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Remote Claims Processor Jobs in Summerville, SC (NOW HIRING)

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Remote Claims Processor information

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$10

$17

$23

How much do remote claims processor jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for remote claims processor in Summerville, SC is $17.19, according to ZipRecruiter salary data. Most workers in this role earn between $14.66 and $18.56 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 Summerville, SC? For Remote Claims Processor jobs in Summerville, SC, the most frequently searched job titles are:
What job categories do people searching Remote Claims Processor jobs in Summerville, SC look for? The top searched job categories for Remote Claims Processor jobs in Summerville, SC are:
What cities near Summerville, SC are hiring for Remote Claims Processor jobs? Cities near Summerville, SC with the most Remote Claims Processor job openings:
Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Summerville, SC as of August 2026, with employment types broken down into 83% Full Time, and 17% Part Time. Highlights an 17% In-person, and 83% Remote job distribution, with an average salary of $35,762 per year, or $17.2 per hour.

Insurance AR Specialist - Remote

Surgical Information Systems

Charleston, SC • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 29 days ago

Job description

For 30 years, Surgical Information Systems (SIS) has empowered surgical providers to Operate Smart™ by delivering innovative software and services that drive clinical, financial, and operational success. For ambulatory surgery centers (ASCs), SIS provides comprehensive software and services, including ASC management, electronic health records (EHRs), patient engagement capabilities, compliance technology, and revenue cycle management and transcription services, all built specifically for ASCs. For hospital perioperative teams, SIS offers an easy-to-use anesthesia information management system (AIMS). 

Serving over 2,900 surgical facilities, SIS is committed to delivering solutions that enable surgical providers to focus on what matters most: delivering exceptional patient care and outcomes.

Recognized as the No. 1 ASC EHR vendor by Black Book for 11 consecutive years and honored with the Best in KLAS Award for ASC Solutions in 2026, 2025, 2023, and 2022, SIS remains the trusted choice for surgical providers seeking to enhance their performance.

Discover how SIS can help you Operate Smartâ„¢ at sisfirst.com.

THIS IS A REMOTE POSITION

This is an exciting opportunity to join a dynamic and growing Revenue Cycle Services (RCS) team that is actively expanding to support our continued success—all in a fully remote environment. The AR Specialist plays an important role in supporting the financial outcomes of our clients by working insurance accounts receivable for Ambulatory Surgical Centers and Clinics, including followup, denial resolution, and appeal submissions. As we continue to add to our team, this remote position offers the chance to join a collaborative, forwardmoving company where your contributions make a direct impact and your work is truly valued.

ESSENTIAL DUTIES/ RESPONSIBILITIES:

  • Work assigned insurance accounts receivable with accuracy, efficiency, and a strong sense of ownership
  • Proactively follow up on outstanding claims and insurance denials to ensure timely resolution
  • Research, prepare, submit, and track insurance appeals, including ongoing appeal followup
  • Communicate effectively with insurance representatives to resolve claim issues and obtain payment
  • Apply strong organizational and timemanagement skills to prioritize daily workloads and meet deadlines
  • Interpret managed care contracts, including fee schedules and allowable amounts, to support collection efforts
  • Work confidently with nonparticipating providers and payer guidelines
  • Maintain a clear understanding of the insurance collection process and apply best practices consistently
  • Identify issues and resolve problems independently, using sound judgment and attention to detail
  • Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time

EDUCATION DESIRED:

High school graduate or GED certification

SPECIFIC KNOWLEDGE & SKILLS REQUIRED:

  • Solid knowledge of medical billing processes, insurance guidelines, and the insurance appeals lifecycle
  • Prior experience in healthcare insurance collections, preferably in an ambulatory or clinical setting
  • Proficiency with computers and Windowsbased software systems
  • Strong written and verbal communication skills with excellent command of the English language
  • Ability to work cooperatively and professionally with teammates, patients, and external partners
  • Customerfocused mindset with the ability to represent the company positively to patients, insurance carriers, and the general public
  • Must have a minimum of 50Mbps internet download speed to effectively run SIS Systems

    BENEFITS:

    • Benefit package including Medical, Vision, Dental, Short Term Disability, Long Term Disability, and Life Insurance
    • Vacation/Sick time
    • 401(k) retirement plan with company match
    • Paid Holidays
    • SIS Cares Day
    • Hybrid or Remote environment depending on the role

    We believe employees are our greatest asset and we empower them to make a difference in our business. Diversity and inclusion makes us all better. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, age, disability, protected veteran status, and all other protected statuses

    Surgical Information Systems is an Equal Opportunity Employer and complies with applicable employment laws. M/F/D/V/SO are encouraged to apply.

    At this time we are unable to sponsor H1B candidates

    Apply