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Remote Afternoon Medical Claims Processor Jobs in Raleigh, NC

UNC HEALTH

Revenue Cycle Representative

Chapel Hill, NC · On-site +1

$18.12 - $25.51/hr

Process paper correspondence as assigned. Performs all duties in a manner which promotes teamwork ... Research medical records to gather information and substantiate medical justification for ...

UNC HEALTH

Revenue Cycle Representative

Chapel Hill, NC · On-site +1

$18.12 - $25.51/hr

Process paper correspondence as assigned. Performs all duties in a manner which promotes teamwork ... Research medical records to gather information and substantiate medical justification for ...

IQVIA

Associate Director, Medical Reviewer

Durham, NC · Remote

$120K - $335K/yr

This is a remote role but may require onsite visits to clients. Job Responsibilities: * Represent ... Advise on approval processes and best practices * Act as an internal escalation point for review ...

IQVIA

Associate Director, Medical Reviewer

Durham, NC · Remote

$120K - $335K/yr

This is a remote role but may require onsite visits to clients. Job Responsibilities: * Represent ... Advise on approval processes and best practices * Act as an internal escalation point for review ...

Duke University

MEDICAL RECORDS CODER II

Durham, NC · Remote

$18 - $24.25/hr

This position is 100% remote. All Duke University remote workers must reside in one of the ... Maintain a thorough understanding of anatomy and physiology, medical terminology, disease processes ...

Duke University

MEDICAL RECORDS CODER II

Durham, NC · Remote

$18 - $24.25/hr

This position is 100% remote. All Duke University remote workers must reside in one of the ... Maintain a thorough understanding of anatomy and physiology, medical terminology, disease processes ...

Duke Health

MEDICAL RECORDS CODER II

Durham, NC · Remote

$18 - $24.25/hr

This position is 100% remote. All Duke University remote workers must reside in one of the ... Maintain a thorough understanding of anatomy and physiology, medical terminology, disease processes ...

Duke Health

MEDICAL RECORDS CODER II

Durham, NC · Remote

$18 - $24.25/hr

This position is 100% remote. All Duke University remote workers must reside in one of the ... Maintain a thorough understanding of anatomy and physiology, medical terminology, disease processes ...

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All JobsAfternoon Medical Claims Processor JobsRemote Afternoon Medical Claims Processor JobsRemote Afternoon Medical Claims Processor Jobs in Raleigh, NC

Remote Afternoon Medical Claims Processor information

See Raleigh, NC salary details

$13

$18

$25

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

As of Aug 7, 2026, the average hourly pay for remote afternoon medical claims processor in Raleigh, NC is $18.92, according to ZipRecruiter salary data. Most workers in this role earn between $16.83 and $21.01 per hour, depending on experience, location, and employer.

What is the difference between Remote Afternoon Medical Claims Processor vs Remote Morning Medical Claims Processor?

AspectRemote Afternoon Medical Claims ProcessorRemote Morning Medical Claims Processor
Work HoursAfternoon shifts, typically 12 PM - 8 PMMorning shifts, typically 8 AM - 4 PM
CertificationsMedical claims processing certification preferredMedical claims processing certification preferred
Work EnvironmentRemote, independent work settingRemote, independent work setting
Industry UsageHealthcare insurance companies, third-party administratorsHealthcare insurance companies, third-party administrators

The main difference between Remote Afternoon Medical Claims Processor and Remote Morning Medical Claims Processor is the shift timing. Both roles require similar certifications and work in remote healthcare insurance environments. The choice depends on your preferred work hours, with the afternoon role suited for those who prefer later shifts.

What are the most commonly searched types of Remote Medical Claims Processor jobs in Raleigh, NC? The most popular types of Remote Medical Claims Processor jobs in Raleigh, NC are:
Remote Afternoon Medical Claims Processor jobs near you
Infographic showing various Remote Afternoon Medical Claims Processor job openings in Raleigh, NC as of July 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, and 4% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $39,362 per year, or $18.9 per hour.

Revenue Cycle Representative

UNC HEALTH

Chapel Hill, NC • On-site, Remote

$18.12 - $25.51/hr

Full-time

Medical

Re-posted 16 days ago

Job description

Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.
Summary:
May be responsible for performing a variety of complex duties, including but not limited to, working outstanding insurance claims having no response from payors, having claim edits, and/or having received claim form related denials. Maintains A/R at acceptable aging levels by prompt follow-up of unpaid claims and denied claims. Review credit balances for possible reallocation or refunds. May be responsible for posting payments, contractual adjustments, and denials in a timely, accurate, and complete manner. Process paper correspondence as assigned. Performs all duties in a manner which promotes teamwork and reflects UNC Health's mission and philosophy.
Responsibilities:
  • Responsible for the accurate and timely submission of claims, response to denials, and re-bills of insurance claims. Responsible for all aspects of insurance follow-up and collections including interfacing with internal and external departments to resolve discrepancies through charge corrections, payment corrections, writeoffs, refunds or other methods. Edit claims (DNB, Coverage Changes, Claim Edits, Stop Bills) within scope of authority (or escalate as needed) to meet and satisfy billing compliance guidelines for electronic submission. Contact insurance carriers to obtain authorizations and referral approvals for services and procedures. Research medical records to gather information and substantiate medical justification for procedures as required by insurance carriers. Submits requested medical information to insurance carrier.
  • Responsible for the analysis and necessary corrections of patient invoices or accounts as it pertains to clean claim submissions or re-bills. Responsible for maintaining work queues. Access, review and respond to third party correspondence via Document Management system. Research and resolve a variety of issues relating to posting of payments and charges, insurance denials, secondary billing issues, credit balances, sequencing of charges, and non-payment of claims. Contact patients, physicians and insurance companies to obtain information necessary for invoice or account resolution through write-offs, reversals, adjustments, refunds or other methods. Verify claims adjudication utilizing appropriate resources and applications. Post payments (Insurance and/or Patient) and denials to patient invoices/accounts in a timely and accurate manner.
  • Reconcile accounts, research and resolve a variety of issues relating to posting of payments and charges, insurance denials, secondary billing issues, sequencing of charges, and non-payment of claims. Respond to any assigned correspondence in a timely, professional, and complete manner. Identify issues and/or trends and provide suggestions for resolution to management, including payer, system or escalated account issues. May maintain data tables for systems that support Patient Accounting operations. Evaluate carrier and departmental information and determines data to be included in system tables. Read and interpret EOB's (Explanation of Benefits).
  • Maintain basic understanding and knowledge of health insurance plans, policies and procedures. Accurately and thoroughly document the pertinent collection activity performed. Participate and attend meetings, training seminars and in-services to develop job knowledge. Meets/Exceeds Productivity and Quality standards

Other Information
Other information:
Education Requirements:
• High School Degree
Licensure/Certification Requirements:
Professional Experience Requirements:
• Two (2) years of experience in hospital or physician insurance related activities ((Authorization, Billing, Follow-Up, Call-Center, or Collections)
Knowledge/Skills/and Abilities Requirements:
Job Details
Legal Employer: NCHEALTH
Entity: Shared Services
Organization Unit: PFE Coverage Coordination
Work Type: Full Time
Standard Hours Per Week: 40.00
Salary Range: $18.12 - $25.51 per hour (Hiring Range)
Pay offers are determined by experience and internal equity
Work Assignment Type: Remote
Work Schedule: Day Job
Location of Job: US:NC:Chapel Hill
Exempt From Overtime: Exempt: No
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.

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