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

UHS

Accounts Receivable Specialist

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 ...

Nourish

RCM Associate

Tampa, FL · Remote

... claim workflows, and building and optimizing RCM processes as we scale into new service lines and ... This role is full-time and open to NYC-based or remote candidates. Key responsibilities: * Manage a ...

Deloitte

Technical Program Manager

Tampa, FL · Remote

$121K - $157K/yr

... claim issues, or operational data For individuals assigned and/or hired to work in a remote role ... process efficiency). Conduct delivery health assessments and drive root-cause resolution to reduce ...

USAA

Inside Senior Property Adjuster

Tampa, FL · On-site +1

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Maintain accurate, thorough, and current claim file documentation throughout the claims process.

USAA

Sr. Injury Adjuster-UM

Tampa, FL · On-site +1

$63K - $121K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... USAA has an effective process for assessing market data and establishing ranges to ensure we remain ...

USAA

Sr. Injury Adjuster-UM

Tampa, FL · On-site +1

$63K - $121K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... USAA has an effective process for assessing market data and establishing ranges to ensure we remain ...

USAA

Sr. Injury Adjuster-UM

Tampa, FL · On-site +1

$63K - $121K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... USAA has an effective process for assessing market data and establishing ranges to ensure we remain ...

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Showing results 1-20

All JobsRemote Claim Processor JobsRemote Claim Processor Jobs in Riverview, FL

Remote Claim Processor information

See Riverview, FL salary details

$10

$17

$23

How much do remote claim processor jobs pay per hour?

As of Jun 30, 2026, the average hourly pay for remote claim processor in Riverview, FL is $17.09, according to ZipRecruiter salary data. Most workers in this role earn between $14.57 and $18.46 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 are the key skills and qualifications needed to thrive as a Remote Claim Processor, and why are they important?

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 some common challenges faced by remote claim processors, and how can they be managed effectively?

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 job categories do people searching Remote Claim Processor jobs in Riverview, FL look for? The top searched job categories for Remote Claim Processor jobs in Riverview, FL are:
What cities near Riverview, FL are hiring for Remote Claim Processor jobs? Cities near Riverview, FL with the most Remote Claim Processor job openings:
Remote Claim Processor jobs near you
Infographic showing various Remote Claim Processor job openings in Riverview, FL as of June 2026, with employment types broken down into 1% Internship, 33% Full Time, 33% Part Time, 3% Temporary, 29% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $35,555 per year, or $17.1 per hour.
Medical Collections Specialist - Physician Claims

Medical Collections Specialist - Physician Claims

Addison Group

Tampa, FL • Remote

$20 - $25/hr

Contractor

Medical, Dental, Vision, Life, Retirement

Posted 27 days ago

Job description

Job Title: Medical Collections Specialist - Physician Claims

Location: Tampa, Florida

Industry: Healthcare RCM

Pay: $20.00 - $25.00 / Per Hour (Based on years of experience)

Job Type: Contract-to-Hire

Benefits: This position is eligible for medical, dental, vision, life insurance and 401k.

About Our Client:

Addison Group is partnering with a healthcare revenue cycle organization that specializes in hospital accounts receivable recovery, denial management, and complex claims resolution. This is an excellent opportunity for experienced hospital collectors looking to join a growing remote team with strong leadership support and long-term career growth potential.

Job Description:

The Medical Collections Specialist is responsible for managing professional billing accounts receivable, researching denials, submitting appeals, and ensuring timely reimbursement from insurance carriers. This position requires strong analytical skills, knowledge of payer guidelines, and the ability to work independently while meeting productivity and quality expectations.

Key Responsibilities:

  • Investigate and resolve denied, underpaid, and unpaid professional claims.
  • Conduct insurance follow-up with commercial and government payers.
  • Prepare and submit appeals with supporting documentation.
  • Analyze denial trends and identify opportunities for process improvement.
  • Review and interpret EOBs and payer correspondence.
  • Ensure timely filing requirements are met for maximum reimbursement.
  • Maintain detailed documentation of claim activity, appeals, and account resolutions.
  • Work closely with payers to resolve reimbursement issues and claim discrepancies.
  • Escalate complex accounts when additional review or intervention is needed.
  • Meet established productivity and quality metrics.

Requirements:

  • 2+ years of recent professional collections (CMS-1500) experience required.
  • Recent Epic experience required (within the last 3 years).
  • Recent experience with denials, appeals, insurance follow-up, and claim resolution required.
  • Ability to read and interpret EOBs and payer correspondence.
  • Knowledge of commercial insurance, Medicare, Medicaid, Workers' Compensation, and managed care guidelines required.
  • Strong analytical, organizational, and problem-solving skills.
  • Ability to work independently in a remote environment.

Additional Details:

  • Schedule: Flexible schedule between 9:00 AM – 5:30 PM
  • Assignment Type: Contract-to-Hire

Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.