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Medicaid Claims Processing Remote Jobs (NOW HIRING)

Molina Healthcare

Senior Examiner, Claims

Long Beach, CA · Remote

$18.50 - $23.50/hr

Required Qualifications Must have at least 2 years of experience processing Medicaid claims At least 2 years of experience in claims, and/or customer service experience in a clerical role ...

Sourcedge Solutions

FACETS Claims Processor

Albany, NY · Remote

$17 - $21.25/hr

Remote Reply at: Jobs@sourcedge.com FACETS SENIOR CLAIMS PROCESSOR * 5 Years Facets Claims ... Knowledge of HMO, PPO, Medicare and Medicaid plans * Knowledge of Medical terminology * Computer ...

BerryDunn

Medicaid Program Integrity Senior Consultant

$118K - $119K/yr

You will perform claims audits, document findings, and conduct forensic reviews and investigations ... This position offers flexibility in work location, including fully onsite, hybrid, or remote ...

NTT DATA

Medical 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:

NTT DATA

Medical Claims Processor - Remote

$18/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. Medical Claims Processing Specialist Location: Remote ...

Son

IT Applications Developer/Senior - MMIS

Lincoln, NE · On-site +1

$36.06/hr

Not eligible to be a contracted or remote position. Examples of Work Job duties include: * Design ... Experience in Medicaid/claims processing systems Other: Position is located on-site at the Nebraska ...

Amerita

Pharmacy Claims Processor / Remote

Louisville, KY · On-site +1

$15.50 - $19.75/hr

... Medicaid plans to ensure maximum payer reimbursement adhering to critical deadlines * Ensures ... Prepares and maintains reports and records for processing * Performs other tasks as assigned ...

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:

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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 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 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.
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Medicaid Claims Processing Remote jobs near you
Infographic showing various Medicaid Claims Processing Remote job openings in the United States 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 $39,863 per year, or $19.2 per hour.

Claims Processor (52219)

GLOBALHEALTH HOLDINGS LLC

Oklahoma City, OK • Remote

$15.75 - $20/hr

Full-time

Medical

Re-posted 6 days ago

Job description

WHO WE ARE:

    GlobalHealth is a fast-growing Medicare Advantage HMO health insurer. We aspire to be the employer of choice in our industry, attracting and retaining a highly talented workforce. Our passion is Genuine Care and Optimal Health for the members we serve. We are unique by providing high touch, high value and a partnership to our members. We go above and beyond to provide personalized, engaging, and responsive services to our members. We work hard to offer affordable health insurance coverage with the benefits people truly want and need. It is our hope to be more than just a health insurance company we want to be long-term partners with our members. We are looking for future employees who exude our core values of taking accountability through ownership, being driven, innovative and who have a passion for continuous learning.

    WHO YOU ARE:

    The Claims Processor is primarily responsible for processing all types of contracted and non-contracted claims accurately and timely for Medicare, Medicaid and Commercial Insurance products. The Claims Processor works directly with the Team Leader and/or Claims Supervisor on the day-to-day operations of the Claims for the purpose of meeting the company, department and regulatory standards for quantity, quality, and timeliness. This position requires the ability to work independently, accomplish goals, excellent customer service and communication skills.

    ESSENTIAL JOB FUNCTIONS:

    • Processes claims based on the productivity and quality standard set (HCFA1500 and UB92) per day in accordance with contractual and non-contractual agreements and processing guidelines.
    • Works with Claims Supervisor or Manager in review of processed and pended claims to ensure appropriate, timely and accurate claims processing.
    • Coordinates with Claims Manager on resolution of customer service inquiries within 24 hours of receipt.
    • Assist with Claims adjustment projects as requested.
    • May help with Claims entry when requested.
    • Completes various work assignments as requested by supervisor in a timely manner.
    • Maintains current desk procedures and reference materials.
    • Must maintain confidentiality of business information, including Protected Health Information (PHI), as required by HIPAA and company policy.
    • Performs other duties as assigned.

    EDUCATION AND EXPERIENCE:

    • High school diploma or equivalent required.
    • Two year of medical claims processing experience strongly preferred.

    KNOWLEDGE, SKILLS AND ABILITIES:

    • Must have full understanding of insurance processes (Managed Care, Medicare, Medicaid and Commercial practices).
    • Working knowledge of medical claims processing guidelines and practices.
    • Knowledge of Medicare and Health Care Finance Administration regulations.
    • Knowledge of EOBs, CPT & ICD-10 codes, HCFAs, UB04s, HCPCS, DRGs and authorizations/referrals.
    • Ability to read and interpret provider contracts.
    • Strong verbal, written and organizational skills, must be self-directed/self-motivated and must have analytical, problem-solving, and decision-making abilities.
    • Accurate keyboard skills.
    • Ability to function in a fast-paced, detail-oriented environment.
    • Basic math skills.
    • High degree of accuracy.
    • Team player.

    WORK ENVIRONMENT:

    • Current work environment is remote, however, some state exclusions apply.

      Must have access to a reliable and secured internet connection source. Work environment must maintain confidentiality of business information, including Protected Health Information (PHI), as required by HIPAA and company policy. This position will also be required to use reasonable and necessary safeguards to protect GlobalHealth records from unauthorized access, disclosure or damage and will adhere to all GlobalHealth privacy and security policies.

    TRAVEL:

    No travel is required

    SUPERVISORY RESPONSIBILITY:

    This position has no supervisory responsibility

    OTHER DUTIES:

    This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

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