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Remote Claims Processor Jobs in Delaware (NOW HIRING)

Coastal Horizons Center

Remote; Must live 1hr within Wilmington POSITION SUMMARY: Coastal Horizons Center, Inc. has an ... processing electronic claims. * Communicate and educate providers and/or managers when coding ...

Getaway Travel Agency

Customer Representative Agent

Newark, DE · Remote

$15.75 - $21.25/hr

Perks * 100% remote work with flexible scheduling. * Opportunities for growth within the agency. * Travel perks and exclusive industry discounts. * Supportive team environment with ongoing training.

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Remote Claims Processor information

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$12

$19

$26

How much do remote claims processor jobs pay per hour?

As of Aug 28, 2026, the average hourly pay for remote claims processor in Delaware is $19.18, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $20.67 per hour, depending on experience, location, and employer.

What does a remote claims processor do?

The job duties of a remote claims processor revolve around working to process insurance claims. You typically work from home or another remote location. Your responsibilities start with assessing the claimant's insurance policy and coverage. You review documents and records related to the claim and decide on approval or denial of the claim. A processor also prepares the paperwork necessary for the insurer to process the case for the client. You also have customer service duties, such as answering patient questions and telling them about the claim status. Processors can work with medical insurance, property insurance, or casualty insurance.

What does a remote claims processor do?

A Remote Claims Processor reviews, evaluates, and processes insurance claims from a remote location, typically working from home. They verify information, assess documentation, and determine the validity of claims for insurance companies or healthcare providers. This role requires attention to detail, knowledge of insurance policies, and the ability to communicate with clients or providers to resolve discrepancies. Remote Claims Processors use specialized software to manage claims efficiently and ensure compliance with industry regulations.

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 strong attention to detail, analytical skills, and a solid understanding of insurance policies, often supported by a high school diploma or relevant experience. Familiarity with claims management software, Microsoft Office Suite, and sometimes industry certifications like AIC (Associate in Claims) are typically required. Excellent written communication, time management, and problem-solving abilities help you stand out in this role. These skills ensure accurate and efficient claims handling, customer satisfaction, and compliance with regulatory standards in a remote work environment.

What are some common challenges faced by remote claims processors, and how can they be addressed?

Remote Claims Processors often encounter challenges such as managing high volumes of claims, maintaining accuracy without in-person supervision, and communicating effectively with team members across different locations. To address these, it's essential to develop strong organizational skills, utilize digital tools for tracking and documentation, and participate actively in virtual team meetings. Proactively seeking feedback and staying updated on policy changes can also enhance efficiency and reduce errors in a remote setting.

What is the difference between Remote Claims Processor vs Remote Claims Examiner?

AspectRemote Claims ProcessorRemote Claims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may require insurance or claims processing certificationsHigh school diploma or equivalent; often requires licensing or certification in insurance claims examination
Work EnvironmentHome-based or remote office; primarily computer and phone workHome-based or remote; involves reviewing and analyzing insurance claims
Industry UsageInsurance, healthcare, government agenciesInsurance companies, healthcare providers, government agencies
Common Search/ComparisonYesYes

Remote Claims Processors and Remote Claims Examiners both work in the insurance industry, often remotely, handling claims. While both roles require similar credentials and work environments, Claims Examiners typically perform more detailed analysis and may require specific licensing. Understanding these differences helps job seekers identify the right position based on their skills and certifications.

More about Remote Claims Processor jobs

What are the most commonly searched types of Claims Processor jobs in Delaware?

The most popular types of Claims Processor jobs in Delaware are:

What are popular job titles related to Remote Claims Processor jobs in Delaware?

For Remote Claims Processor jobs in Delaware, the most frequently searched job titles are:

What job categories do people searching Remote Claims Processor jobs in Delaware look for?

The top searched job categories for Remote Claims Processor jobs in Delaware are:

What cities in Delaware are hiring for Remote Claims Processor jobs?

Cities in Delaware with the most Remote Claims Processor job openings:

Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Delaware as of August 2026, with employment types broken down into 1% Internship, 85% Full Time, 12% Part Time, and 2% Contract. Highlights an 85% Physical, 4% Hybrid, and 11% Remote job distribution, with an average salary of $39,898 per year, or $19.2 per hour.

Revenue Cycle Specialist, Primary Care

On-site, Remote

Coastal Horizons Center
Health Care and Social Assistance • 501 - 1,000 employees
Learn more about Coastal Horizons Centerexternal

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 12 days ago

Job description

JOB TITLE: Revenue Cycle Specialist, Primary Care
SCEDULE: Full-Time Position
LOCATION: Remote; Must live 1hr within Wilmington
POSITION SUMMARY:
Coastal Horizons Center, Inc. has an opportunity for a Revenue Cycle Specialist to join our Revenue Cycle Department. The Revenue Cycle Specialist is responsible for all facets of medical billing and accounts receivable management including charge entry, coding, and follow-up in accordance with practice protocol with an emphasis on maximizing patient satisfaction and profitability specific to our Primary Care department.
PRIMARY DUTIES/RESPONSIBILITIES:
  • Review clinical documentation for accuracy and ensure proper coding prior to processing electronic claims.
  • Communicate and educate providers and/or managers when coding errors are identified and/or when payer requirements change as it relates to coding.
  • Collaborates with Billing Manager and AR Manager to identify insurance denial trends and other issues resulting in non-payment and discuss how to reduce denials
  • Collaborate with Manager to build and/or update the billing/coding and resource manuals specific to Primary Care services.
  • Collaborate with the Patient Access Specialist to reconcile client accounts with eligibility related issues.

REQUIRED EDUCATIONAL/EXPERIENTIAL QUALIFICATIONS:
  • Associates or Bachelors Degree with and/or 2-3 years� experience related to responsibilities specified in a Primary Care setting
  • CPC certification required
  • Knowledge of billing concepts, practices, and procedures specific to Primary Care
  • Experience with health care billing systems (preferably Welligent experience).
  • Experience with reviewing clinical documentation to apply CPT and ICD-10 codes for billing purposes
  • Strong understanding of Revenue Cycle
  • Basic computer skills including Office 365, Teams, and Excel
  • Experience with North Carolina Medicaid

SALARY & BENEFITS:
  • Competitive salary based on experience
  • Comprehensive medical, dental, and vision insurance
  • Educational loan repayment programs & Career growth
  • Retirement savings plan/401K
  • Paid time off programs, rollover hours, 14 paid holidays
  • Employee engagement activities, resource groups, and diversity events

REQUEST FOR ACCOMIDATIONS:
If you require an accommodation during the application process, please contact us at jobs@coastalhorizons.org .
We look forward to reviewing your application!
EEO STATEMENT
Coastal Horizons is an Equal Employment Opportunity (EEO) employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender, gender identity and expression, national origin, age, disability or protected veteran status. We celebrate diversity and are committed to creating an inclusive environment for all of our associates.
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About Coastal Horizons Center

Sourced by ZipRecruiter

Coastal Horizons Center, Inc. offers rewarding employment opportunities to qualified individuals looking to make a difference in their community. Our Corporation provides professional opportunities offering continued career growth and development in the support of our clients. Along with competitive compensation, we offer our employees medical and dental benefit coverage, long term/short term disability insurance, life insurance, paid time off programs, and a retirement savings plan.

Industry

Health care and social assistance

Company size

501 - 1,000 Employees

Headquarters location

Wilmington, NC, US

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