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

UNC HEALTH

Revenue Cycle Representative

Chapel Hill, NC · On-site +1

$18.12 - $25.51/hr

Process paper correspondence as assigned. Performs all duties in a manner which promotes teamwork ... Edit claims (DNB, Coverage Changes, Claim Edits, Stop Bills) within scope of authority (or escalate ...

UNC Health Careers

Revenue Cycle Representative

Raleigh, NC · On-site +1

$18.12 - $25.51/hr

Process paper correspondence as assigned. Performs all duties in a manner which promotes teamwork ... Edit claims (DNB, Coverage Changes, Claim Edits, Stop Bills) within scope of authority (or escalate ...

New

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 ...

UNC HEALTH

Revenue Cycle Representative

Raleigh, NC · On-site +1

$18.12 - $25.51/hr

Process paper correspondence as assigned. Performs all duties in a manner which promotes teamwork ... Edit claims (DNB, Coverage Changes, Claim Edits, Stop Bills) within scope of authority (or escalate ...

New

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 ...

UNC HEALTH

Revenue Cycle Representative

Raleigh, NC · On-site +1

$18.12 - $25.51/hr

Process paper correspondence as assigned. Performs all duties in a manner which promotes teamwork ... Edit claims (DNB, Coverage Changes, Claim Edits, Stop Bills) within scope of authority (or escalate ...

New

UNC HEALTH

Revenue Cycle Representative

Raleigh, NC · On-site +1

$18.12 - $25.51/hr

Process paper correspondence as assigned. Performs all duties in a manner which promotes teamwork ... Edit claims (DNB, Coverage Changes, Claim Edits, Stop Bills) within scope of authority (or escalate ...

New

UNC Health Careers

Revenue Cycle Representative

Raleigh, NC · On-site +1

$18.12 - $25.51/hr

Process paper correspondence as assigned. Performs all duties in a manner which promotes teamwork ... Edit claims (DNB, Coverage Changes, Claim Edits, Stop Bills) within scope of authority (or escalate ...

New

Granville Health System

Certified Coder - Remote

Oxford, NC · On-site +1

$20.75 - $28.25/hr

Responsible for interacting with the Insurance Department for timely processing of claims. Responsible for abstracting diagnoses from the medical records into the hospital health information system ...

Granville Health System

Certified Coder - Remote

Oxford, NC · Remote

$20.75 - $28.25/hr

Responsible for interacting with the Insurance Department for timely processing of claims. Responsible for abstracting diagnoses from the medical records into the hospital health information system ...

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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

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How much do remote claims processing jobs pay per hour?

As of Jul 14, 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 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 are the key skills and qualifications needed to thrive as a Remote Claims Processor, and why are they important?

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 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 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 July 2026, with employment types broken down into 80% Full Time, 10% Part Time, and 10% Contract. Highlights an 30% In-person, 10% Hybrid, and 60% Remote job distribution, with an average salary of $38,750 per year, or $18.6 per hour.
Revenue Cycle Representative

Revenue Cycle Representative

UNC HEALTH

Chapel Hill, NC • On-site, Remote

$18.12 - $25.51/hr

Full-time

Medical

Re-posted 21 days ago

Job description

Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.
Summary:
May be responsible for performing a variety of complex duties, including but not limited to, working outstanding insurance claims having no response from payors, having claim edits, and/or having received claim form related denials. Maintains A/R at acceptable aging levels by prompt follow-up of unpaid claims and denied claims. Review credit balances for possible reallocation or refunds. May be responsible for posting payments, contractual adjustments, and denials in a timely, accurate, and complete manner. Process paper correspondence as assigned. Performs all duties in a manner which promotes teamwork and reflects UNC Health's mission and philosophy.
Responsibilities:
  • Responsible for the accurate and timely submission of claims, response to denials, and re-bills of insurance claims. Responsible for all aspects of insurance follow-up and collections including interfacing with internal and external departments to resolve discrepancies through charge corrections, payment corrections, writeoffs, refunds or other methods. Edit claims (DNB, Coverage Changes, Claim Edits, Stop Bills) within scope of authority (or escalate as needed) to meet and satisfy billing compliance guidelines for electronic submission. Contact insurance carriers to obtain authorizations and referral approvals for services and procedures. Research medical records to gather information and substantiate medical justification for procedures as required by insurance carriers. Submits requested medical information to insurance carrier.
  • Responsible for the analysis and necessary corrections of patient invoices or accounts as it pertains to clean claim submissions or re-bills. Responsible for maintaining work queues. Access, review and respond to third party correspondence via Document Management system. Research and resolve a variety of issues relating to posting of payments and charges, insurance denials, secondary billing issues, credit balances, sequencing of charges, and non-payment of claims. Contact patients, physicians and insurance companies to obtain information necessary for invoice or account resolution through write-offs, reversals, adjustments, refunds or other methods. Verify claims adjudication utilizing appropriate resources and applications. Post payments (Insurance and/or Patient) and denials to patient invoices/accounts in a timely and accurate manner.
  • Reconcile accounts, research and resolve a variety of issues relating to posting of payments and charges, insurance denials, secondary billing issues, sequencing of charges, and non-payment of claims. Respond to any assigned correspondence in a timely, professional, and complete manner. Identify issues and/or trends and provide suggestions for resolution to management, including payer, system or escalated account issues. May maintain data tables for systems that support Patient Accounting operations. Evaluate carrier and departmental information and determines data to be included in system tables. Read and interpret EOB's (Explanation of Benefits).
  • Maintain basic understanding and knowledge of health insurance plans, policies and procedures. Accurately and thoroughly document the pertinent collection activity performed. Participate and attend meetings, training seminars and in-services to develop job knowledge. Meets/Exceeds Productivity and Quality standards

Other Information
Other information:
Education Requirements:
• High School Degree
Licensure/Certification Requirements:
Professional Experience Requirements:
• Two (2) years of experience in hospital or physician insurance related activities ((Authorization, Billing, Follow-Up, Call-Center, or Collections)
Knowledge/Skills/and Abilities Requirements:
Job Details
Legal Employer: NCHEALTH
Entity: Shared Services
Organization Unit: PFE Coverage Coordination
Work Type: Full Time
Standard Hours Per Week: 40.00
Salary Range: $18.12 - $25.51 per hour (Hiring Range)
Pay offers are determined by experience and internal equity
Work Assignment Type: Remote
Work Schedule: Day Job
Location of Job: US:NC:Chapel Hill
Exempt From Overtime: Exempt: No
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.

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