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Remote Claims Processor Jobs in Miami, FL (NOW HIRING)

USAA

SIU Major Case Manager (Medical Provider)

Miami, FL · On-site +1

$119/hr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Ensure compliance with laws and regulations relating to claims handling and unfair claims practices ...

TEKsystems

Patient Service Representative

Miami, FL · Remote

$17.50/hr

... claims processing, collections, reimbursement, insurance verification, medical billing/coding or ... remote position. Application Deadline This position is anticipated to close on Jul 24, 2026. About ...

Deloitte

Hospital Billing Operator

Miami, FL · Remote

$17.50 - $22.50/hr

As an Epic Hospital Billing Analyst, you will help review and submit hospital claims, resolve billing issues, and work across teams to reduce avoidable denials. This is a primarily remote role ...

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Remote Claims Processor information

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$11

$18

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How much do remote claims processor jobs pay per hour?

As of Jul 17, 2026, the average hourly pay for remote claims processor in Miami, FL is $18.33, according to ZipRecruiter salary data. Most workers in this role earn between $15.62 and $19.76 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 Miami, FL? For Remote Claims Processor jobs in Miami, FL, the most frequently searched job titles are:
What job categories do people searching Remote Claims Processor jobs in Miami, FL look for? The top searched job categories for Remote Claims Processor jobs in Miami, FL are:
What cities near Miami, FL are hiring for Remote Claims Processor jobs? Cities near Miami, FL with the most Remote Claims Processor job openings:
Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Miami, FL as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $38,127 per year, or $18.3 per hour.
Accounts Receivable Representative III (Remote)

Accounts Receivable Representative III (Remote)

North American Partners in Anesthesia (NAPA)

Sunrise, FL • On-site, Remote

$18 - $23/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted yesterday

Job description

Sunrise,FL - USA
Position Requirements
Job Description
Principal Duties and Responsibilities:
  • Coordinates, monitors, and manages the follow-up on unpaid claims. Ensures follow-up and reimbursement appeals of unpaid and inappropriately paid claims.
  • Identifies, researches, and ensures timely processing of billing errors and corrections as they relate to claims. Actively participates in problem identification and resolution and coordinates resolutions between appropriate parties.
  • Ability to communicate and collaborate effectively with other internal as well as external resources to achieve desired results and resolve issues.
  • Review and work all daily correspondence. Appeals denied claims via mail, telephone, or websites. Perform audits on accounts when needed to review for accuracy.
  • Update accounts with information obtained through correspondence and telephone. When necessary, contacts patients, referring providers or a hospital to obtain better insurance information, authorization, or updated patient demographics to assist with collections.
  • Completes appropriate account maintenance by ensuring that the correct statement groups, financial class, and payer codes. Accurately documents all follow up on the account to ensure there is an accurate record of the steps taken to collect on an account.
  • Pitches in to help the completion of the daily AR Representative 2 workload to support AR team productivity and outcome measures.
  • Meets the current productivity standard which include both quantity and quality metrics.
  • Maintains a working knowledge and understanding of CPT and ICD-10 codes. Keeps current with health care practices and laws and regulations related to claims collections.
  • Performs other job-related duties within the job scope as requested by Management.

The above statements reflect the general duties considered necessary to describe the principal functions of the job as identified and should not be considered a detailed description of all the work requirements that may be inherent to the position.
Position Qualifications:
Education:
  • High school diploma or equivalent certification required
  • Associate degree or equivalent from a two-year college preferred; or equivalent combination of education & experience.

Experience:
  • 3 to 5 years of health care claims reimbursement and denial resolution experience
  • Knowledge of Major Commercial (Aetna, BCBS, Cigna, UHC) as well as Medicare/Medicaid payer guidelines

Knowledge, Skills, Abilities:
  • Strong computer skills (including MS Word and Excel)
  • Ability to maintain accuracy while working on multiple tasks in a fast-paced environment under low-to moderate supervision
  • Excellent verbal and written communication skills, including professional telephone etiquette
  • Ability to ensure confidentiality of sensitive information and maintain HIPAA compliance
  • Dependable in both production and attendance
  • Exceptional organization and time management skills

Total Rewards
  • Generous benefits package, including:
  • Paid Time Off
  • Health, life, vision, dental, disability, and AD&D insurance
  • Flexible Spending Accounts/Health Savings Accounts
  • 401(k)
  • Leadership and professional development opportunities

EEO Statement
North American Partners in Anesthesia is an equal opportunity employer.
North American Partners in Anesthesia logo

About North American Partners in Anesthesia

Sourced by ZipRecruiter

North American Partners in Anesthesia (NAPA) is a well-regarded name in the healthcare industry, with its headquarters based in Melville, NY, US. As suggested by its name, the company specializes in providing anesthesia services. The firm was established in 1986, with a primary commitment to ensure the highest quality patient care through strong leadership in anesthesia and industry-leading processes. NAPA operates with a mission to deliver the finest anesthesia care in the nation by fostering a culture that prioritizes quality, efficiency, communication, and patient safety.

Industry

Health care and social assistance

Company size

201 - 500 Employees

Headquarters location

Melville, NY, US

Year founded

1986

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