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Remote Claims Processor Jobs in Frederick, MD (NOW HIRING)

WearLinq

Medical Billing Associate

Rockville, MD · Remote

... claims processing * Working knowledge of CPT, ICD-10, HCPCS coding and medical billing workflows ... Benefits: * Optional Remote work opportunity * 401(k) * Dental insurance * Health insurance

Lantern

Strategy Analyst

Rockville, MD · Remote

... process. Job Overview The Strategy Analyst / Associate is a high-visibility, hands-on, and dynamic ... This is a remote-first role with occasional (~1x month) travel. Responsibilities and Duties:

Lantern

Strategy Analyst

Frederick, MD · Remote

... process. Job Overview The Strategy Analyst / Associate is a high-visibility, hands-on, and dynamic ... This is a remote-first role with occasional (~1x month) travel. Responsibilities and Duties:

Lantern

Strategy Analyst

Gaithersburg, MD · Remote

... process. Job Overview The Strategy Analyst / Associate is a high-visibility, hands-on, and dynamic ... This is a remote-first role with occasional (~1x month) travel. Responsibilities and Duties:

Lantern

Strategy Analyst

Hagerstown, MD · Remote

... process. Job Overview The Strategy Analyst / Associate is a high-visibility, hands-on, and dynamic ... This is a remote-first role with occasional (~1x month) travel. Responsibilities and Duties:

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All JobsClaims Processor JobsRemote Claims Processor JobsRemote Claims Processor Jobs in Frederick, MD

Remote Claims Processor information

See Frederick, MD salary details

$11

$19

$26

How much do remote claims processor jobs pay per hour?

As of Jun 11, 2026, the average hourly pay for remote claims processor in Frederick, MD is $19.06, according to ZipRecruiter salary data. Most workers in this role earn between $16.25 and $20.58 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 are popular job titles related to Remote Claims Processor jobs in Frederick, MD? For Remote Claims Processor jobs in Frederick, MD, the most frequently searched job titles are:
What cities near Frederick, MD are hiring for Remote Claims Processor jobs? Cities near Frederick, MD with the most Remote Claims Processor job openings:
Remote Claims Processor jobs near you

Medical Billing Associate (Remote)

WearLinq

Rockville, MD • Remote

$44K/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 20 days ago

Job description

Wearlinq is reimagining ambulatory cardiac monitoring with the first FDA-cleared, real-time, six-lead EKG designed to be easier for patients, clinicians, and health systems alike. We sit at the intersection of clinical cardiology, hardware, software, and data, building products that turn complex cardiac signals into clear, actionable insights.

We're hiring for our Medical Billing team to support our client and patient growth!

About the Role

This role requires a detail-oriented and proactive Medical Billing Associate to support billing and reimbursement operations for our Independent Diagnostic Testing Facility (IDTF). This role plays a critical part in ensuring accurate and timely billing for cardiac diagnostic services, including data derived from wearable and ambulatory cardiac monitoring devices.

The ideal candidate has hands-on experience with medical billing workflows, payer requirements, and denial resolutionparticularly in cardiology or diagnostic testing environmentsand is comfortable working with clinical data, device-generated reports, and physician orders.


Key Responsibilities

Billing & Claims Management

  • Prepare, review, and submit professional and technical claims for cardiac diagnostic services in compliance with payer, CMS, and IDTF regulations
  • Ensure accurate CPT, HCPCS, ICD-10, and modifier usage related to cardiac monitoring and diagnostic testing
  • Validate completeness of physician orders, patient demographics, insurance eligibility, and supporting documentation prior to claim submission

Revenue Cycle Support

  • Monitor claim status, identify delays, and follow up with commercial payers, Medicare, and Medicaid as needed
  • Research, analyze, and resolve claim denials, rejections, and underpayments; submit appeals with supporting documentation
  • Post payments, adjustments, and denials accurately and in a timely manner

Compliance & Quality

  • Maintain compliance with CMS, HIPAA, and IDTF billing requirements
  • Identify trends in denials or reimbursement issues and proactively escalate concerns to leadership
  • Support internal and external audits by providing requested billing documentation and explanations

Cross-Functional Collaboration

  • Work closely with clinical operations, device/data teams, and customer support to resolve billing discrepancies
  • Communicate professionally with providers' offices and patients regarding billing questions, when needed
  • Assist with process improvements to increase billing accuracy, turnaround time, and collections

Required Qualifications
  • 2+ years of experience in medical billing, revenue cycle, or claims processing
  • Working knowledge of CPT, ICD-10, HCPCS coding and medical billing workflows
  • Experience billing Medicare and commercial payers
  • Strong attention to detail and ability to manage high volumes of claims accurately
  • Proficiency with billing systems, EHRs, or practice management platforms - NextGen preferred
  • Comfortable working in a fast-paced, regulated healthcare environment

Preferred Qualifications

  • Experience in cardiology, cardiac monitoring, diagnostics, or IDTF environments
  • Familiarity with ambulatory cardiac monitoring codes and workflows (e.g., Holter, patch monitors, event monitors)
  • Experience with denial management and appeals
  • CPC, CPB, or similar billing/coding certification
  • Prior experience working with a remote or distributed team

Compensation:

This is a salaried role starting at $43,000 annually and up, DOE.

Benefits:

  • Optional Remote work opportunity
  • 401(k)
  • Dental insurance
  • Health insurance
  • Vision insurance
    • Life insurance
    • Paid time off