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Remote Claims Processing Jobs in Raleigh, NC (NOW HIRING)

AMM Healthcare

RCM Coder

Cary, NC · Remote

$17.25 - $23.25/hr

This is a remote position and candidates must be located in North Carolina. Essential Functions ... Resolves disputed claims by gathering, verifying, and providing additional information * Identify ...

Atlantic Medical Management

RCM Coder

Cary, NC · Remote

$17.25 - $23.25/hr

This is a remote position and candidates must be located in North Carolina. Essential Functions ... Resolves disputed claims by gathering, verifying, and providing additional information * Identify ...

Senture

Medical Director

Raleigh, NC · Remote

While this position allows remote work, the individual must reside within the state of North ... Strong understanding of provider credentialing and peer review processes. * Ability to pass any ...

Linesight

Senior Cost Manager

Raleigh, NC · On-site +1

$108K - $145K/yr

Actively participate in the tender/bid process--from initial tender/bid documentation through ... Support the settlement of construction disputes/loss and expense claims with transparency * Foster ...

Hitachi

Project Controller

Raleigh, NC · Remote

Project/Program Management Job Schedule: Full time Remote: No Project Controller The Opportunity As ... claims management activities, and partnering with project teams on commercial matters. You will ...

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All JobsClaims Processing JobsRemote Claims Processing JobsRemote Claims Processing Jobs in Raleigh, NC

Remote Claims Processing information

See Raleigh, NC salary details

$11

$18

$25

How much do remote claims processing jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for remote claims processing in Raleigh, NC is $18.63, according to ZipRecruiter salary data. Most workers in this role earn between $15.87 and $20.10 per hour, depending on experience, location, and employer.

What is remote claims processing?

Remote claims processing is the evaluation and handling of insurance claims by professionals who work from locations outside of a traditional office, often from home. These processors review claim submissions, verify information, assess coverage, and authorize payments or request additional information. Remote claims processors use secure online systems and communication tools to collaborate with colleagues and clients. This role requires strong attention to detail, confidentiality, and proficiency with digital platforms. Many insurance companies now offer remote claims processing positions to increase flexibility and efficiency.

What are the key skills and qualifications needed to thrive as a remote claims processor?

To thrive as a Remote Claims Processor, you need a strong understanding of insurance policies, attention to detail, and relevant experience or education in insurance or finance. Familiarity with claims management software, electronic document systems, and sometimes industry certifications like AIC (Associate in Claims) are typically required. Excellent communication, time management, and problem-solving abilities help you stand out, especially when working independently. These skills ensure accurate, timely claims resolutions and effective collaboration with clients and colleagues in a remote environment.

What are some common challenges faced in remote claims processing roles, and how can they be effectively managed?

Remote claims processing professionals often encounter challenges such as managing high volumes of claims, maintaining clear communication with team members, and ensuring data security while working from home. Effective time management and strong organizational skills are key to handling large workloads efficiently. Regular check-ins with supervisors and using secure, company-approved communication tools can help maintain collaboration and protect sensitive information. Many organizations also provide training and support to help remote processors stay up-to-date with changing regulations and best practices.

What is the difference between Remote Claims Processing vs Remote Claims Adjuster?

AspectRemote Claims ProcessingRemote Claims Adjuster
CredentialsTypically requires insurance or claims processing certificationsRequires insurance licenses and adjuster certifications
Work EnvironmentHome-based, administrative settingHome-based or field, investigative and evaluative tasks
Industry UsageInsurance companies, third-party administratorsInsurance companies, public adjusting firms
Job FocusProcessing claims, data entry, customer serviceInvestigating claims, assessing damages, settlement negotiations

Remote Claims Processing and Remote Claims Adjuster roles share similarities in industry and work environment but differ in job focus and required credentials. Claims processors handle administrative tasks and data entry, while claims adjusters evaluate damages and negotiate settlements. Both roles are essential in the insurance industry and often require specialized certifications.

What are popular job titles related to Remote Claims Processing jobs in Raleigh, NC?

For Remote Claims Processing jobs in Raleigh, NC, the most frequently searched job titles are:

What job categories do people searching Remote Claims Processing jobs in Raleigh, NC look for?

The top searched job categories for Remote Claims Processing jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Remote Claims Processing jobs?

Cities near Raleigh, NC with the most Remote Claims Processing job openings:

Remote Claims Processing jobs near you
Infographic showing various Remote Claims Processing job openings in Raleigh, NC as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 14% Part Time, 1% Temporary, 3% Contract, and 1% Nights. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $38,750 per year, or $18.6 per hour.

RCM Coder

AMM Healthcare

Cary, NC • Remote

$17.25 - $23.25/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted yesterday

Job description

Summary:

Atlantic Medical Management is currently hiring for professional Medical Coding Specialist who is goal oriented, revenue driven, highly accurate and motivated. This position includes collecting reimbursements by gathering, coding, and transmitting patient care information; resolving discrepancies; adjusting patient bills; working AR and preparing reports. Must have ProFee coding and billing experience. This is a remote position and candidates must be located in North Carolina.

Essential Functions 

  • Post medical charges intoNextGensoftware in a timely manner to meet daily and monthly goals. 
  • Reviews and verifies documentation supports diagnoses, procedures, and treatment results. 
  • Identifies diagnostic and procedural information and assigns codes for reimbursements 
  • Ability to navigate around CPT, ICD-10, and HCPCS.
  • Work with providers to correct the diagnosis or procedure codes so that the claim can be processed. 
  • Identify coding or billing problems from EOBs and work to correct the errors in a timely manner 
  • Maintain in depth knowledge ofall payers. 
  • Coordinate with clinics to ensure all outstanding superbills are collected prior to month end close. 
  • Update patient demographic and insurance 
  • Transfer open balances to correct insurance
  • Work with patients and guarantors to secure payment 
  • Resolves disputed claims by gathering, verifying, and providing additional information 
  • Identify problem accounts and escalate as appropriate. 
  • Write appeals and include supportingdocumentation 
  • Run appropriate reports and contact insurance companies to resolve unpaid claims  
  • Meet set department metrics and threshold set forth by manager. 
  • Assist with special projects and other job-related duties as needed. 

Minimum Qualifications 

  • High School Diploma.
  • 2 years of Professional coding/billing experience
  • AAPC certification preferred 
  • Experience Medicare, Medicaid and other commercial and private payers.
  • Demonstrated well-developed interpersonal skills to interact in sensitive and/or complex situation with a variety of people.
  • Excellentcustomer serviceand professionalism.
  • Maintains patient confidentiality.
  • Proficient computer skills.
  • Organized and efficient.
  • Self-motivated to meet objectives

Benefits:  

  • 401(k)  
  • Health, Dental and Vision insurance  
  • Employee assistance program  
  • AFLAC
  • Paid time off

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