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Remote Claims Processor Jobs in Spring, TX (NOW HIRING)

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Associate Homeowners Property Liability Claims Adjuster Location: Work-From-Home What You'll Do: ยท Maintain claim metrics. ยท Handle a case load commensurate with the complexity level of claims ...

Informs claimants of documentation required to process claims, required timeframes, and claims ... Associate's Degree. #Remote #telushealthjobs #FMLA #LI-JG1 A bit about us We're a people-focused ...

... drawback claim processing. The ideal candidate will have strong knowledge of import/export ... Responsibilities: * Prepare, file, and manage Duty Drawback claims * Review import/export ...

... drawback claim processing. The ideal candidate will have strong knowledge of import/export ... Responsibilities: * Prepare, file, and manage Duty Drawback claims * Review import/export ...

Navigate CMS portals to process and enter case data into internal systems. * Review medical records ... Minimum 2 year of experience in medical records or medical claims * Strong attention to detail and ...

These positions are 100% fully remote**** Video Interview Process: As part of our Call Center ... Examine, review, process, calculate and (a) pay claims based on information, plan design, insurance ...

These positions are 100% fully remote**** Video Interview Process: As part of our Call Center ... Examine, review, process, calculate and (a) pay claims based on information, plan design, insurance ...

... of processes to track warranty claims and related KPIs Designs strategies to minimize the overall ... Hybrid/Remote DIRECTOR OF EPC WARRANTIES Hanwha Qcells USA Corp (Qcells USA), headquartered in ...

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Remote Claims Processor information

See Spring, TX salary details

$10

$17

$23

How much do remote claims processor jobs pay per hour?

As of Jun 1, 2026, the average hourly pay for remote claims processor in Spring, TX is $17.05, according to ZipRecruiter salary data. Most workers in this role earn between $14.57 and $18.41 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 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.

What are popular job titles related to Remote Claims Processor jobs in Spring, TX? For Remote Claims Processor jobs in Spring, TX, the most frequently searched job titles are:
What job categories do people searching Remote Claims Processor jobs in Spring, TX look for? The top searched job categories for Remote Claims Processor jobs in Spring, TX are:
What cities near Spring, TX are hiring for Remote Claims Processor jobs? Cities near Spring, TX with the most Remote Claims Processor job openings:
Call Center Representative-Remote TX Resident

Call Center Representative-Remote TX Resident

ORTHOLONESTAR

Houston, TX โ€ข Remote

$14.75 - $19/hr

Full-time

Posted 8 days ago


Job description

The Customer Service Representativeย is responsible forย handling patient and payer inquiriesย regardingย medical billing, insurance claims, and account resolutions. This role ensures a positive patient's financial experience by providingย timely, professional, andย accurateย responses to billing-related concerns. The Customer Service Representative works under the direction of the Revenue Cycle Manager Patientย AR toย support revenue cycle operations and enhance the efficiency of billing processes.ย 

Essential Duties and Responsibilitiesย 

  • Handle inbound and outbound callsย regardingย patient balances, insurance claims, and billing inquiries.ย 

  • Provide clear and empathetic explanations of charges, payment options, and account statuses.ย 

  • Assistย patients with setting up payment plans and making payments.ย 

  • Research and resolve billing discrepancies, denials, and adjustments.ย 

  • Work with insurance carriers to verify claims status and escalate issues asย ย 

  • Maintain a professional and courteous demeanor in all patient interactions.ย 

  • Ensureย timelyย and effective resolution of patient and payer concerns.ย 

  • Document all customer interactions accurately in the system.ย 

  • Adhere to HIPAA guidelines and company policiesย regardingย patient information security.ย 

  • Follow Fair Debt Collection Practices Act (FDCPA) guidelines when addressing outstanding balances.ย 

  • Work closely with the billing, collections, and revenue cycle teams to improve patient financial engagement.ย 

  • Provide feedback to management on recurring billing issues and recommend solutions.ย 

  • Participate in training and team meetings.ย 

  • Support special projects related to billing and collections.ย 

QUALIFICATIONSย 

Education & Experienceย 

  • High school diploma or GEDย required.ย 

  • Minimum of 1 year of experience in healthcare customer service, billing, or insurance claims processing.ย 

Skills & Competenciesย 

  • Excellent verbal and written communication skills.ย 

  • Basic knowledge of orthopedic-related coding, medical terminology, and insurance procedures preferred.ย 

  • Proficiencyย in Microsoft Office (Excel, Word, Outlook) andย Athenaย software.ย 

  • Ability to handle high call volumes and work in a fast-paced environment.ย 

  • Strong problem-solving and conflict-resolution skills.ย 

  • High attention to detail and ability to follow workflows accurately.ย 

Work Environment & Physical Demands:ย 

  • Standard officeย environment with prolonged periods of sitting and computer use.ย 

  • Occasional high-stress work requiring interaction with upset patients or insurance representatives.ย 

  • Manual dexterityย requiredย toย operateย a keyboard, calculator, and office equipment.ย