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Remote Claims Processor Jobs in Spring Hill, TN (NOW HIRING)

Revecore

Customer Operations (Auto Claims)

Franklin, TN · Remote

$15/hr

For over 25 years, Revecore has been at the forefront of specialized claims management, helping healthcare providers recover meaningful revenue to enhance quality patient care in their communities.

ForTheVeteran

Recruiter

Nashville, TN · Remote

Our in-house medical team are experts in the VA claims process, so they can help veterans identify ... This is a remote, full-time position. Competitive Entry Level Salary

Oshi Health

Accounts Receivable Specialist

Nashville, TN · Remote

$19.50 - $25.75/hr

Knowledge of medical billing, insurance claims processing, and payer reimbursement. * Experience ... Remote-first -- work from home within our approved states * Growth: Tailored professional ...

Surgery Partners

Data Engineer - Hybrid / Remote

Brentwood, TN · On-site +1

$108K - $130K/yr

Architect and implement scalable data processing pipelines using: * Databricks Runtime (Apache ... X12 837/835 healthcare claims data * EHR/EMR source systems * Batch, real-time, and event-driven ...

Revecore

Senior Product Manager

Franklin, TN · Remote

$122K - $161K/yr

Remote-USA As a Product Manager at Revecore, you will help hospitals recover more revenue through ... claims processing and operational systems. You will be responsible for identifying workflow ...

Surgery Partners

Data Engineer - Hybrid / Remote

Brentwood, TN · On-site +1

$108K - $130K/yr

Architect and implement scalable data processing pipelines using: * Databricks Runtime (Apache ... X12 837/835 healthcare claims data * EHR/EMR source systems * Batch, real-time, and event-driven ...

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Remote Claims Processor information

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How much do remote claims processor jobs pay per hour?

As of Jul 23, 2026, the average hourly pay for remote claims processor in Spring Hill, TN is $18.02, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $19.42 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 Spring Hill, TN? For Remote Claims Processor jobs in Spring Hill, TN, the most frequently searched job titles are:
What job categories do people searching Remote Claims Processor jobs in Spring Hill, TN look for? The top searched job categories for Remote Claims Processor jobs in Spring Hill, TN are:
What cities near Spring Hill, TN are hiring for Remote Claims Processor jobs? Cities near Spring Hill, TN with the most Remote Claims Processor job openings:
Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Spring Hill, TN as of July 2026, with employment types broken down into 82% Full Time, 13% Part Time, and 5% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $37,484 per year, or $18 per hour.
Underpayment Analyst, Denials - Zero Balance (REMOTE)

Underpayment Analyst, Denials - Zero Balance (REMOTE)

EnableComp

Franklin, TN • Remote

Full-time

Posted 13 days ago

EnableComp rating

8.7

Company rating: 8.7 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

39th of 454 rated business services

Job description

EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM intelligent automation platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery centers (ASCs) nationwide. Powered by proprietary algorithms, iterative intelligence from 10M+ processed claims, and expert human-in-the-loop integration, EnableComp provides solutions across the revenue lifecycle for Veterans Administration, Workers' Compensation, Motor Vehicle Accidents, and Out-of-State Medicaid claims as well as denials for all payer classes. By partnering with clients to supercharge the reimbursement process, EnableComp removes the burden of payment from patients and provider organizations while enabling accelerated cash, higher and more accurate yield, clean AR management, reduced denials, and data-rich performance management. EnableComp is a multi-year recipient the Top Workplaces award and was recognized as Black Book's #1 Specialty Revenue Cycle Management Solution provider in 2024 and is among the top one percent of companies to make the Inc. 5000 list of the fastest-growing private companies in the United States for the last eleven years. 

Position Summary

The Resolution Analyst acts as the liaison between key client contacts and our denials and underpayment appeal process to the appropriate payer.  The Resolution Analyst is responsible for facilitating payment review recovery efforts for denied and underpaid accounts for assigned clients, thereby increasing the departments revenue.  This position is responsible for handling patient health information (PHI) and maintaining extreme privacy and security as it relates to confidential and proprietary information.
Key Responsibilities
  • Review, evaluate, appeal, and follow up on outstanding, denied, underpaid, and other assigned claims using EnableComp's proprietary software, systems and tools.
  • Use payment documentation provided by payers and medical provider contract information to determine the correct reimbursement.
  • Efficiently review hospital contracts to identify and collect cash payments from insurance companies, ensuring prompt payments of denied and underpaid claims.
  • Research, request, and acquire all pertinent medical records and supporting documentation to create and submit complex underpayment appeals to the appropriate payer, ensuring accurate and timely claim reimbursement.
  • Conduct timely and thorough telephone follow-up with payers to ensure claims with supporting documentation have been received and facilitate resolution of outstanding receivables.
  • Ensures smooth operations and improves customer satisfaction.
  • Other duties as required.
Requirements and Qualifications
  • High School Diploma or GED required.  Associates or Bachelor's Degree preferred.
  • 5+ years' experience in healthcare field working in billing or collections.
  • 1+ years' client facing/customer services experience.
  • Intermediate level understanding of insurance payer/provider claims processing and subsequent data requirements.
  • Equivalent combination of education and experience will be considered.
  • Must have strong computer proficiency and understand how to use basic office applications, including MS Office (Word, Excel, and Outlook).
  • Intermediate understanding of ICD, HCPCS/CPT coding, and medical terminology.
  • Strong understanding of the revenue cycle process.
  • Full understanding of hospital reimbursement, Intermediate knowledge of Managed Care contracts, Contract Language, and Federal and State requirements.
  • Familiarity with HMO, PPO, IPA, and capitation terms and how these payors process claims.
  • Intermediate understanding of EOB, hospital billing form requirements (UB04), and familiarity with the HCFA 1500 forms.
  • Demonstrate strong ability to review client/payer contracts to identify complex underpayments.
  • Regular and predictable attendance.
  • To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.
Special Considerations and Prerequisites
  • Practices and adheres to EnableComp's Core Values, Vision and Mission.
  • Proven ability to meet and/or exceed productivity targets and goals.
  • Maintains stable performance under pressure or opposition.  Handles stress in ways to maintain relationships with all stakeholders.
  • Must be a self-starter and able to work independently without direct supervision.
  • Proven written and verbal communication skills.
  • Strong analytical and problem-solving skills.
  • Proven experience working with external clients; strong customer service skills and business acumen.
  • Ability to prioritize and manage multiple competing priorities and projects concurrently.
  • Must be able to remain in stationary position 50% of the time.
  • Occasionally moves about inside the office to access office equipment, etc.
  • Constantly operates a computer and other office equipment such as a copy/scan/print machine, phone and computer.
EnableComp is an Equal Opportunity Employer M/F/D/V. All applicants will be considered for this position based upon experience and knowledge, without regard to race, color, religion, national origin, sexual orientation, ancestry, marital, disabled or veteran status. We are committed to creating and maintaining a workforce environment that is free from any form of discrimination or harassment.

EnableComp recruits, develops and retains the industry's top talent.  As the employer of choice in the complex claims industry, EnableComp takes pride in our continuous commitment to building and maintaining a culture centered around fostering the professional growth and development of our people.  We believe that investing in our employees is the key to our success, and we are dedicated to providing them with the tools, resources, and support they need to thrive and grow their career here. At EnableComp, we are committed to living up to our core values each and every day, and we believe that this commitment is what sets us apart from other companies.  If you are looking for a company that values its employees and is dedicated to helping them achieve their full potential, then EnableComp is the place for you.

 Don't just take our word for it!  Hear what our people are saying:
"I love my job because everyone shares the same vision and is determined and dedicated. People care about you as a person and your professional growth. There is a genuine spirit of cooperation and shared goals all revolving around helping each other." - Revenue Specialist

"I enjoy working for EnableComp because of the Core Values we believe in. EnableComp stands true to these values from empowering employees to ecstatic clients. This company is family oriented and flexible, along with understanding the balance of work, life, and fun." - Supervisor, Operations
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
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