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Remote Claims Processor Jobs in Greenville, SC (NOW HIRING)

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Remote Claims Processor information

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$11

$18

$24

How much do remote claims processor jobs pay per hour?

As of Aug 29, 2026, the average hourly pay for remote claims processor in Greenville, SC is $18.02, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $19.42 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 Greenville, SC?

For Remote Claims Processor jobs in Greenville, SC, the most frequently searched job titles are:

What job categories do people searching Remote Claims Processor jobs in Greenville, SC look for?

The top searched job categories for Remote Claims Processor jobs in Greenville, SC are:

What cities near Greenville, SC are hiring for Remote Claims Processor jobs?

Cities near Greenville, SC with the most Remote Claims Processor job openings:

Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Greenville, SC as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $37,483 per year, or $18 per hour.

Provider Enrollment Specialist - REMOTE

Spartanburg Regional Healthcare System

Spartanburg, SC • Remote

Full-time

Posted 4 days ago

Spartanburg Regional Healthcare System rating

6.7

Company rating: 6.7 out of 10

Based on 117 frontline employees who took The Breakroom Quiz

532nd of 895 rated healthcare providers

Job description

Job Requirements

Location: REMOTE (able to hire from the following states: AL, AZ, CT, DE, FL, GA, IN, KS, KY, LA, MD, MI, NC, PA, RI, SC, VA, WV, and WI.)

Position Summary

Provider Enrollment Specialist is to perform enrollment, reassignment and re-enrollment related functions for providers with commercial insurance carriers and government payers, as needed. This position serves as a resource and liaison to implement and resolve issues related to enrollment for reimbursement. This position will work directly with credential teams and payers as well as our employed physicians and advanced practice clinicians to ensure all applications are completed within specified time periods. Maintains working knowledge of CAQH, PECOS, SC DHHS, NC Tracks and NPPES and any other payer enrollment portal.

Minimum Requirements

Education         

  • High School Diploma or its equivalent

Experience        

  • Two years of applicable experience or three years in working in managed care, credentialing or revenue cycle
  • Proficient with payer portals, and Microsoft Office Suite

License/Registration/Certifications             

  • N/A

 

Preferred Requirements

Preferred Education     

  • Associate degree

Preferred Experience    

  • Five years of applicable experience
  • Proficient with credentialing software, payer portals, and Microsoft Office Suite. 

Preferred License/Registration/Certifications             

  • Certified Provider Enrollment Specialist (CPES) or Certified Provider Credentialing Specialist (CPCS)

Core Job Responsibilities

  • Obtains, verifies, and analyzes all required information pertinent to payer enrollment
  • Organize the payer enrollment process to meet the required timelines
  • Interfaces with health plan contacts to understand and support the credentialing application and completion process
  • Prepare, submit and track payer enrollment applications, reassignment, reenrollment and demographic updates to payers
  • Performs ongoing follow-up with payers to ensure completeness of payer applications
  • Perform tracking and follow-up to ensure provider numbers are established and linked to the appropriate group entity in a timely manner
  • Ensure ongoing data entry accuracy and completeness of providers in the enrollment system
  • Working knowledge of CAQH, PECOS, SC DHHS, NC Tracks and NPPES to ensure taxonomy codes are appropriate per specialty of practice and billing requirements.
  • Submits Annual Disclosures of Ownership (ADOs) and re-validations to Medicare & Medicaid on all providers and practices as assigned
  • Participates with the team to implement and adhere to policies, procedures, and systems to ensure timely data entry in credentialing platform
  • Maintain accurate provider records in the credentialing platform to serve as the single source of truth, ensuring data integrity, regulatory compliance, and timely claims processing
  • Maintain enrollment information within the credentialing database and pull reports for hospital administration, marketing, professional billing staff, and clinic directors/managers, as needed
  • Ensures adherence to objectives, operating policies and procedures, and strategic action plans for achieving goals
  • Collaborate with supervisor to create new processes and procedures needed to improve overall processes
  • Collaborate with the credentialing team to gather necessary provider documentation for enrollment
  • Communicate clearly with stakeholders regarding application status, required next steps, and potential impacts on claims processing
  • Identifies and reviews red flags with managers and directors
  • Responsible for learning the aspects of compliance by completing all mandatory compliance training
  • Ability to comply with standards of operations
  • Ability to adhere to the commitment values, of teamwork, communication, empowerment, quality of data integrity
  • Other duties as assigned

What Spartanburg Regional Healthcare System employees say

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About Spartanburg Regional Healthcare System

Sourced by ZipRecruiter

Spartanburg Regional Healthcare System is a leader in the healthcare industry, located in Spartanburg, SC, US. As a comprehensive health system, it offers services encompassing everything from wellness, prevention, and care coordination to specific medical treatments for a wide range of diseases and health issues. Spartanburg Regional Healthcare System was founded in 1921 and has since developed a reputation for excellence and innovative care, growing to include six hospitals, 100 medical offices, 8,000 associates and more than 900 medical staff.

Industry

Recruiting and staffing services

Company size

5,001 - 10,000 Employees

Headquarters location

Spartanburg, SC, US

Year founded

1921

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