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Remote Claim Processor Jobs in Miami, FL (NOW HIRING)

Lifeworks

Disability Assistant

Miami, FL · Remote

... claim documents are processed when received and to send out all documentation for claims in a ... Associate's Degree. #Remote #telushealthjobs #FMLA #LI-JG1 A bit about us We're a people-focused ...

Deloitte

Epic Denials Management Operator

Miami, FL · Remote

$17.25 - $23/hr

... claim issues, or operational data For individuals assigned and/or hired to work in a remote role ... 277 processing) received from third party payers. Conduct Denial categorization and root cause ...

Deloitte

Epic Denials Management Coordinator

Miami, FL · Remote

... claim issues, or operational data For individuals assigned and/or hired to work in a remote role ... 277 processing) received from third party payers. Conduct Denial categorization and root cause ...

Oshi Health

Accounts Receivable Specialist

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 ...

USAA

SIU Major Case Manager (Medical Provider)

Miami, FL · On-site +1

$119/hr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Responsible for insurance fraud detection and investigation services to reduce fraud-related claim ...

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All JobsClaim Processor JobsRemote Claim Processor JobsRemote Claim Processor Jobs in Miami, FL

Remote Claim Processor information

See Miami, FL salary details

$11

$18

$25

How much do remote claim processor jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for remote claim processor in Miami, FL is $18.33, according to ZipRecruiter salary data. Most workers in this role earn between $15.62 and $19.76 per hour, depending on experience, location, and employer.

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 Miami, FL? For Remote Claim Processor jobs in Miami, FL, the most frequently searched job titles are:
What job categories do people searching Remote Claim Processor jobs in Miami, FL look for? The top searched job categories for Remote Claim Processor jobs in Miami, FL are:
What cities near Miami, FL are hiring for Remote Claim Processor jobs? Cities near Miami, FL with the most Remote Claim Processor job openings:
Remote Claim Processor jobs near you
Infographic showing various Remote Claim Processor job openings in Miami, FL as of August 2026, with employment types broken down into 73% Full Time, 9% Part Time, and 18% Contract. Highlights an 100% Remote job distribution, with an average salary of $38,127 per year, or $18.3 per hour.

Pod Captain, Revenue Cycle Services (Remote)

North American Partners in Anesthesia

Sunrise, FL • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 1 hour ago

North American Partners in Anesthesia rating

7.9

Company rating: 7.9 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

Job description

Sunrise,FL - USA

Position Requirements

Job Description

Under the direct supervision of the Manager of RCM, the Pod Captain is responsible for revenue cycle duties including but not limited to:

  • Processing patient insurance information through the patient intake process ensuring the timely and accurate submission of insurance claims collecting payment on outstanding patient balances

ACTIVITY / RESPONSIBILITY:

  • Act as a first point of contact and assist Representatives with difficult accounts and workload including supporting the team by directly working on accounts.

  • Ensure RCM Representatives perform appropriate claim processing and/or follow up, including research, resulting in timely claim processing.

  • Review and audit Representatives' productivity and quality of work. In collaboration with the RCM Education department, identifies Representatives' areas of additional training.

  • Ensures employees in the department are working on assigned work timely.

  • Collaborates and manages third party vendors as an extension of the Revenue Cycle Management team.

  • Meet or exceed required departmental productivity standards on a consistent basis.

  • Performs quarterly audits of Representatives' work and provides audit reviews.

  • Provides input into the annual review of Representatives.

  • Identifies trends and works with the Manager of RCM to implement solutions to prevent denials and minimize any avoidable adjustment.

  • Maintains up to date knowledge of payer guidelines and reimbursement policies.

  • Escalates issues to RCM Manager as needed.

  • Works closely with the Manager of RCM daily to ensure a smooth operation within the department. Provides backup support to department staff during Managers' absence.

  • Support and contribute to process improvement initiatives as a SME.

  • In collaboration with the RCM Education department, assists with training all new hire Representatives once the employee has started working accounts and continually provides training to the Representatives.

  • Reviews and approves timecards, overtime requests and scheduling for Representatives.

REQUIRED QUALIFICATIONS:

  • Associate degree (A.A.) or equivalent from a two-year college preferred, or equivalent combination of education & experience.

  • Basic Microsoft Office experience.

  • Ability to communicate both verbally and written.

  • Ability to effectively present information and respond to questions from customers and vendors.

  • Ability to read, analyze, and interpret general business documents, technical procedures, and governmental regulations.

  • Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

  • Ability to define problems, collect data, establish facts, and draw valid conclusions.

  • Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.

  • Ability to calculate figures and amounts such as discounts and percentages.

TOTAL REWARDS:

  • Generous benefits package, including:

  • Paid Time Off

  • Health, life, vision, dental, disability, and AD&D insurance

  • Flexible Spending Accounts/Health Savings Accounts

  • 401(k)

  • Leadership and professional development opportunities

EEO Statement

North American Partners in Anesthesia is an equal opportunity employer.

What North American Partners in Anesthesia employees say

Workplace

Get the full story on Breakroom

North American Partners in Anesthesia logo

About North American Partners in Anesthesia

Sourced by ZipRecruiter

North American Partners in Anesthesia (NAPA) is a well-regarded name in the healthcare industry, with its headquarters based in Melville, NY, US. As suggested by its name, the company specializes in providing anesthesia services. The firm was established in 1986, with a primary commitment to ensure the highest quality patient care through strong leadership in anesthesia and industry-leading processes. NAPA operates with a mission to deliver the finest anesthesia care in the nation by fostering a culture that prioritizes quality, efficiency, communication, and patient safety.

Industry

Health care and social assistance

Company size

201 - 500 Employees

Headquarters location

Melville, NY, US

Year founded

1986

Social media

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