ZipRecruiter

Log In

2

Remote Claims Processor Jobs in Homestead, PA (NOW HIRING)

CEI

Business Analyst

Pittsburgh, PA · Remote

Remote (US) Must reside in Eastern or Central Time Zone Employment Type: Contract / Contract-to ... Familiarity with claims, enrollment, or healthcare payer processes a plus but not required

MCKESSON

Field Reimbursement Manager

Pittsburgh, PA · On-site +1

... remote interaction and on-site training. This position is client-facing and customer-facing and ... Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare ...

previous pagenext page

Showing results 21-40

All JobsClaims Processor JobsRemote Claims Processor JobsRemote Claims Processor Jobs in Homestead, PA

Remote Claims Processor information

See Homestead, PA salary details

$10

$17

$24

How much do remote claims processor jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for remote claims processor in Homestead, PA is $17.41, according to ZipRecruiter salary data. Most workers in this role earn between $14.86 and $18.80 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 Homestead, PA?

For Remote Claims Processor jobs in Homestead, PA, the most frequently searched job titles are:

What job categories do people searching Remote Claims Processor jobs in Homestead, PA look for?

The top searched job categories for Remote Claims Processor jobs in Homestead, PA are:

What cities near Homestead, PA are hiring for Remote Claims Processor jobs?

Cities near Homestead, PA with the most Remote Claims Processor job openings:

Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Homestead, PA as of August 2026, with employment types broken down into 1% Internship, 84% Full Time, 12% Part Time, 1% Temporary, and 2% Contract. Highlights an 82% Physical, 5% Hybrid, and 13% Remote job distribution, with an average salary of $36,204 per year, or $17.4 per hour.

Product Support Representative IV - REMOTE

Net Health

Pittsburgh, PA • On-site, Remote

$19.62 - $24.52/hr

Full-time

Medical, PTO

Re-posted 19 days ago

Job description

About Net Health
Belong. Thrive. Make a Difference.
Are you looking for a meaningful and satisfying career where you have endless opportunities to grow and be financially rewarded? Net Health may be the perfect place for you.
A high-growth and profitable company, we help caregivers harness data for human health. We also honor and respect the needs of our Net Health family and staff, which is why we offer a work-from-anywhere environment and unlimited PTO. Our welcoming and collaborative culture paired with progressive benefits makes Net Health the ultimate career home!
As a leading-edge SaaS company in healthcare, we deliver solutions that help patients get better, faster, and live more fulfilling lives. Our software and predictive analytics cover the continuum of care, from hospital-to-home, across various medical specialties. Come join us and start the next chapter of your exciting career while helping others to live better lives.
World-Class Benefits That Reflect Our World-Class Culture.
Click Here to Learn More!:
#WorkFromAnywhere #UnlimitedPTO #ComprehensiveBenefitsPackage #EmployeeResourceGroups #CasualDressCode #PrioritizedEmployeeWellness #DiversityAndInclusion #AVoice #NewHireSupport #CareerDevelopment #EducationalAssistance #EmployeeReferralBonus #ProgressiveParentalLeave
JOB OVERVIEW
Provides specialized application support to clients utilizing the company's revenue cycle management software, with a focus on therapy direct billing workflows. This role requires hands-on knowledge of the healthcare revenue cycle - from charge entry through claims submission, clearinghouse processing, and remittance - to accurately diagnose client issues and deliver clear, effective resolutions. Applies domain expertise in direct billing, payer configurations, and claim lifecycle management to resolve moderately to highly complex support cases. Establishes and contributes to resources that provide repeatable answers to common revenue cycle application questions and support patterns.
RESPONSIBILITIES AND DUTIES
  • Respond to product application support inquiries from clients regarding revenue cycle workflows, including claims processing, payer configurations, remittance posting, and direct billing functions within the company's software
  • Receive and triage support cases, gathering relevant client information to accurately identify the nature and scope of the issue
  • Diagnose problems within revenue cycle software applications by reviewing client workflows, system logs, and claim data to pinpoint root causes and determine appropriate corrective action
  • Investigate claim submission and processing issues across the full claim lifecycle - from charge entry and clearinghouse transmission through 837/835 file processing, ERA receipt, and payment posting
  • Troubleshoot clearinghouse-related issues, including 837 transaction errors, acknowledgment (999/TA1) rejections, and 835 remittance file discrepancies, and communicate findings and resolution steps clearly to the client
  • Analyze payer-specific billing rules, claim edits, and rejection patterns to identify workflow gaps and recommend solutions within the software application
  • Work through identified issues methodically, leveraging internal tools, documentation, and system analytics to validate findings and confirm resolution
  • Communicate resolution steps, workflow corrections, and recommended best practices back to clients in a clear, structured manner aligned with their level of technical and billing expertise
  • Maintain thorough case documentation from intake through resolution, ensuring all troubleshooting steps, findings, and client communications are accurately recorded
  • Escalate complex or unresolved issues to appropriate internal teams with complete case context and documentation to facilitate efficient handoff
  • Leverage knowledge of direct billing workflows - including payer setup, claim submission, billing exception management, and remittance reconciliation - to support clients navigating therapy-specific billing environments
  • Support clients working within skilled nursing, outpatient therapy, or home health billing settings, applying familiarity with applicable payer requirements and claim form standards
  • Act as a voice of the customer by surfacing patterns, recurring issues, and client feedback to internal stakeholders for product and process improvements
  • Contribute to internal knowledge base resources, process documentation, and troubleshooting guides to support team consistency and scalability
  • Ensure consistent service quality during critical coverage windows, including holidays and off-hours, as needed
  • Some holiday, evening, and weekend hours will be required as needed to meet client needs and provide adequate coverage

QUALIFICATIONS
  • Minimum education: High School Diploma or equivalent GED
  • 3+ years of experience in a revenue cycle, healthcare billing, or related application support role
  • Demonstrated experience with therapy direct billing workflows, including payer setup, claim submission, billing exception management, and remittance reconciliation - experience working within Optima Therapy strongly preferred
  • Prior experience with NetHealth direct bill RCM software strongly preferred
  • Familiarity with therapy-specific billing requirements including UB-04 and CMS-1500 claim forms, therapy cap tracking, and Medicare/Medicaid billing rules
  • Experience working with or supporting SNF, outpatient therapy, or home health billing teams in a billing, support, or implementation capacity

REQUIRED SOFTWARE EXPERIENCE
  • Microsoft Office
  • Common enterprise software solutions (i.e., NetSuite, Salesforce, Oracle, SAP, MS Project, SmartSheet, or equivalent)
  • Optima Therapy - direct billing module experience strongly preferred; NetHealth experience a significant plus
    Revenue cycle or practice management platforms with direct billing capability (e.g., WebPT, Raintree, Clinicient, or equivalent)
  • Healthcare clearinghouse tools and EDI transaction experience (837, 835, 999/TA1)

Note: This job description is not intended to be all-inclusive. Employees may perform other related duties as requested to meet the ongoing needs of the organization.
Hourly Range: $19.62 - $24.52 USD
A word on Al-assisted candidate fraud & deepfakes: Our company maintains a zero-tolerance policy for the use of Al tools to misrepresent a candidate's skills, experience, or qualifications during the hiring process. We utilize advanced screening methods to detect such practices and reserve the right to disqualify and report candidates who violate this policy.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

Apply