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Remote Claim Processor Jobs in Revere, MA (NOW HIRING)

Reimbursement Specialist

Beverly, MA ยท Remote

$21.25 - $29.25/hr

... EOB), claim edits, and secondary billing. THIS IS A FULLY REMOTE POSITION! The Billing ... processes adjustmentsReviews and understands Explanation of Benefits documentsBuilds effective ...

Environmental Claims Officer

MA ยท On-site +1

$94K/yr

Own claim strategy from initial notice through final resolution, ensuring timely, fair, and cost ... Support audit and compliance processes while maintaining required adjuster licenses and ...

ISG provides national claim and litigation support to the insurance and legal communities. We help ... Processing rejections based on the client protocol; * Reviewing the requested materials for ...

Reimbursement Specialist

Beverly, MA ยท Remote

$21.25 - $29.25/hr

... EOB), claim edits, and secondary billing. THIS IS A FULLY REMOTE POSITION! The Billing ... Appropriately identifies, addresses, submits and processes adjustments * Reviews and understands ...

Reimbursement Specialist

Beverly, MA ยท Remote

$21.25 - $29.25/hr

... EOB), claim edits, and secondary billing. THIS IS A FULLY REMOTE POSITION! The Billing ... Appropriately identifies, addresses, submits and processes adjustments * Reviews and understands ...

Guidewire Developer-ClaimCenter

Boston, MA ยท On-site +1

$59.25 - $78.25/hr

... TX, Remote-CT, Remote-GA, Remote-IL, Remote-IN, Remote-OH, Remote-PA, Remote-TX, Remote-VA ... claim domain. In this role, you will design and code scalable solutions, influence architecture ...

Third Party Reviewer

Somerville, MA ยท Remote

$19.81 - $28.30/hr

Remote Type Remote Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type ... process, to perform essential job functions, and to receive other benefits and privileges of ...

Epic Denials Management Operator

Boston, MA ยท Remote

$19.50 - $26/hr

This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Experience analyzing billing workflows, claim issues, or operational data The wage range for this ...

Showing results 21-40

Remote Claim Processor information

See Revere, MA salary details

$12

$19

$27

How much do remote claim processor jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for remote claim processor in Revere, MA is $19.71, according to ZipRecruiter salary data. Most workers in this role earn between $16.83 and $21.25 per hour, depending on experience, location, and employer.

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 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 are popular job titles related to Remote Claim Processor jobs in Revere, MA?

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

What job categories do people searching Remote Claim Processor jobs in Revere, MA look for?

The top searched job categories for Remote Claim Processor jobs in Revere, MA are:

Infographic showing various Remote Claim Processor job openings in Revere, MA as of August 2026, with employment types broken down into 76% Full Time, 22% Part Time, and 2% Contract. Highlights an 85% Physical, 5% Hybrid, and 10% Remote job distribution, with an average salary of $40,988 per year, or $19.7 per hour.

Reimbursement Specialist

3B Healthcare, Inc.

Beverly, MA โ€ข Remote

$21.25 - $29.25/hr

Full-time

This job post hasย expired 1 day ago.ย Applications are no longer accepted.


Job description

Billing & Reimbursement Specialist IIdeal candidate - Performed Accounts Receivable (AR) follow-up on denied, unpaid, and underpaid claims, rejections, collections, Explanation of Benefits (EOB), claim edits, and secondary billing. THIS IS A FULLY REMOTE POSITION! The Billing & Reimbursement Specialist I is assigned a group of dialysis facilities and is responsible for the accurate and efficient billing and collecting of health insurance payments from insurance carriers. The Billing & Reimbursement Specialist coordinates, documents, and communicates with health insurance representatives regarding proper insurance payments in accordance with policies and procedures and current federal, state, and local standards, guidelines, and regulations.

Essential FunctionsResponsible for accurate billing and collecting of revenue for respective financial classesDemonstrates a higher knowledge of respective financial classObtains and tracks claim status via phone and online portalsComposes and follows up on claims appealsAppropriately identifies, addresses, submits and processes adjustmentsReviews and understands Explanation of Benefits documentsBuilds effective working relationships with insurance carriers and representativesAllocates coinsurance and deductibles timely and appropriately within applicable databaseEffectively collects and/or resolves a higher volume of claims and more difficult accountsActively applies a solid foundation and knowledge of Billing and Reimbursement practices while exercising appropriate independent thought and decision-making skills to effectively troubleshoot and offer guidance on next stepsSubmission Requirements5+ years experience with collections and claims follow up - REQUIREDExperience with full revenue cycle, specifically Medicare and Veterans Affairs reimbursement - REQUIREDMust have a strong background in claim resolution (claims follow up/denial management) - REQUIREDMust understand how to identify high priority areas of claims aging and be self-motivated/independent - REQUIREDBachelor's degree with a focus in business or healthcare management - REQUIREDKnowledge of Excel, PivotTable and VLOOKUP - REQUIREDProficiency in Microsoft Office Suite - REQUIREDDialysis or healthcare experience - REQUIREDMust be Bilingual (Spanish/English- other languages are a plus) - REQUIREDInterview Expectations: Interviews are conducted via TEAMs and camera must be turned on at all times.

Interview may be with more than one Supervisor/ManagerInnovative Renal Care (IRC) is one of the largest dialysis service providers in the United States. We provide quality patient care to patients suffering from the most advanced state of chronic kidney disease, known as End Stage Renal Disease (ESRD). We continue to expand our network of dialysis centers and improve more lives each year. Apply to become part of a team who is focused on quality patient care! OT/Holiday - 1.3x BR 0 hours non-billable