Be familiar with multiple payer requirements for claims processing * Solid skills with Microsoft office with a focus on Excel and Word. * Good Communication Skills License/Registration/Certifications
Be familiar with multiple payer requirements for claims processing * Solid skills with Microsoft office with a focus on Excel and Word. * Good Communication Skills License/Registration/Certifications
Be familiar with multiple payer requirements for claims processing * Solid skills with Microsoft office with a focus on Excel and Word. * Good Communication Skills License/Registration/Certifications
Be familiar with multiple payer requirements for claims processing * Solid skills with Microsoft office with a focus on Excel and Word. * Good Communication Skills License/Registration/Certifications
Be familiar with multiple payer requirements for claims processing * Solid skills with Microsoft office with a focus on Excel and Word. * Good Communication Skills License/Registration/Certifications
Be familiar with multiple payer requirements for claims processing * Solid skills with Microsoft office with a focus on Excel and Word. * Good Communication Skills License/Registration/Certifications
Be familiar with multiple payer requirements for claims processing * Solid skills with Microsoft office with a focus on Excel and Word. * Good Communication Skills License/Registration/Certifications
Be familiar with multiple payer requirements for claims processing * Solid skills with Microsoft office with a focus on Excel and Word. * Good Communication Skills License/Registration/Certifications
Be familiar with multiple payer requirements for claims processing * Solid skills with Microsoft office with a focus on Excel and Word. * Good Communication Skills License/Registration/Certifications
Be familiar with multiple payer requirements for claims processing * Solid skills with Microsoft office with a focus on Excel and Word. * Good Communication Skills License/Registration/Certifications
Be familiar with multiple payer requirements for claims processing * Solid skills with Microsoft office with a focus on Excel and Word. * Good Analytical skills. * Good Communication Skills License ...
Be familiar with multiple payer requirements for claims processing * Solid skills with Microsoft office with a focus on Excel and Word. * Good Analytical skills. * Good Communication Skills License ...
Be familiar with multiple payer requirements for claims processing * Solid skills with Microsoft office with a focus on Excel and Word. * Good Analytical skills. * Good Communication Skills License ...
Be familiar with multiple payer requirements for claims processing * Solid skills with Microsoft office with a focus on Excel and Word. * Good Analytical skills. * Good Communication Skills License ...
Be familiar with multiple payer requirements for claims processing * Solid skills with Microsoft office with a focus on Excel and Word. * Good Analytical skills. * Good Communication Skills License ...
Be familiar with multiple payer requirements for claims processing * Solid skills with Microsoft office with a focus on Excel and Word. * Good Analytical skills. * Good Communication Skills License ...
Be familiar with multiple payer requirements for claims processing * Solid skills with Microsoft office with a focus on Excel and Word. * Good Analytical skills. * Good Communication Skills License ...
Be familiar with multiple payer requirements for claims processing * Solid skills with Microsoft office with a focus on Excel and Word. * Good Analytical skills. * Good Communication Skills License ...
Be familiar with multiple payer requirements for claims processing * Solid skills with Microsoft office with a focus on Excel and Word. * Good Analytical skills. * Good Communication Skills License ...
Be familiar with multiple payer requirements for claims processing * Solid skills with Microsoft office with a focus on Excel and Word. * Good Analytical skills. * Good Communication Skills License ...
Be familiar with multiple payer requirements for claims processing * Solid skills with Microsoft office with a focus on Excel and Word. * Good Analytical skills. * Good Communication Skills License ...
Be familiar with multiple payer requirements for claims processing * Solid skills with Microsoft office with a focus on Excel and Word. * Good Analytical skills. * Good Communication Skills License ...
... claims issues, and other considerations. Location : 100% remote within the Southeast to include ... We offer Direct Hire (Contingency Search, Engaged/Retained and Recruitment Process Outsourcing [RPO ...
Quick apply
... claims issues, and other considerations. Location : 100% remote within the Southeast to include ... We offer Direct Hire (Contingency Search, Engaged/Retained and Recruitment Process Outsourcing [RPO ...
Familiar with multiple payer requirements and regulations for claims processing * Solid Microsoft Office skills required. * Good communication skills and the ability to courteously interact with ...
Familiar with multiple payer requirements and regulations for claims processing * Solid Microsoft Office skills required. * Good communication skills and the ability to courteously interact with ...
Liability Adjuster
Greenville, SC · Remote
About the Role As a Liability Adjuster, you will work closely with HDVI's Claims and Fleet Services ... A remote-friendly environment with the opportunity to participate in periodic in-person team ...
Quick apply
Liability Adjuster
Greenville, SC · Remote
About the Role As a Liability Adjuster, you will work closely with HDVI's Claims and Fleet Services ... A remote-friendly environment with the opportunity to participate in periodic in-person team ...
Customer Service Representative (REMOTE - Entry Level)
Greer, SC · On-site +1
$15.50 - $21/hr
... the process. We approach sales as a form of customer service-focused on education, trust, and ... We Offer * 100% Remote - Work from anywhere * Weekly pay + performance-based bonuses
Customer Service Representative (REMOTE - Entry Level)
Greer, SC · On-site +1
$15.50 - $21/hr
... the process. We approach sales as a form of customer service-focused on education, trust, and ... We Offer * 100% Remote - Work from anywhere * Weekly pay + performance-based bonuses
Liability Adjuster
Spartanburg, SC · On-site +1
... claims management, including ADR and mediation processes involving Commercial Auto exposures ... A remote-friendly environment with the opportunity to participate in periodic in-person team ...
Liability Adjuster
Spartanburg, SC · On-site +1
... claims management, including ADR and mediation processes involving Commercial Auto exposures ... A remote-friendly environment with the opportunity to participate in periodic in-person team ...
Remote Benefits Support Representative (Entry-Level)
Greenville, SC · On-site +1
$15 - $20.50/hr
Client Service Role - Remote Opportunity Location: 100% Remote Schedule: Flexible Are you a motivated professional looking for a career with flexibility, mentorship, and long-term growth potential?
Remote Benefits Support Representative (Entry-Level)
Greenville, SC · On-site +1
$15 - $20.50/hr
Client Service Role - Remote Opportunity Location: 100% Remote Schedule: Flexible Are you a motivated professional looking for a career with flexibility, mentorship, and long-term growth potential?
Medical Director
Greenville, SC · On-site +1
$225K - $428K/yr
... processes, and membership. * Conduct regular rounds to assess and coordinate care for high-risk ... Reviews claims involving complex, controversial, or unusual or new services in order to determine ...
Medical Director
Greenville, SC · On-site +1
$225K - $428K/yr
... processes, and membership. * Conduct regular rounds to assess and coordinate care for high-risk ... Reviews claims involving complex, controversial, or unusual or new services in order to determine ...
Medical Director
Greenville, SC · On-site +1
$225K - $428K/yr
... processes, and membership. * Conduct regular rounds to assess and coordinate care for high-risk ... Reviews claims involving complex, controversial, or unusual or new services in order to determine ...
Medical Director
Greenville, SC · On-site +1
$225K - $428K/yr
... processes, and membership. * Conduct regular rounds to assess and coordinate care for high-risk ... Reviews claims involving complex, controversial, or unusual or new services in order to determine ...
Medical Director
Simpsonville, SC · On-site +1
$225K - $428K/yr
... processes, and membership. * Conduct regular rounds to assess and coordinate care for high-risk ... Reviews claims involving complex, controversial, or unusual or new services in order to determine ...
Medical Director
Simpsonville, SC · On-site +1
$225K - $428K/yr
... processes, and membership. * Conduct regular rounds to assess and coordinate care for high-risk ... Reviews claims involving complex, controversial, or unusual or new services in order to determine ...
Remote Claims Processor information
See Greenville, SC salary details
$11.30 - $12.53
2% of jobs
$12.53 - $13.77
6% of jobs
$13.77 - $15
9% of jobs
$15.64 is the 25th percentile. Wages below this are outliers.
$15 - $16.23
14% of jobs
$16.23 - $17.47
18% of jobs
The median wage is $17.50 / hr.
$17.47 - $18.70
17% of jobs
$19.38 is the 75th percentile. Wages above this are outliers.
$18.70 - $19.93
16% of jobs
$19.93 - $21.16
7% of jobs
$21.16 - $22.40
4% of jobs
$22.40 - $23.63
4% of jobs
$23.63 - $24.86
2% of jobs
$11
$18
$24
How much do remote claims processor jobs pay per hour?
What are some common challenges faced by remote claims processors, and how can they be addressed?
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?
What are the key skills and qualifications needed to thrive as a remote claims processor, and why are they important?
What is the difference between Remote Claims Processor vs Remote Claims Examiner?
| Aspect | Remote Claims Processor | Remote Claims Examiner |
|---|---|---|
| Required Credentials | High school diploma or equivalent; some roles may require insurance or claims processing certifications | High school diploma or equivalent; often requires licensing or certification in insurance claims examination |
| Work Environment | Home-based or remote office; primarily computer and phone work | Home-based or remote; involves reviewing and analyzing insurance claims |
| Industry Usage | Insurance, healthcare, government agencies | Insurance companies, healthcare providers, government agencies |
| Common Search/Comparison | Yes | Yes |
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.
- Remote Claims Adjuster Trainee
- Entry Level Remote Property Claims Adjuster
- Remote Mechanical Claims Adjuster
- Remote First Notice Of Loss Claims Representative
- Entry Level Remote Claims Adjuster
- Work From Home Progressive Claims Adjuster
- Remote Assessment Writer
- Co Op Claims Adjuster
- Full Time Mechanical Claims Adjuster
- Remote Total Loss Claims Adjuster

Specialist-Denials Management (Remote)
Spartanburg, SC • Remote
Full-time
Re-posted 5 days ago
Spartanburg Regional Healthcare System rating
6.7
Based on 117 frontline employees who took The Breakroom Quiz
532nd of 887 rated healthcare providers
Job description
Position Summary
The Denial Management Specialist is responsible for denial and AR management for the department as defined by their supervisor/manager.
* Only Applicants from the following states: Alabama, Arizona, Connecticut, Delaware, Florida, Georgia, Indiana, Kansas, Kentucky, Louisiana, Maryland, Michigan, North Carolina, Pennsylvania, Rhode Island, South Carolina, Virginia, West Virginia, Wisconsin.
Minimum Requirements
Education
- High School Diploma or equivalency
Experience
- 4 years' experience in medical billing, setting with exposure to denials, appeals, insurance collections and related follow-up.
- Must have good knowledge of ICD9 and CPT-4 coding
- Must have a good working knowledge with insurance explanation of benefits (EOB) and comprehensive understanding of remittance and remark codes.
- Be familiar with multiple payer requirements for claims processing
- Solid skills with Microsoft office with a focus on Excel and Word.
- Good Communication Skills
License/Registration/Certifications
- N/A
Preferred Requirements
Preferred Education
- Associates or Bachelor's degree in a Healthcare related field.
Preferred Experience
- Focused denials and appeals management experience.
Preferred License/Registration/Certifications
- CPC and/or CPC-H certification
Core Job Responsibilities
- Research and resolve all outstanding denials within workque and complete all necessary follow up within a timely and accurate manner
- Identify all denial trends and provide education of steps to prevent future avoidable denials.
- Initiate/manage all insurance appeals in a timely manner
- Manage outstanding AR related to denials.
- Communicate all denial trends and denial increases to direct supervisor/manager in order to positively affect the volume of denials
- Organize the workflow to ensure that denials are worked according to departmental policy and standards.
- Manage correspondences and any ADR requests as defined within department workflow procedure to ensure timeless and accuracy of response.
- Complete special projects as assigned by Supervisor/Manager
- Prepare/attend AR denial meetings as required.
Employment Type: FULL_TIME
What Spartanburg Regional Healthcare System employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
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