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Remote Claims Processor Jobs in Springfield, OH (NOW HIRING)

CareSource

Operations Specialist II

Dayton, OH · On-site +1

$62K - $100K/yr

Job Summary: The Operations Specialist II provides analytical support and leadership for project impacting Claims and key internal Claims projects. Essential Functions: * Represent claims on

Pacs

Interim Biller 6 Months

Spring Valley, OH · Remote

$35 - $36/hr

Interim Biller 6 months - Skilled Nursing Facility (SNF) Location: Fresno, CA (Open to Remote location Central Valley) Full-Time Pay Range: $35-$36+/hour (BOE) Join Our Team! We are seeking an

Deloitte

Hospital Billing Operator

Dayton, OH · Remote

$17.75 - $22.75/hr

Epic Hospital Billing Operator Position Summary Join Deloitte's AI & Engineering practice to support hospital billing operations in a role focused on claim accuracy, timely reimbursement, and revenue

Premier Health

LEAD MEDICAL BILLING SPEC-REMOTE

Moraine, OH · On-site +1

$16.50 - $21/hr

To manage the accounts receivable for timely and maximum reimbursement by adhering to company billing and collection policies. In addition the team lead, will review coding & charges, ensure the

Premier Health

LEAD MEDICAL BILLING SPEC-REMOTE

Moraine, OH · On-site +1

$16.50 - $21/hr

To manage the accounts receivable for timely and maximum reimbursement by adhering to company billing and collection policies. In addition the team lead, will review coding & charges, ensure the

Premier Health

LEAD MEDICAL BILLING SPEC-REMOTE

Moraine, OH · On-site +1

$16.50 - $21/hr

To manage the accounts receivable for timely and maximum reimbursement by adhering to company billing and collection policies. In addition the team lead, will review coding & charges, ensure the

Premier Health

LEAD MEDICAL BILLING SPEC-REMOTE

Moraine, OH · On-site +1

$16.50 - $21/hr

To manage the accounts receivable for timely and maximum reimbursement by adhering to company billing and collection policies. In addition the team lead, will review coding & charges, ensure the

All JobsClaims Processor JobsRemote Claims Processor JobsRemote Claims Processor Jobs in Springfield, OH

Remote Claims Processor information

See Springfield, OH salary details

$10

$17

$23

How much do remote claims processor jobs pay per hour?

As of Jul 29, 2026, the average hourly pay for remote claims processor in Springfield, OH is $17.26, according to ZipRecruiter salary data. Most workers in this role earn between $14.71 and $18.61 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 Springfield, OH? For Remote Claims Processor jobs in Springfield, OH, the most frequently searched job titles are:
What cities near Springfield, OH are hiring for Remote Claims Processor jobs? Cities near Springfield, OH with the most Remote Claims Processor job openings:
Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Springfield, OH as of July 2026, with employment types broken down into 85% Full Time, 13% Part Time, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $35,907 per year, or $17.3 per hour.

Operations Specialist II

CareSource

Dayton, OH • On-site, Remote

$62K - $100K/yr

Full-time

Re-posted 15 days ago

CareSource rating

7.7

Company rating: 7.7 out of 10

Based on 28 frontline employees who took The Breakroom Quiz

198th of 299 rated insurance

Job description

Job Summary:
The Operations Specialist II provides analytical support and leadership for project impacting Claims and key internal Claims projects.
Essential Functions:
  • Represent claims on cross-functional project work teams
  • Submit, monitor and prioritize IT tickets for the Claims department
  • Review special projects and identify issue trends and potential resolutions
  • Assist with Onbase reporting and processes
  • Develop and draft P&P's and job aides for Claims
  • Assist in training claims staff on claims processing policy and procedures
  • Assist in educating/training Business Partners on claims functions
  • Research and resolve provider claim issues and escalations by analyzing system configuration, payment policy, and claims data.
  • Perform analysis of all claims data in order to provide decision support to Claims management team
  • Identify and quantify data issues within Claims and assist in the development of plans to resolve data issues
  • If assigned to Research and Resolution team, responsibilities include:
    • Represent Claims Department at requested provider calls and visits
    • Provide feedback and/or face-to-face interaction with providers for claims research and resolution
    • Responsible for research and resolution of claims issues for all assigned provider inquiries and submissions
    • Responsible for managing provider issues adhering to Workflow processes and tools (Facets and Onbase)
    • Provide input for claims business requirements, testing processes and implementation tasks and plans
  • Perform any other job related instructions, as requested

Education and Experience:
  • Bachelor's degree or equivalent years of relevant work experience required
  • Minimum of two (2) years of healthcare claims environment is required

Competencies, Knowledge and Skills:
  • Advanced level experience in Microsoft Word, Excel and PowerPoint
  • Data analysis and trending skills
  • Demonstrated understanding of claims operations specifically related to managed care
  • Advanced knowledge of coding and billing processes, including CPT, ICD-9, ICD-10 and HCPCS coding
  • Ability to work independently and within a team environment
  • Attention to detail
  • Familiarity of the healthcare field
  • Critical listening and thinking skills
  • Negotiation skills/experience
  • Strong interpersonal skills
  • Proper grammar usage
  • Technical writing skills
  • Time management skills
  • Strong communication skills, both written and verbal
  • Customer service orientation
  • Decision making/problem solving skills

Licensure and Certification:
  • None

Working Conditions:
  • General office environment; may be required to sit or stand for extended periods of time

Compensation Range:
$62,700.00 - $100,400.00
CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type (hourly/salary):
Hourly
Organization Level Competencies
  • Fostering a Collaborative Workplace Culture
  • Cultivate Partnerships
  • Develop Self and Others
  • Drive Execution
  • Influence Others
  • Pursue Personal Excellence
  • Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.
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Brand=CareSource

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