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Remote Claims Processor Jobs in Brandon, FL (NOW HIRING)

paradigm

Medical Cost Projection Analyst

Tampa, FL · Remote

We are seeking a full-time, remote Medical Cost Projection Analyst. This position is responsible ... claims data and historical contract performance and support creation of processes and tools ...

paradigm

Medical Cost Projection Analyst

Tampa, FL · Remote

We are seeking a full-time, remote Medical Cost Projection Analyst. This position is responsible ... claims data and historical contract performance and support creation of processes and tools ...

ASCENSUS

Call Center Representative (Temporary)

Tampa, FL · Remote

$19/hr

These positions are 100% fully remote**** The first 4-6 weeks consist of training from 10:00 am to ... Examine, review, process, calculate and (a) pay claims based on information, plan design, insurance ...

ASCENSUS

Bilingual Call Center Representative

Tampa, FL · Remote

$19/hr

These positions are 100% fully remote**** The first 4 weeks consist of training from 10:00 am to 6 ... Examine, review, process, calculate and (a) pay claims based on information, plan design, insurance ...

Addison Group

Revenue Cycle Specialists

Tampa, FL · Remote

$20 - $24/hr

Monday-Friday, 8:30 AM - 5:00 PM EST (Hybrid: 3 days onsite, 2 days remote) Benefits: This position ... Research denied or unpaid claims, correct errors, and resubmit as needed * Communicate with ...

Liberty Mutual

Construction Defect Attorney

Tampa, FL · On-site +1

Description This role is primarily remote in the state of Florida except for required appearances ... claims professionals, and senior attorneys. * Organized, process-oriented with strong time ...

BCForward

Process Writer

Tampa, FL · Remote

$35 - $40/hr

Remote Duration: Contract - 12 months Job ID: 407656 About BCforward BCforward is a leading global ... Industry knowledge of Medicaid operations, including Claims, Prior Authorization, Provider ...

MCI Careers

Call CenterRepresentative

Tampa, FL · Remote

$14/hr

... Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital ... Our contact centers are powered by both on-site and remote agents, leveraging advanced technologies ...

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All JobsClaims Processor JobsRemote Claims Processor JobsRemote Claims Processor Jobs in Brandon, FL

Remote Claims Processor information

See Brandon, FL salary details

$10

$16

$22

How much do remote claims processor jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for remote claims processor in Brandon, FL is $16.65, according to ZipRecruiter salary data. Most workers in this role earn between $14.18 and $17.98 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.

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

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The top searched job categories for Remote Claims Processor jobs in Brandon, FL are:

What cities near Brandon, FL are hiring for Remote Claims Processor jobs?

Cities near Brandon, FL with the most Remote Claims Processor job openings:

Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Brandon, FL as of August 2026, with employment types broken down into 51% Full Time, 17% Part Time, 10% Temporary, and 22% Contract. Highlights an 100% Remote job distribution, with an average salary of $34,638 per year, or $16.7 per hour.

REMOTE Revenue Cycle A/R Specialist (Hospital)(RCAR)

JTS Health Partners

Riverview, FL • Remote

$22 - $25/hr

Full-time

Retirement, PTO

Re-posted 6 days ago

Job description

Remote Revenue Cycle AR Specialist (Hospital)

At JTS, we create the “WOW” factor for each other and our clients. We embrace a culture where employees are empowered to be innovative and grow personally and professionally, and value employees who want their contributions to directly impact the company’s success.

JTS Health Partners (JTS) is a healthcare professional services and analytics firm focused on Revenue Cycle Management (RCM), Health Information Management (HIM), Health Information Technology (HIT), Healthcare Analytics as a Service (AaaS) and Financial Technology (FinTech). JTS offers consulting, operational and analytical services that align with performance improvement initiatives of healthcare systems, hospitals and physician practices.

Summary:

The Revenue Cycle A/R Specialist will analyze and review aged accounts to final resolution. The ideal candidate will have the ability to work independently, but also understand and value being part of a collaborative team. A dedicated remote office space must be available with high-speed internet and peripheral equipment.

Primary Responsibilities:

  • Works within payer portals, such as Availity, Optum, MMIS and Medicare Contractors
  • Understands payor contracts and can apply calculations to resolve under/overpayments
  • Knowledge of medical terminology such as CPT, HCPCS, APC, ASC, DRG and ICD10
  • Understands and ability to apply EOB
  • Submits reconsiderations and appeals related to denials using payor documentation and portals
  • Interacts with third party payors and patients to resolve account balances
  • Ability to submit corrected claims billing
  • Reviews, research, and resolves claim rejections to resolution
  • Uses standard work processes in daily work activities to ensure performance goals
  • Performs other duties as assigned

Perks and Benefits:

  • Work from home full-time
  • Enjoy the culture of working for a smaller company while receiving the comprehensive benefits provided by larger firms
  • Paid time off and holidays
  • 401(k) plan with generous match for all employees
  • Annual profit sharing for employees (paid 13 of last 14 years)
  • Dynamic work atmosphere where your contributions will make a real impact on the company’s success

Required Qualifications:

  • Minimum of 5 years' experience in revenue cycle processes:
    • Within a hospital setting (UB04 format)
    • Proficient to Expert level insurance follow up, denials management, credit balance resolution
  • Proficient to expert level knowledge of Cerner Community Works and/or MEDHOST
  • Expert level experience within DDE/ FISS
  • Expert level experience working RTP Claims
  • Proficient knowledge in Medicare Method II Billing, Coding & Follow Up
  • Demonstrate experience with reviewing outstanding balances to resolution (Medicare, Medicaid, and Commercial payors)
  • Exceptional time management and organizational skills
  • Ability to direct work with minimal supervision and ability to meet performance and quality goals
  • High school diploma or GED required
  • Execute and fulfill JTS’ Remote Staff Agreement to ensure Security and Privacy

Preferred Education:

  • Associate or Industry Certification is a plus
  • HFMA Certified Patient Accounts Representative (CPAR, ACPAR or equivalent)
  • Certified Revenue Cycle Representative (CRCR)

JTS is an Equal Opportunity Employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race; color; religion; national origin; sex; pregnancy; sexual orientation; gender identity and/or expression; age; disability; genetic information, citizenship status; military service obligations or any other category protected by applicable federal, state, or local law. JTS makes hiring decisions based solely on qualifications, merit, business needs.

JTS is a drug-free workplace and does conduct pre-employment drug testing.