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Remote Claim Md Jobs in Florida (NOW HIRING)

ARC Group

Medical Director

Jacksonville, FL · Remote

MEDICAL DIRECTOR - REMOTE ARC Group has an immediate opportunity for a Medical Director! This ... MD or DO degree from accredited Medical School * Minimum of three years clinical practice ...

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Remote Claim Md information

What is a remote claim MD?

Remote Claim MDs are medical doctors who work remotely to review, evaluate, and process medical insurance claims. They use their clinical expertise to assess the validity of claims, determine medical necessity, and ensure that treatments meet insurance guidelines. Working remotely, they collaborate with insurance companies, healthcare providers, and patients, often using digital tools to review medical records and documentation. This role helps streamline the claims process while ensuring compliance with healthcare policies and standards.

What are the key skills and qualifications needed to thrive as a remote claim MD, and why are they important?

To thrive as a Remote Claims Medical Reviewer, you need a solid background in medicine, strong analytical skills, and relevant clinical experience, often supported by a medical degree or advanced healthcare certification. Familiarity with claims processing software, electronic health records (EHRs), and utilization review systems is typically required. Excellent attention to detail, critical thinking, and effective written communication are vital soft skills for success in this role. These competencies ensure accurate and timely claim reviews, compliance with regulations, and high-quality case assessments in a remote work environment.

What are some common challenges faced by remote claim MDs and how can they be addressed?

Remote Claim Medical professionals often encounter challenges such as limited access to physical documentation, coordinating effectively with both patients and healthcare providers, and maintaining data security while working offsite. To overcome these, professionals utilize secure digital platforms for document management, establish clear communication channels with team members, and follow best practices for remote work security. Regular training on industry regulations, such as HIPAA, and proactive time management also help ensure efficient and compliant claims processing.

What is the difference between Remote Claim Md vs Remote Medical Claims Processor?

AspectRemote Claim MdRemote Medical Claims Processor
Required CredentialsMedical degree, medical licensing, claims knowledgeHigh school diploma or equivalent, claims processing experience
Work EnvironmentHealthcare settings, insurance companies, remote optionsInsurance companies, healthcare providers, remote
Industry UsageHealthcare, insurance, medical billingInsurance, healthcare administration
Common Search/ComparisonMedical expertise, claims review, healthcare claimsClaims processing, insurance claims, administrative work

Remote Claim Md professionals typically have medical credentials and focus on reviewing and managing healthcare claims with medical expertise. In contrast, Remote Medical Claims Processors handle claims processing from an administrative perspective, often without medical licensing. Both roles operate remotely within the healthcare and insurance industries but differ in required qualifications and daily responsibilities.

What are popular job titles related to Remote Claim Md jobs in Florida?

For Remote Claim Md jobs in Florida, the most frequently searched job titles are:

What job categories do people searching Remote Claim Md jobs in Florida look for?

The top searched job categories for Remote Claim Md jobs in Florida are:

What cities in Florida are hiring for Remote Claim Md jobs?

Cities in Florida with the most Remote Claim Md job openings:

Remote Claim Md jobs near you
Infographic showing various Remote Claim Md job openings in Florida as of August 2026, with employment types broken down into 1% Locum Tenens, 1% As Needed, 79% Full Time, 11% Part Time, and 8% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution.

Accounts Receivable Rep- 3rd Party Non-Gov't payers

Trident Care

Clearwater, FL • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 6 days ago

TridentCare rating

6.8

Company rating: 6.8 out of 10

Based on 58 frontline employees who took The Breakroom Quiz

500th of 893 rated healthcare providers

Job description

The Commercial Accounts Receivable Representative is responsible for preparing and submitting claims for accounts to ensure timely reimbursement, investigating and processing refunds when warranted

    • Prepare, edit and submit account billing in accordance with payer guidelines.  Ensure all claims issues are resolved and submitted accurately and timely per insurance guidelines.
    • Verify patient’s insurance eligibility.
    • Submit system payer/fee schedule changes when required to supervisor.
    • Submit all required documentation with claim. Updates patient demographics changes and performs required rebilling. Requests necessary documentation when missing from client, physician or patient as appropriate.
    • Access client files if necessary to verify information.
    • Respond to verbal and written insurance or responsible party inquiries regarding account status within policy and procedure timeline.  Research accounts and document follow up appropriately.
    • Resolve account discrepancies and prepare adjustments and refunds for approvals as necessary.
    • Maintain accurate and complete records concerning billing activity on all accounts.  Document in the system records.
    • Address problems as they occur.  Keep supervisor advised of area or compliance issues which may lead to untimely or inaccurate completion of invoice or claim submission.
    • Complete all reports according to schedule.
    • Perform other tasks as assigned to support the goals of the organization.
    • To be able to work independently.
    • To work remote, you must have high speed internet, required to hard wire into your router, and be able to pass speed test of at least 20 megabit (Mbit) provided from your internet carrier. Most cable TV providers will offer at least this speed.  

Work Environment: This is a remote position but candidate should be located within 50 miles of one of these locations for technical support.

Sparks/Hunt Valley, MD

Carrollton, TX

Horsham, PA

Columbus, OH

Clearwater, FL

Pay Rate: $18-21 per hour

Benefits: 

                TridentCare offers a competitive wage and robust benefit package to full time employees. 

 Benefits include:

  • Two weeks of vacation time (accrued)
  • Health Insurance after 30 days!
  • Sick time
  • 6 paid holidays, currently 2 floating holidays
  • Medical insurance allowance, giving you the freedom to customize your plan to fit your needs
  • Dental insurance
  • Vision insurance
  • Disability insurance
  • Company paid life insurance
  • 401(k)

What TridentCare employees say

Pay

Benefits

Hours and flexibility

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