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 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 ...
Remote AR Specialist - Medical Billing
Greenville, SC · Remote
$17.75 - $21.75/hr
Familiar with multiple payer requirements and regulations for claims processing. * Must have a High School Diploma/GED. Position Benefits * Have a daily impact on many lives . * Excellent training if ...
Remote AR Specialist - Medical Billing
Greenville, SC · Remote
$17.75 - $21.75/hr
Familiar with multiple payer requirements and regulations for claims processing. * Must have a High School Diploma/GED. Position Benefits * Have a daily impact on many lives . * Excellent training if ...
Remote AR Specialist - Medical Billing
Greenville, SC · On-site +1
$17.75 - $21.75/hr
Familiar with multiple payer requirements and regulations for claims processing. * Must have a High School Diploma/GED. Position Benefits * Have a daily impact on many lives . * Excellent training if ...
Remote AR Specialist - Medical Billing
Greenville, SC · On-site +1
$17.75 - $21.75/hr
Familiar with multiple payer requirements and regulations for claims processing. * Must have a High School Diploma/GED. Position Benefits * Have a daily impact on many lives . * Excellent training if ...
Remote AR Specialist - Medical Billing
Greenville, SC · On-site +1
$17.75 - $21.75/hr
Familiar with multiple payer requirements and regulations for claims processing. * Must have a High School Diploma/GED. Position Benefits * Have a daily impact on many lives . * Excellent training if ...
Remote AR Specialist - Medical Billing
Greenville, SC · On-site +1
$17.75 - $21.75/hr
Familiar with multiple payer requirements and regulations for claims processing. * Must have a High School Diploma/GED. Position Benefits * Have a daily impact on many lives . * Excellent training if ...
Remote AR Specialist - Medical Billing
Greenville, SC · Remote
$17.75 - $21.75/hr
Familiar with multiple payer requirements and regulations for claims processing. * Must have a High School Diploma/GED. Position Benefits * Have a daily impact on many lives . * Excellent training if ...
Remote AR Specialist - Medical Billing
Greenville, SC · Remote
$17.75 - $21.75/hr
Familiar with multiple payer requirements and regulations for claims processing. * Must have a High School Diploma/GED. Position Benefits * Have a daily impact on many lives . * Excellent training if ...
Remote Data Engineer I
Spartanburg, SC · On-site +1
$111K - $134K/yr
Proficiency with Microsoft BI tools, T SQL, ETL processes, data modeling, and data visualization ... Epic claims ingestion workflows * Microsoft Fabric Data Warehouse, Lakehouse, and ETL development
Remote Data Engineer I
Spartanburg, SC · On-site +1
$111K - $134K/yr
Proficiency with Microsoft BI tools, T SQL, ETL processes, data modeling, and data visualization ... Epic claims ingestion workflows * Microsoft Fabric Data Warehouse, Lakehouse, and ETL development
Remote Data Engineer I
Spartanburg, SC · Remote
$111K - $134K/yr
Proficiency with Microsoft BI tools, T SQL, ETL processes, data modeling, and data visualization ... Epic claims ingestion workflows * Microsoft Fabric Data Warehouse, Lakehouse, and ETL development
Remote Data Engineer I
Spartanburg, SC · Remote
$111K - $134K/yr
Proficiency with Microsoft BI tools, T SQL, ETL processes, data modeling, and data visualization ... Epic claims ingestion workflows * Microsoft Fabric Data Warehouse, Lakehouse, and ETL development
Remote Data Engineer I
Spartanburg, SC · Remote
$111K - $134K/yr
Proficiency with Microsoft BI tools, T SQL, ETL processes, data modeling, and data visualization ... Epic claims ingestion workflows * Microsoft Fabric Data Warehouse, Lakehouse, and ETL development
Remote Data Engineer I
Spartanburg, SC · Remote
$111K - $134K/yr
Proficiency with Microsoft BI tools, T SQL, ETL processes, data modeling, and data visualization ... Epic claims ingestion workflows * Microsoft Fabric Data Warehouse, Lakehouse, and ETL development
Responsible for electronic remittance, eligibility and claims agreements to insure the proper processing of electronic transactions, electronic remittance requirements and other payer requirements ...
Responsible for electronic remittance, eligibility and claims agreements to insure the proper processing of electronic transactions, electronic remittance requirements and other payer requirements ...
Responsible for electronic remittance, eligibility and claims agreements to insure the proper processing of electronic transactions, electronic remittance requirements and other payer requirements ...
Responsible for electronic remittance, eligibility and claims agreements to insure the proper processing of electronic transactions, electronic remittance requirements and other payer requirements ...
Remote Claims Processor information
See Simpsonville, SC salary details
$10.65 - $11.81
2% of jobs
$11.81 - $12.98
6% of jobs
$12.98 - $14.14
9% of jobs
$14.74 is the 25th percentile. Wages below this are outliers.
$14.14 - $15.30
14% of jobs
$15.30 - $16.46
18% of jobs
The median wage is $16.50 / hr.
$16.46 - $17.63
17% of jobs
$18.26 is the 75th percentile. Wages above this are outliers.
$17.63 - $18.79
16% of jobs
$18.79 - $19.95
7% of jobs
$19.95 - $21.11
4% of jobs
$21.11 - $22.27
4% of jobs
$22.27 - $23.44
2% of jobs
$10
$16
$23
How much do remote claims processor jobs pay per hour?
As of Jul 15, 2026, the average hourly pay for remote claims processor in Simpsonville, SC is $16.99, according to ZipRecruiter salary data. Most workers in this role earn between $14.47 and $18.32 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?
| 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.
More about Remote Claims Processor jobs
What are popular job titles related to Remote Claims Processor jobs in Simpsonville, SC? For Remote Claims Processor jobs in Simpsonville, SC, the most frequently searched job titles are:
What job categories do people searching Remote Claims Processor jobs in Simpsonville, SC look for? The top searched job categories for Remote Claims Processor jobs in Simpsonville, SC are:
What cities near Simpsonville, SC are hiring for Remote Claims Processor jobs? Cities near Simpsonville, SC with the most Remote Claims Processor job openings:
Specialist-Denials Management (remote)
Spartanburg, SC • Remote
Full-time
Re-posted 13 days ago
Spartanburg Regional Healthcare System rating
6.7
Based on 117 frontline employees who took The Breakroom Quiz
527th of 885 rated healthcare providers
Job description
Job Requirements
Employment Type: FULL_TIME
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