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Remote Claims Processor Jobs in Forney, TX (NOW HIRING)

QMACS

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Medical Billing Accounts Receivable (A/R) Specialist- Remote

Richardson, TX · Remote

$19 - $21/hr

Our fully remote team supports clients nationwide, with employees working across more than 25 ... Understanding of medical billing terminology and claims processes * Proficiency in Microsoft Excel

QMACS

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Medical Billing Accounts Receivable (A/R) Specialist- Remote

Richardson, TX · Remote

$18 - $21/hr

Our fully remote team supports clients nationwide, with employees working across more than 25 ... Understanding of medical billing terminology and claims processes * Proficiency in Microsoft Excel

Markel International

Claims Examiner

Plano, TX · On-site +1

$62K - $85K/yr

Utilizes diary system to pro-actively resolve outstanding issues and to ensure timely processing and closure of the claim. * Negotiates and settles claims directly with claimant * Prepares reports by ...

Inshur

Claim Specialist I

Dallas, TX · Remote

$42K - $45K/yr

Find out more about our history, values, hiring process and more here . The role As a Claims Specialist I , you will serve as the first point of contact for fleet managers, commercial drivers, and ...

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Remote Claims Processor information

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How much do remote claims processor jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for remote claims processor in Forney, TX is $17.26, according to ZipRecruiter salary data. Most workers in this role earn between $14.71 and $18.61 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 Forney, TX?

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

What job categories do people searching Remote Claims Processor jobs in Forney, TX look for?

The top searched job categories for Remote Claims Processor jobs in Forney, TX are:

What cities near Forney, TX are hiring for Remote Claims Processor jobs?

Cities near Forney, TX with the most Remote Claims Processor job openings:

Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Forney, TX as of August 2026, with employment types broken down into 1% Internship, 87% Full Time, 10% Part Time, and 2% Contract. Highlights an 84% Physical, 5% Hybrid, and 11% Remote job distribution, with an average salary of $35,911 per year, or $17.3 per hour.

Medical Billing Accounts Receivable (A/R) Specialist- Remote

QMACS

Richardson, TX • Remote

$19 - $21/hr

Full-time

Medical, Dental, Vision, Life, PTO

Re-posted 15 days ago

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Job description

QMACS, Inc. is a well-established medical billing company headquartered in Richardson, Texas with over 30 years of experience in the healthcare industry. Our fully remote team supports clients nationwide, with employees working across more than 25 states.

We are currently seeking detail-oriented Accounts Receivable Specialists to join our Pending Department. This position plays a critical role in generating revenue by monitoring, researching, and resolving outstanding medical claims. The ideal candidate will have medical billing experience and the ability to effectively follow up with insurance companies to ensure timely and accurate claim resolution.

Duties:

  • Perform follow-up actions with insurance companies to ensure timely and full payment
  • Researching and submitting corrected claims and/or appeals as necessary
  • Calling insurance companies regarding any discrepancy in payments if necessary
  • Processing and documentation of adjustments, including write-offs, transfers and charge backs across several platforms
  • Provides additional information to client to facilitate collection.
  • Analyze insurance reimbursement receipts
  • Serve and protect sensitive information by adhering to professional standards, company policies and procedures, federal, state, and local requirements and standards.

Requirements:

  • Previous Medical Billing Experience Required
  • Experience in billing ophthalmology and family practice strongly preferred
  • Experience in Allscripts software 
  • Understanding of medical billing terminology and claims processes
  • Proficiency in Microsoft Excel
  • Strong attention to detail and organizational skills
  • Ability to Analyze Information
  • Excellent documentation and time management skills

Company Description

We are a privately held medical billing company based in Richardson, Texas, providing comprehensive revenue cycle management services to healthcare providers nationwide. With over three decades of industry experience, our team specializes in optimizing reimbursement, improving operational efficiency, and supporting providers through ever stage of the billing process.

Our organization has grown significantly since transitioning to a fully remote workforce, and we are proud to employ talented professionals across more than 25 states.