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Remote Claims Processor Jobs in Durham, NC (NOW HIRING)

Magicforce

Facets Analyst

Raleigh, NC · Remote

$60 - $65/hr

Job Title: Facets Analyst Location: 100% Remote Duration: 12+ Months Mandatory Skills: Facets with claims knowledge is must Facets , US healthcare payer domain, claims processing, analytical skills ...

Erie Insurance

Inside Claims Representative I

Raleigh, NC · On-site +1

$44K - $71K/yr

Remote Salary Range: $44,936.00 - $71,781.00 * salary range is for this level and may vary based on ... Documents claim files and facilitates processing of claims in collaboration with other departments.

Deloitte

Epic Denials Management Operator

Raleigh, NC · Remote

$17.50 - $23.25/hr

... Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for ... This is a primarily remote role supporting enterprise Epic support, with minimal travel and ...

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All JobsClaims Processor JobsRemote Claims Processor JobsRemote Claims Processor Jobs in Durham, NC

Remote Claims Processor information

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$11

$18

$25

How much do remote claims processor jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for remote claims processor in Durham, NC is $18.52, according to ZipRecruiter salary data. Most workers in this role earn between $15.82 and $20.00 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 popular job titles related to Remote Claims Processor jobs in Durham, NC?

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

What job categories do people searching Remote Claims Processor jobs in Durham, NC look for?

The top searched job categories for Remote Claims Processor jobs in Durham, NC are:

What cities near Durham, NC are hiring for Remote Claims Processor jobs?

Cities near Durham, NC with the most Remote Claims Processor job openings:

Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Durham, NC as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $38,520 per year, or $18.5 per hour.

Sr Epic Resolute (Billing & Claims) Certified Analyst

Morrisville, NC • On-site, Remote

UNC HEALTH
Health Care and Social Assistance • 10K+ employees

7.0

Company rating: 7.0 out of 10

Based on 321 frontline employees who took The Breakroom Quiz

414th of 893 rated healthcare providers

People enjoy working here

Recommended by students

Recommended by parents

Learn more about UNC HEALTHexternal

$41.45 - $59.58/hr

Full-time

Re-posted 3 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:
UNC Health is seeking an experienced Epic Resolute Certified Analyst to support our Community Connect program. This role supports external partner clinics using UNC Health's Epic platform, with a focus on professional billing (PB), claims management, and end-to-end revenue cycle workflows, with strong alignment to ambulatory operations.
Location: Morrisville, NC (Hybrid: Remote & Onsite)
Team: Community Connect | UNC Health ISD
Responsibilities:
  • Design, build, and support Epic Resolute (Professional Billing & Claims) functionality
  • Maintain billing rules, including charge routing, claim edits, payer setup, and workqueues
  • Support charge capture, claim submission, payment posting, denials, and A/R workflows
  • Troubleshoot billing and claims issues, including rejections, denials, and workflow gaps
  • Partner with revenue cycle, coding, and operational teams to optimize workflows and reduce revenue leakage
  • Support requirements gathering, testing, go-lives, and system enhancements
  • Provide onsite clinic support, including workflow analysis and optimization
  • Ensure data integrity, compliance, and reporting support for revenue cycle performance

Preferred Qualifications:
  • Epic Resolute Certification (Professional Billing) (active)
  • 3+ years of Epic Resolute experience in a healthcare environment
  • Strong knowledge of billing, claims processing, and revenue cycle operations
  • Experience with claim edits, denials management, and A/R follow-up workflows
  • Ability to travel to clinics for onsite support
  • Experience with Community Connect or multi-site environments
  • Experience with workqueues, claim scrubbing, and payer/plan build
  • Understanding of ambulatory (PB) workflows and integrations with Cadence/Prelude
  • Experience supporting go-lives, testing (UAT), and workflow optimization initiatives

Other Information
Education Requirements:
• Bachelor's degree in Computer Science, Information Systems Management or related field (or equivalent combination of education, training and experience).
Licensure/Certification Requirements:
• No licensure or certification required.
Professional Experience Requirements:
• If a Bachelor's degree: Four (4) years of experience with IT systems and/or related operational experience.
• If an Associate's degree: Six (6) years of IT systems and/or related operational experience.
• If a High School diploma or GED: Eight (8) years of IT systems and/or related operational experience.
Knowledge/Skills/and Abilities Requirements:
  • Epic Resolute Certification (Professional Billing) (active)
  • 3+ years of Epic Resolute experience in a healthcare environment
  • Strong knowledge of billing, claims processing, and revenue cycle operations
  • Experience with claim edits, denials management, and A/R follow-up workflows
  • Ability to travel to clinics for onsite support
  • Excellent analytical and communication skills. Ability to work well in a team environment. Demonstrated ability to successfully manage multiple tasks simultaneously. Highly responsive to internal customers.

Job Details
Legal Employer: NCHEALTH
Entity: Shared Services
Organization Unit: ISD Ambulatory Services
Work Type: Full Time
Standard Hours Per Week: 40.00
Salary Range: $41.45 - $59.58 per hour (Hiring Range)
Pay offers are determined by experience and internal equity
Work Assignment Type: Hybrid
Work Schedule: Day Job
Location of Job: US:NC:Morrisville
Exempt From Overtime: Exempt: Yes
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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