTT DATA

Medical Claims Processor - Remote

$18/hr

NTT DATA currently seeks a Claims Processor to join our team for a remote position. Role ... Processing of professional claim forms files by provider * Reviewing the policies and benefits

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 ...

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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 Jul 2, 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.
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Medicaid Claims Processing Remote jobs near you
Medicaid Account Resolution Specialist - Digitech - Remote

Medicaid Account Resolution Specialist - Digitech - Remote

Sarnova HC, LLC

Remote

$14.75 - $20.50/hr

Full-time

Retirement

Posted 15 days ago

Sarnova rating

8.2

Company rating: 8.2 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

Job description

The Sarnova Family of companies includes Digitech Computer, Bound Tree Medical, Tri-anim Health Services, Cardio Partners, and Emergency Medical Products
Digitech is a leading provider of advanced billing and technology services to the EMS transport industry. Since its founding in 1984, Digitech has refined its software platform to create a cloud-based billing and business intelligence solution that monitors and automates the entire EMS revenue lifecycle. Digitech leverages its proprietary technology to offer fully outsourced services that maximize collections, protect compliance, and deliver results for clients.
Summary:
The Medicaid Account Resolution Specialist is responsible for resolving Medicaid claims after submission, ensuring accurate reimbursement and timely follow-up throughout the billing lifecycle. This role requires strong attention to detail, consistent follow-through, the ability to manage multiple priorities, and a commitment to delivering high-quality service to both clients and patients.
Essential Duties and Responsibilities:
  • Review Medicaid claims that are pending, on hold, denied, or paid incorrectly, and take appropriate steps to resolve issues and secure accurate reimbursement
  • Identify the reasons claims are on hold by reviewing account details, correcting errors, and ensuring all required information is complete and compliant with Medicaid guidelines
  • Evaluate denial reasons, determine the next steps for correction or resubmission, and complete timely follow-up to move claims toward payment
  • Submit additional documentation or clarification to Medicaid as needed, including adjustments, corrections, and appeal requests when claims require further review
  • Monitor and manage incoming correspondence-mail, email, and electronic notifications-responding promptly and processing refunds or adjustments when required
  • Document all actions taken on each claim in the billing system to maintain accurate records and support compliance with payer and internal requirements
  • Recognize recurring issues or trends (such as missing information or common denial codes) and alert management when patterns may impact claim processing or reimbursement timelines
  • Maintain productivity and quality standards while managing a high volume of claims and meeting required timelines and filing limits
  • Additional job duties as assigned

Skills/Experience Required:
  • Education: High School Diploma or equivalent required
  • Strong computer skills, including working knowledge of MS Outlook, Word, and Excel
  • Ability to multi-task effectively in a fast-paced environment
  • Minimum typing speed of 40 WPM with accuracy
  • Proven ability to manage a high volume of work while meeting strict deadlines
  • Experience working in metrics-driven environments-such as call centers or performance-based roles-is helpful
  • Ability to remain calm, professional, and solution-oriented during phone interactions while representing the company positively
  • Excellent written and verbal communication skills; able to clearly present information and resolve issues
  • High attention to detail with strong accuracy and follow-through
  • Ability to organize, prioritize, and manage workload independently
  • Ability to independently manage all aspects of the job role including required goals and business practices in a remote environment

Physical Requirements:
  • Ability to talk, hear, and see clearly to read and interpret information
  • Regular use of a computer, phone, and standard office equipment
  • Ability to secure confidential information
  • Perform all duties in a professional environment free of noise or anything that would create a negative customer experience

Work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential function of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Sarnova is an Equal Opportunity Employer. We offer a competitive salary, commensurate with experience, along with a comprehensive benefits package, including 401(k) Plan. EO/M/F/Veterans/Disabled. Our mission is to be the best partner for those who save and improve patients' lives. Excellence in delivering upon our mission is dependent upon having a diverse team that is empowered to bring their full, authentic self to work each day. We strive to create a workplace that reflects the communities we serve, and we are passionate about creating an inclusive workplace that promotes and values diversity.
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