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Remote Claim Processor Jobs in Georgia (NOW HIRING)

Karna, LLC

$20 - $25/hr

Proactively resolve claim discrepancies and issues by collaborating with other departments ... PM18 #remote

Harris

$28/hr

... claim processing. This is not an accounts receivable, collections, denial management, payment ... This remote role welcomes candidates anywhere in the US. Preference will be given to candidates who ...

IQVIA

Medical Biller/Claims Processing

Atlanta, GA · Remote

$23/hr

Patient SupportMedicalBillingRepresentative Contract Remote Role - Location (Open to Remote US) At ... Experience in claim processing Required * Ability to interpret EOBs Required * Insurance ...

New

CSAA

In order for your application to be correctly processed please sign-in before you apply Internal ... Prepare clear, timely claim correspondence, including settlement letters, partial denials, and ...

PainPoint

Prior Authorization Coordinator

Atlanta, GA · On-site +1

$19 - $21/hr

... claim processing. * Identify trends or issues that delay authorization or claims processing ... Remote Stipend * Travel Reimbursement * Continuing Education Reimbursement * Bonusly (employee ...

Dover Corporation

Business Engineer

Atlanta, GA · Remote

Responsible for field failure reporting. Follow-up on claim process (for your customers/claims ... Bachelor's in Engineering #LI-BM1 #LI-REMOTE Work Arrangement : Hybrid Salary: 65,000- 75,000K ...

Dover Corporation

Business Engineer

Atlanta, GA · Remote

Responsible for field failure reporting. Follow-up on claim process (for your customers/claims ... Bachelor's in Engineering #LI-BM1 #LI-REMOTE Work Arrangement : Hybrid Salary: 65,000- 75,000K ...

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Remote Claim Processor information

What is the difference between Remote Claim Processor vs Remote Claims Examiner?

AspectRemote Claim ProcessorRemote Claims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may require insurance or healthcare certificationsHigh school diploma or equivalent; often requires insurance or healthcare-related certifications
Work EnvironmentHome-based, independent work settingHome-based, independent work setting
Industry UsageInsurance, healthcare, government agenciesInsurance, healthcare, government agencies
Job FocusProcessing insurance claims, data entry, verifying informationReviewing 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.

What is a remote claim processor?

A Remote Claim Processor is a professional who reviews, evaluates, and processes insurance claims from a remote location, often from home. They verify the accuracy of submitted information, ensure policy guidelines are met, and decide whether claims should be approved, denied, or require further investigation. This role typically involves working with health, auto, or property insurance claims and requires strong attention to detail, analytical skills, and familiarity with relevant software systems. Working remotely allows claim processors to handle their duties outside of a traditional office environment while maintaining communication with their team and clients through digital platforms.

What skills and qualifications are needed to thrive as a remote claim processor?

To thrive as a Remote Claim Processor, you need strong analytical skills, attention to detail, and a background in insurance or healthcare administration, typically supported by a high school diploma or relevant certification. Familiarity with claims management software, electronic health record (EHR) systems, and Microsoft Office is crucial for daily tasks. Excellent communication, problem-solving abilities, and self-motivation help remote claim processors efficiently resolve issues and work independently. These skills ensure accurate claims processing, timely resolution, and high customer satisfaction in a remote environment.

What are common challenges faced by remote claim processors, and how can they be managed?

Remote claim processors often encounter challenges such as maintaining effective communication with team members and staying up-to-date with changing insurance policies and procedures. To manage these challenges, it's important to leverage collaboration tools like instant messaging and video conferencing, and to participate actively in virtual training sessions. Additionally, setting up a dedicated workspace and following a structured daily routine can help ensure productivity and accuracy when processing claims remotely.

What are popular job titles related to Remote Claim Processor jobs in Georgia?

For Remote Claim Processor jobs in Georgia, the most frequently searched job titles are:

What job categories do people searching Remote Claim Processor jobs in Georgia look for?

The top searched job categories for Remote Claim Processor jobs in Georgia are:

What cities in Georgia are hiring for Remote Claim Processor jobs?

Cities in Georgia with the most Remote Claim Processor job openings:

Remote Claim Processor jobs near you
Infographic showing various Remote Claim Processor job openings in Georgia as of August 2026, with employment types broken down into 78% Full Time, 18% Part Time, 1% Temporary, and 3% Contract. Highlights an 85% Physical, 5% Hybrid, and 10% Remote job distribution.

Experienced Healthcare Claims Processor

Karna, LLC

Remote

$20 - $25/hr

Full-time

Re-posted 20 days ago

Job description

Description

Join the new Bakinaw-Karna Joint Venture Team as a Temporary, Full-Time Medical Claims Processor. Become an integral part of a team dedicated to servicing the World Trade Center Health Program. In this role, you will leverage your meticulous attention to detail and commitment to accuracy in processing complex medical claims. If you're eager to make a positive impact in our community through your administrative skills, we encourage you to apply!


 The Saginaw Chippewa Indian Tribe of Michigan, in accordance with the spirit of PL. 93-638, adopted January 4, 1975, will provide preference to Native Americans meeting minimum position qualifications who have equal qualifications for the position(s) to those of other applicants. 


*Minimum of 5 years' experience in medical claims processing, including professional and facility claims as well as complex and high-dollar claims* Candidates must be located in one of the following states: FL, GA MD, MI, TX

Job Responsibilities:

  • Claims Review and Processing: Analyze and process a variety of complex medical claims in accordance with program policies and procedures, ensuring accuracy and compliance.
  • Critical Analysis: Analyze claims and adjudicate them according to program guidelines, employing critical thinking to navigate complex scenarios.
  • Timely Processing: Ensure claims are processed promptly to meet client standards and regulatory requirements, employing effective problem-solving skills to address any barriers.
  • Issue Resolution: Proactively resolve claim discrepancies and issues by collaborating with other departments, utilizing analytical skills to identify root causes and implement solutions.
  • Confidentiality Maintenance: Uphold the confidentiality of patient records and company information as per HIPAA regulations.
  • Detailed Record Keeping: Maintain thorough records of claims processed, denied, or requiring further investigation, ensuring transparency and traceability.
  • Trend Monitoring: Analyze and report on trends in claim issues or irregularities to management, contributing to process improvement initiatives; Assists Team Leads with reporting.
  • Audit Participation: Engage in audits and compliance reviews to ensure adherence to internal and external regulations, using critical thinking to evaluate processes.
  • Mentoring: Mentors and trains new claims processors as needed.

Requirements


  • High school diploma or equivalent.
  • Minimum of 5 years' experience in processing medical professional and facility claims as well as complex and high-dollar claims.
  • Familiarity with ICD-10, CPT, and HCPCS coding systems.
  • Must have experience working with modifiers and bill types.
  • Understanding of medical terminology, healthcare services, and insurance procedures (worker's compensation experience is a plus).
  • Strong attention to detail and accuracy.
  • Ability to interpret and apply insurance program policies and government regulations effectively.
  • Excellent written and verbal communication skills.
  • Proficient in Microsoft Office Suite (Word, Excel, Outlook).
  • Capacity to work independently as well as collaboratively within a team.
  • Commitment to ongoing education and training in industry standards and technology advancements.
  • Experience with claim denial resolution and the appeals process.
  • Ability to efficiently manage a high volume of claims.
  • Customer service-oriented with strong problem-solving capabilities.
  • Must be flexible and have the ability to adjust to the needs of the client and changes in the program.

PM18


#remote

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