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Remote Claims Processor Jobs in Dubuque, IA (NOW HIRING)

Medix

Remote Service Representative

Dubuque, IA · On-site +1

$18.50 - $21/hr

Job Summary As a Customer Service Representative, you'll manage inbound customer inquiries related to employee benefit plans, claims, and general coverage. This remote, seasonal position supports ...

All JobsClaims Processor JobsRemote Claims Processor JobsRemote Claims Processor Jobs in Dubuque, IA

Remote Claims Processor information

See Dubuque, IA salary details

$11

$18

$24

How much do remote claims processor jobs pay per hour?

As of Jul 15, 2026, the average hourly pay for remote claims processor in Dubuque, IA is $18.07, according to ZipRecruiter salary data. Most workers in this role earn between $15.43 and $19.47 per hour, depending on experience, location, and employer.

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 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 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 job categories do people searching Remote Claims Processor jobs in Dubuque, IA look for? The top searched job categories for Remote Claims Processor jobs in Dubuque, IA are:
What cities near Dubuque, IA are hiring for Remote Claims Processor jobs? Cities near Dubuque, IA with the most Remote Claims Processor job openings:
Remote Claims Processor jobs near you

Medical Billing Specialist

Mi Familia & Summit Home Health and Hospice

Platteville, WI • Remote

$58K - $74K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 23 days ago

Job description

Job Location: Hybrid (United States)

Employment Type: Full-Time

About Summit Home Health & Hospice

Summit Home Health & Hospice is a Texas-based healthcare organization dedicated to enhancing the lives of patients and families through compassionate home health and hospice services. Our team is committed to delivering exceptional patient-centered care while maintaining the highest standards of clinical and operational excellence.

Summit Home Health & Hospice is seeking a detail-oriented and experienced Medical Billing Specialist to join our growing team. The Medical Billing Specialist will be responsible for processing medical claims, managing insurance reimbursements, resolving billing issues, and ensuring accurate and timely revenue cycle operations. The ideal candidate possesses strong knowledge of healthcare billing regulations, insurance verification procedures, and reimbursement processes within a home health or hospice environment.

Responsibilities

Prepare, review, and submit electronic and paper claims to Medicare, Medicaid, commercial insurance providers, and other payers.

Verify patient insurance eligibility, benefits, and coverage information.

Monitor claim status and follow up on unpaid, denied, or underpaid claims.

Investigate and resolve billing discrepancies and claim rejections.

Post payments, adjustments, and patient balances accurately within billing systems.

Communicate with insurance companies regarding claim submissions, appeals, and reimbursement issues.

Prepare and submit appeals for denied claims when appropriate.

Maintain accurate patient billing records and documentation.

Collaborate with clinical, intake, and administrative teams to ensure billing accuracy.

Generate billing reports and assist with revenue cycle analysis.

Ensure compliance with HIPAA, Medicare, Medicaid, and other applicable healthcare regulations.

Support month-end billing reconciliation and reporting activities.

Assist patients and families with billing inquiries in a professional and compassionate manner.

Requirements

High school diploma or equivalent.

Minimum of 2 years of medical billing experience.

Knowledge of Medicare, Medicaid, and commercial insurance billing processes.

Familiarity with CPT, ICD-10, and HCPCS coding standards.

Experience using Electronic Health Records (EHR) and medical billing software.

Strong attention to detail and organizational skills.

Excellent written and verbal communication skills.

Ability to work independently in a remote environment.

Compensation

Salary Range: $58,000 - $74,000 annually, depending on experience, qualifications, location, and demonstrated expertise.

Additional compensation opportunities may include:

Performance-based bonuses

Merit-based salary increases

Professional development reimbursement

Benefits

Medical, Dental, and Vision Insurance

401(k) Retirement Plan with Company Match

Paid Time Off (PTO)

Paid Holidays

Life and AD&D Insurance

Short-Term and Long-Term Disability Coverage

Employee Assistance Program (EAP)

Continuing Education and Professional Development Support

Remote Work Flexibility

Career Growth and Advancement Opportunities

Wellness Programs

Work Environment

Fully remote position available for qualified U.S.-based candidates.

Requirements

High school diploma or equivalent.

Minimum of 2 years of medical billing experience.

Knowledge of Medicare, Medicaid, and commercial insurance billing processes.

Familiarity with CPT, ICD-10, and HCPCS coding standards.

Experience using Electronic Health Records (EHR) and medical billing software.

Strong attention to detail and organizational skills.

Excellent written and verbal communication skills.

Ability to work independently in a remote environment.

Benefits

Medical, Dental, and Vision Insurance.

401(k) Retirement Plan with Company Match.

Paid Time Off (PTO).

Paid Holidays.

Life and AD&D Insurance.

Short-Term and Long-Term Disability Coverage.

Employee Assistance Program (EAP).

Continuing Education and Professional Development Support.

Remote Work Flexibility.

Career Growth and Advancement Opportunities.

Wellness Programs.

Work Environment.

Fully remote position available for qualified U.S.-based candidates.