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On Call Remote Medical Claims Processor Jobs (NOW HIRING)

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 Medical terminology * Computer with 2 Monitors * High Speed Internet Connection

Insperity

Medical Claims Examiner

Los Angeles, CA · On-site +1

$24 - $30/hr

Paid time off, flexible schedule, and remote work choices provided Plus, we work to maintain the ... Solid knowledge of Medicare and Medi-Cal managed care claims processing and compliance guidelines.

Insperity

Medical Claims Examiner

CA · On-site +1

$24 - $30/hr

Description & Requirements Medical Claims Examiner- Chatsworth Local Remote or In-Office Join a ... Solid knowledge of Medicare and Medi-Cal managed care claims processing and compliance guidelines.

Conduent, Inc.

Remote Claims Processor

VA · Remote

$15/hr

Remote Claims Processor Schedule: Flexible shifts between 6:00 AM - 10:30 PM (based on business ... medical condition, use of a guide dog or service animal, military/veteran status, citizenship ...

Insperity

Medical Claims Examiner

CA · Remote

$24 - $30/hr

Description & Requirements Medical Claims Examiner- Chatsworth Local Remote or In-Office Join a ... Solid knowledge of Medicare and Medi-Cal managed care claims processing and compliance guidelines.

Moda Health

Medical Claims COB Processor I

Milwaukie, OR · Remote

$18.39 - $20.58/hr

Minimum of 6 months medical claim processing or customer service dealing with all types of plans/claims and consistently exceeding performance levels. * Professional and effective written and verbal ...

Imagenet

Claims Examiner - Remote

Tampa, FL · Remote

... processing medical claims and provider dispute requests in accordance with payer guidelines ... Remote work offered * Equipment provided * Paid trainingto set you up for success * Comprehensive ...

Imagenet

Claims Examiner - Remote

Tampa, FL · On-site +1

... processing medical claims and provider dispute requests in accordance with payer guidelines ... Remote work offered * Equipment provided * Paid training to set you up for success * Comprehensive ...

PharMerica

Pharmacy Claims Processor / Remote

Louisville, KY · On-site +1

$15.50 - $19.75/hr

... remote, giving you the freedom to work from anywhere! What You'll Do: As a dynamic Claims ... 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:

PharMerica

Pharmacy Claims Processor / Remote

Louisville, KY · On-site +1

$15.50 - $19.75/hr

... remote, giving you the freedom to work from anywhere! What You'll Do: As a dynamic Claims ... Prepares and maintains reports and records for processing * Performs other tasks as assigned ...

Amerita

Pharmacy Claims Processor / Remote

Louisville, KY · On-site +1

$15.50 - $19.75/hr

... remote, giving you the freedom to work from anywhere! What You'll Do: As a dynamic Claims ... Prepares and maintains reports and records for processing * Performs other tasks as assigned ...

PharMerica

Pharmacy Claims Processor / Remote

Louisville, KY · On-site +1

$15.50 - $19.75/hr

... remote, giving you the freedom to work from anywhere! What You'll Do: As a dynamic Claims ... Prepares and maintains reports and records for processing * Performs other tasks as assigned ...

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All JobsOn Call Medical Claims Processor JobsOn Call Remote Medical Claims Processor Jobs

On Call Remote Medical Claims Processor information

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How much do on call remote medical claims processor jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for on call remote medical claims processor in the United States is $19.47, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $21.63 per hour, depending on experience, location, and employer.

What is the difference between On Call Remote Medical Claims Processor vs Remote Medical Claims Processor?

AspectOn Call Remote Medical Claims ProcessorRemote Medical Claims Processor
CredentialsTypically requires medical billing/coding certificationSame as on call role, often requiring certification
Work EnvironmentRemote, flexible hours, on call availabilityRemote, standard hours, less on call demand
Employer & IndustryHealth insurance companies, healthcare providersHealth insurance companies, healthcare organizations
Search & Comparison IntentHigh overlap, focus on on call availability and flexibilityStandard remote claims processing roles

The main difference is that the On Call Remote Medical Claims Processor is expected to be available on an as-needed basis, often outside regular hours, requiring flexibility. The Remote Medical Claims Processor typically works standard hours with less emphasis on on call duties. Both roles require similar credentials and are found in the healthcare insurance industry, but the on call position emphasizes availability and flexibility.

What cities are hiring for On Call Remote Medical Claims Processor jobs?

Cities with the most On Call Remote Medical Claims Processor job openings:

What are the most commonly searched types of Remote Medical Claims Processor jobs?

The most popular types of Remote Medical Claims Processor jobs are:

On Call Remote Medical Claims Processor jobs near you

FACETS Claims Processor

Sourcedge Solutions

Albany, NY • Remote

$17 - $21.25/hr

Contractor

Re-posted 3 days ago

Job description

Location: Remote 
Reply at: Jobs@sourcedge.com
FACETS SENIOR CLAIMS PROCESSOR 
Job Description:
 
  • 5 Years Facets Claims Adjudication Experience
 
  • The Claims Examiner must maintain production and inventory standards compliant with Claims Administration requirements
 
  • High school diploma or equivalent required
 
  • Must have 5+ years of relevant claim processing experience in healthcare industry (managed care or TPA Company) to support our clients
 
  • Possess high productivity and quality standards within a claims processing automation environment
 
  • Knowledge of CPT, HCPC, ICD-10 codes
 
  • Knowledge of HMO, PPO, Medicare and Medicaid plans
 
  • Knowledge of Medical terminology
 
  • Computer with 2 Monitors
 
  • High Speed Internet Connection
 
  • Ability to work remote 8 hour day, Mon-Fri.

Responsibilities:
 
  • The claims examiner is responsible for accurate and timely adjudication of claims for the Health Plans lines of business
 
  • Primary duties include analysis and resolution of claims, including reviewing pended claims and manually resolving based on client specified direction and criteria, including  third-party liability claims
 
  • The claims examiner must be able to work independently, effectively prioritizing work in a production environment that frequently changes to meet production standards and contractual requirements
 
  • Success in this position will be based on the individual's ability to effectively prioritize work, identify, and resolve complex concerns in a professional manner, and work in a team environment to achieve and maintain production and audit standards
 
  • Timely and accurate processing and adjudication of all types of claims from assigned workflow queues
 
  • Compliance with state, federal and contractual requirements to Claims Administration
 
  • Demonstrate a thorough knowledge of the Plan's claims processing procedures as provided in training materials and proficiency with the core and ancillary system applications
 
  • Demonstrates the ability to think analytically to resolve complicated claim issues and identify appropriately when to escalate issues for review
 
  • Ability to review and apply Plan directives and desktop procedures to claims, following step by step guidelines
 
  • Claim analysis of coding and billing compliance, potential third-party liability, accurate coordination of benefits (COB), benefit application including limitations and restrictions, pre-existing conditions, subrogation, medical necessity and other claim investigation as appropriate
 
  • Complete all mandatory claims training/refresher courses
 
  • Actively participates and supports department and organization-wide efforts to improve efficiencies while supporting departmental goals and objectives
 
  • Complete all mandatory compliance and corporate training
 
  • Must be able to adapt to a changing work priorities and requirements and perform other duties as directed to support the overall functions of Claims Administration and support of staff without boundaries within the Plan