Experience in medical claim processing is a plus * Bi-lingual (English/Spanish) is a plus The pay ... Remote #LI-DNP IQVIA is a leading global provider of clinical research services, commercial ...
New
Experience in medical claim processing is a plus * Bi-lingual (English/Spanish) is a plus The pay ... Remote #LI-DNP IQVIA is a leading global provider of clinical research services, commercial ...
New
Experience in medical claim processing is a plus * Bi-lingual (English/Spanish) is a plus The pay ... Remote #LI-DNP IQVIA is a leading global provider of clinical research services, commercial ...
New
Remote Department : Claims Reports To : Claims Supervisor FLSA Status : Non Exempt Compensation ... Key Responsibilities: * Claim Evaluation : Review and analyze CAT-related property claims ...
Remote Department : Claims Reports To : Claims Supervisor FLSA Status : Non Exempt Compensation ... Key Responsibilities: * Claim Evaluation : Review and analyze CAT-related property claims ...
Hollywood, FL · Remote
$20 - $28/hr
... processes * Strong understanding of insurance verification, authorizations, and claim submissions ... Hollywood, Florida (Remote) Minimum Years of Experience: 6 Level of Education: Bachelor's Degree ...
Quick apply
Hollywood, FL · Remote
$20 - $28/hr
... processes * Strong understanding of insurance verification, authorizations, and claim submissions ... Hollywood, Florida (Remote) Minimum Years of Experience: 6 Level of Education: Bachelor's Degree ...
Responsibilities include all aspects of claim file management from assignment to conclusion ... This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office ...
Responsibilities include all aspects of claim file management from assignment to conclusion ... This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office ...
Stuart, FL · On-site +1
Experience with healthcare clearinghouses, TPAs, or claim processing systems * Knowledge of claim adjudication workflows and payer-provider interactions * Project management experience in a ...
Stuart, FL · On-site +1
Experience with healthcare clearinghouses, TPAs, or claim processing systems * Knowledge of claim adjudication workflows and payer-provider interactions * Project management experience in a ...
Experience with healthcare clearinghouses, TPAs, or claim processing systems * Knowledge of claim adjudication workflows and payer-provider interactions * Project management experience in a ...
Experience with healthcare clearinghouses, TPAs, or claim processing systems * Knowledge of claim adjudication workflows and payer-provider interactions * Project management experience in a ...
Jacksonville, FL · On-site +1
$82K - $92K/yr
Remote, FL Reporting To: Chris Lewis Compensation: $82,500 - $92,500 / year Description Our Story ... process improvement initiatives. * Escalate significant claim, personnel, or client concerns to ...
Jacksonville, FL · On-site +1
$82K - $92K/yr
Remote, FL Reporting To: Chris Lewis Compensation: $82,500 - $92,500 / year Description Our Story ... process improvement initiatives. * Escalate significant claim, personnel, or client concerns to ...
Jacksonville, FL · On-site +1
$22 - $25/hr
The person handling this position is responsible for correcting, completing, and processing and ... Daily review of all postings before claim submission. * Daily closing of batches and balancing of ...
Jacksonville, FL · On-site +1
$22 - $25/hr
The person handling this position is responsible for correcting, completing, and processing and ... Daily review of all postings before claim submission. * Daily closing of batches and balancing of ...
Jacksonville, FL · Remote
$22 - $25/hr
The person handling this position is responsible for correcting, completing, and processing and ... Daily review of all postings before claim submission. * Daily closing of batches and balancing of ...
Jacksonville, FL · Remote
$22 - $25/hr
The person handling this position is responsible for correcting, completing, and processing and ... Daily review of all postings before claim submission. * Daily closing of batches and balancing of ...
Communicate any claim charge backs to dealer based on business rules. Assist the hotline with ... LI-Remote
Communicate any claim charge backs to dealer based on business rules. Assist the hotline with ... LI-Remote
Fort Lauderdale, FL · On-site +1
Provide detailed explanations to claimants regarding the adjudication process, claim denials, or settlement offers * Additional Responsibilities: * Implement alternative dispute resolution methods ...
Fort Lauderdale, FL · On-site +1
Provide detailed explanations to claimants regarding the adjudication process, claim denials, or settlement offers * Additional Responsibilities: * Implement alternative dispute resolution methods ...
Fort Lauderdale, FL · On-site +1
Provide detailed explanations to claimants regarding the adjudication process, claim denials, or settlement offers * Additional Responsibilities: * Implement alternative dispute resolution methods ...
Fort Lauderdale, FL · On-site +1
Provide detailed explanations to claimants regarding the adjudication process, claim denials, or settlement offers * Additional Responsibilities: * Implement alternative dispute resolution methods ...
Conduct review of claim data and medical records to make clinical decisions on the coverage ... May process claims and complete project work in the appropriate computer system(s). The remaining ...
Quick apply
Conduct review of claim data and medical records to make clinical decisions on the coverage ... May process claims and complete project work in the appropriate computer system(s). The remaining ...
Remote ???? Location Requirement: Must reside in an approved state (FL, GA, PA, NC, SC, TN, or ... Manages clinical denials from clinical denial workqueues including claim resubmission ...
Remote ???? Location Requirement: Must reside in an approved state (FL, GA, PA, NC, SC, TN, or ... Manages clinical denials from clinical denial workqueues including claim resubmission ...
Miami, FL · Remote
$19.25 - $25.50/hr
... processing, and payer reimbursement. * Experience resolving claim denials, underpayments, and ... Remote-first -- work from home within our approved states * Growth: Tailored professional ...
New
Quick apply
Miami, FL · Remote
$19.25 - $25.50/hr
... processing, and payer reimbursement. * Experience resolving claim denials, underpayments, and ... Remote-first -- work from home within our approved states * Growth: Tailored professional ...
New
Sunrise, FL · On-site +1
$48K - $72K/yr
Claim complexity may vary based on experience and business needs and may include working with ... This role can have a Hybrid or Remote work schedule. Candidates who live near one of our office ...
New
Sunrise, FL · On-site +1
$48K - $72K/yr
Claim complexity may vary based on experience and business needs and may include working with ... This role can have a Hybrid or Remote work schedule. Candidates who live near one of our office ...
New
Lake Mary, FL · On-site +1
$48K - $72K/yr
Claim complexity may vary based on experience and business needs and may include working with ... This role can have a Hybrid or Remote work schedule. Candidates who live near one of our office ...
New
Lake Mary, FL · On-site +1
$48K - $72K/yr
Claim complexity may vary based on experience and business needs and may include working with ... This role can have a Hybrid or Remote work schedule. Candidates who live near one of our office ...
New
... processing refunds when warranted * Prepare, edit and submit account billing in accordance with ... Submit all required documentation with claim. Updates patient demographics changes and performs ...
... processing refunds when warranted * Prepare, edit and submit account billing in accordance with ... Submit all required documentation with claim. Updates patient demographics changes and performs ...
Clearwater, FL · Remote
$18 - $21/hr
... processing refunds when warranted * Prepare, edit and submit account billing in accordance with ... Submit all required documentation with claim. Updates patient demographics changes and performs ...
Quick apply
Clearwater, FL · Remote
$18 - $21/hr
... processing refunds when warranted * Prepare, edit and submit account billing in accordance with ... Submit all required documentation with claim. Updates patient demographics changes and performs ...
Bradenton, FL · Remote
$18.25 - $24.25/hr
Responsibilities This role is a remote opportunity. Independence Physician Management (IPM), a ... Proceeds with appeals process as needed. Performs eligibility and claim status follow-up inquiries ...
Bradenton, FL · Remote
$18.25 - $24.25/hr
Responsibilities This role is a remote opportunity. Independence Physician Management (IPM), a ... Proceeds with appeals process as needed. Performs eligibility and claim status follow-up inquiries ...
$8.98 - $9.96
2% of jobs
$9.96 - $10.94
6% of jobs
$10.94 - $11.92
9% of jobs
$12.43 is the 25th percentile. Wages below this are outliers.
$11.92 - $12.90
14% of jobs
$12.90 - $13.88
18% of jobs
The median wage is $13.91 / hr.
$13.88 - $14.86
17% of jobs
$15.40 is the 75th percentile. Wages above this are outliers.
$14.86 - $15.84
16% of jobs
$15.84 - $16.82
7% of jobs
$16.82 - $17.80
4% of jobs
$17.80 - $18.78
4% of jobs
$18.78 - $19.76
2% of jobs
$8
$14
$19
| Aspect | Remote Claim Processor | Remote Claims Examiner |
|---|---|---|
| Required Credentials | High school diploma or equivalent; some roles may require insurance or healthcare certifications | High school diploma or equivalent; often requires insurance or healthcare-related certifications |
| Work Environment | Home-based, independent work setting | Home-based, independent work setting |
| Industry Usage | Insurance, healthcare, government agencies | Insurance, healthcare, government agencies |
| Job Focus | Processing insurance claims, data entry, verifying information | Reviewing and adjudicating insurance claims, ensuring compliance |
Both roles are remote positions within the insurance and healthcare industries, requiring similar credentials and work environments. The main difference lies in their focus: Remote Claim Processors handle initial claim processing and data entry, while Remote Claims Examiners review and make decisions on claims to ensure accuracy and compliance.
For Remote Claim Processor jobs in Florida, the most frequently searched job titles are:
The top searched job categories for Remote Claim Processor jobs in Florida are:
Cities in Florida with the most Remote Claim Processor job openings:

$18/hr
Full-time
Posted 2 days ago
New
8.1
Based on 53 frontline employees who took The Breakroom Quiz
61st of 223 rated it services
As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need them. We help customers gain insight and access to their markets and ultimately demonstrate their product's value to payers, physicians, and patients. A significant part of our business is providing patient support programs on the behalf of our customers. With the right experience, you can help provide support to patients in need of available therapies.
IQVIA has the world's largest Commercial Sales & Medical Solutions (CSMS) organization dedicated to the launch and marketing of pharmaceutical and medical products. With a focus on providing talent for patient support, field/inside sales, medical device support, clinical support, and medical affairs our CSMS division has 10,000+ field professionals in more than 30 countries addressing physician and patient needs.
We are excited to announce that currently we are looking for a 100% remote (work from home-WFH) contract Pharmacy Support Call Center Representative to join our team. In this position, you will provide payment assistance solutions such as co-pay cards or vouchers. The Pharmacy Support Call Center Representative is primarily responsible for fielding requests such as: card activation, program eligibility, explanation of program benefit and explanation/troubleshooting of submission rejection.
Role Purpose:
Job Responsibilities:
Minimum Education & Experience:
The pay range for this role is $18.00 per hour.
IQVIA is an Equal Opportunity Employer. We cultivate a diverse corporate culture across the 100+ countries where we operate, celebrating and rewarding teamwork and inclusiveness. By embracing our differences, we create innovative solutions that are good for IQVIA, our clients, and the advancement of healthcare everywhere. This role will be a contract role with IQVIA managed by an external agency, with the opportunity to be converted to an IQVIA full-time employee.
#LI-CES
#LI-Remote
#LI-DNP
IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more athttps://jobs.iqvia.com
IQVIA is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable law. https://jobs.iqvia.com/eoe
IQVIA is committed to integrity in our hiring process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application must be truthful and complete. Any false statements, misrepresentations, or material omissions during the recruitment process will result in immediate disqualification of your application, or termination of employment if discovered later, in accordance with applicable law. We appreciate your honesty and professionalism.
The potential base pay range for this role is $18.00 per hour. The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits.Sourced by ZipRecruiter
At IQVIA, we are passionate about helping customers and partners improve results and patient outcomes. Everything we do contributes to this vision for creating a healthier world. In today’s healthcare environment, it’s not only about how much data, information, and technology you have at your fingertips – it’s what you do with it. IQVIA is focused on making intelligent connections for customers across the entire healthcare ecosystem to help you drive healthcare forward. Whether that means partnering with novel technology companies to boost patient engagement, leveraging AI & machine learning to accelerate results, or using decentralized trials to reach the right patients wherever they are – we are always looking for smarter ways to move you forward.
Health care and social assistance
10,000+ Employees
Durham, NC, US