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Remote Claim Processor Jobs in Spokane, WA (NOW HIRING)

Medical Billing Specialist

Spokane, WA · Remote

$19.67 - $35.67/hr

... processing health insurance claims Required Knowledge & Skills * Understanding of CMS-1500 claim ... Fully remote (must reside in Washington State at the time of hire) * Department: Business Office ...

Medical Billing Specialist

Spokane, WA · On-site +1

$19.67 - $35.67/hr

... processing health insurance claims Required Knowledge & Skills * Understanding of CMS-1500 claim ... Fully remote (must reside in Washington State at the time of hire) * Department: Business Office ...

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 ...

Remote Claim Processor information

See Spokane, WA salary details

$12

$19

$26

How much do remote claim processor jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for remote claim processor in Spokane, WA is $19.38, according to ZipRecruiter salary data. Most workers in this role earn between $16.54 and $20.91 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 cities near Spokane, WA are hiring for Remote Claim Processor jobs? Cities near Spokane, WA with the most Remote Claim Processor job openings:
Infographic showing various Remote Claim Processor job openings in Spokane, WA 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 $40,307 per year, or $19.4 per hour.

Medical Billing Specialist (Remote)

Cardiac Study Center

Spokane, WA • Remote

$19.67 - $35.67/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 22 hours ago


Job description

Medical Insurance Billing Specialist Cardiology

Cardiac Study Center
Remote (Washington State Only) - Candidates must reside in WA state at the time of hire
Full-Time | MondayFriday | No Weekends or Holidays

About Us

Cardiac Study Center (CSC) partners with Pulse Heart Institute to deliver trusted outpatient cardiology care across the Puget Sound region for over 50 years. In 2016, CSC joined with MultiCare Health System to form Pulse Heart Institutebringing together clinical excellence, innovation, research, and education to improve heart health in our communities.

Through this partnership, CSC provides essential operational and revenue cycle support that allows Pulse to focus on delivering exceptional cardiovascular care. Our billing and business office teams play a critical role in ensuring the financial health of the organization while supporting a seamless patient care experience.

Why You'll Love Working With Us
  • Fully remote role for Washington State residents
  • MondayFriday schedule no weekends or holidays
  • Stable healthcare organization with over 50 years of service
  • Collaborative business office environment
  • Opportunity to develop expertise in specialty cardiology billing
  • Supportive team culture focused on accuracy, growth, and accountability
About the Role

As a Medical Insurance Billing Specialist, you play a vital role in ensuring the financial accuracy and efficiency of our cardiology billing operations. This role focuses on insurance claim management, denial resolution, and tracking reimbursement patterns to ensure claims are processed correctly and promptly.

You will work closely with insurance companies, internal departments, and the broader business office team to resolve billing issues, analyze claim trends, and ensure compliance with healthcare billing standards. Your work directly supports the financial sustainability of our clinics and helps ensure patients receive uninterrupted care.

What You'll Love About This Role
  • You get to solve complex billing challenges. If you enjoy investigating claims, identifying denial patterns, and finding solutions, this role keeps you engaged.
  • Your work directly supports patient care. Accurate billing and timely reimbursements ensure clinics can continue delivering high-quality cardiac services.
  • You'll deepen your expertise in specialty medical billing. Cardiology billing offers unique complexity and learning opportunities.
  • Structured work with clear priorities. This role rewards organization, focus, and attention to detail.
  • Strong weekday schedule. No weekends or holidays means predictable work-life balance.
Day-to-Day ResponsibilitiesClaims Management
  • Contact insurance companies to verify claim status and request reprocessing when needed
  • Submit and track insurance appeals and corrected claims
  • Review and analyze aging reports to resolve outstanding claims
Denial Analysis & Resolution
  • Investigate insurance denials and determine appropriate corrective action
  • Identify denial patterns and report trends to improve billing processes
  • Coordinate with internal staff to resolve billing discrepancies
Billing Operations
  • Prepare, audit, and submit claims to primary and secondary payers
  • Ensure accurate payment postings and balance allocations
  • Adjust claims according to established billing procedures
Communication & Compliance
  • Participate in business office phone rotations to support inquiries from patients and external partners
  • Maintain strict compliance with HIPAA when handling patient financial information
  • Document all account activity and claim updates thoroughly in billing systems
What You'll Need to SucceedMinimum Qualifications
  • High School Diploma or GED
  • Minimum 1 year of healthcare experience
  • Minimum 1 year of experience processing health insurance claims
Required Knowledge & Skills
  • Understanding of CMS-1500 claim forms, coordination of benefits (COB), PHI, and medical terminology
  • Experience using insurance payer websites to verify eligibility and claim status
  • Strong organizational and time-management skills
  • Detail-oriented with a high commitment to accuracy
  • Strong communication skills for working with insurance companies and internal teams
Work Environment
  • Schedule: Full-time
  • Shift: MondayFriday
  • Location: Fully remote (must reside in Washington State at the time of hire)
  • Department: Business Office / Revenue Cycle Operations
Pay & Benefits

Cardiac Study Center / Pulse Heart Institute offers a comprehensive benefits package, including:

  • Medical, dental, and vision coverage
  • Retirement benefits
  • Paid time off
  • Competitive compensation
  • Tuition Assistance

Pay Range: $19.67 $35.67/hour

Compensation is determined based on experience, skills, certifications, and education, consistent with internal equity and pay transparency requirements.

Join Our Team

If you're detail-oriented, analytical, and enjoy working behind the scenes to ensure healthcare operations run smoothly, we'd love to hear from you. Join a team committed to precision, collaboration, and advancing heart health in our community.

Requisition ID: 00779