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Remote Claims Representative Jobs in Rhode Island

Brown University Health

Claims Follow Up Rep

Providence, RI · On-site +1

$19.97 - $32.96/hr

SUMMARY Under general supervision of the PFS Supervisor of Claims Follow-up and Denials, performs ... WORKING CONDITIONS Position can be fully remote, hybrid or in-office. Manager will approve work ...

Brown University Health

Claims Follow Up Rep

Providence, RI · On-site +1

$19.97 - $32.96/hr

Under general supervision of the PFS Supervisor of Claims Follow-up and Denials, performs all ... Position can be fully remote, hybrid or in-office. Manager will approve work arrangements. MINIMUM ...

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Remote Claims Representative information

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$11

$23

$41

How much do remote claims representative jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for remote claims representative in Rhode Island is $23.63, according to ZipRecruiter salary data. Most workers in this role earn between $17.88 and $26.83 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a remote claims representative?

To thrive as a Remote Claims Representative, you need strong analytical abilities, attention to detail, and a solid understanding of insurance policies and claim processes, often supported by a relevant associate's or bachelor's degree. Familiarity with claims management software, CRM systems, and occasionally industry certifications like AIC (Associate in Claims) is highly beneficial. Excellent communication, problem-solving skills, and the ability to work independently are important soft skills for success in this remote role. These competencies ensure accurate evaluation and efficient resolution of claims while maintaining high customer satisfaction and adherence to regulatory standards.

What is a remote claims representative?

A Remote Claims Representative is responsible for reviewing, processing, and resolving insurance claims while working from a remote location. They assess claim details, verify coverage, and communicate with policyholders, medical providers, or other relevant parties to ensure accurate and timely claim settlements. Strong analytical skills, attention to detail, and knowledge of insurance policies are essential for this role. The job often involves using digital tools to document claims and provide customer support.

What are some common challenges faced by remote claims representatives, and how can they be managed?

Remote Claims Representatives often encounter challenges such as managing high caseloads, communicating complex decisions effectively with clients, and staying organized without direct in-person supervision. Successfully navigating these challenges typically involves developing strong time management, self-motivation, and clear digital communication skills. Many companies provide robust training, digital collaboration tools, and regular virtual meetings to support remote staff and maintain team cohesion. Proactively seeking feedback and utilizing available resources can help you stay on track and excel in this dynamic remote environment.

What are the most commonly searched types of Claims Representative jobs in Rhode Island? The most popular types of Claims Representative jobs in Rhode Island are:
What are popular job titles related to Remote Claims Representative jobs in Rhode Island? For Remote Claims Representative jobs in Rhode Island, the most frequently searched job titles are:
What job categories do people searching Remote Claims Representative jobs in Rhode Island look for? The top searched job categories for Remote Claims Representative jobs in Rhode Island are:
What cities in Rhode Island are hiring for Remote Claims Representative jobs? Cities in Rhode Island with the most Remote Claims Representative job openings:
Remote Claims Representative jobs near you
Infographic showing various Remote Claims Representative job openings in Rhode Island as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $49,141 per year, or $23.6 per hour.

Claims Follow Up Rep

Brown University Health

Providence, RI • On-site, Remote

$19.97 - $32.96/hr

Full-time

Re-posted 16 days ago

Brown University Health rating

6.8

Company rating: 6.8 out of 10

Based on 71 frontline employees who took The Breakroom Quiz

494th of 887 rated healthcare providers

Job description

SUMMARY Under general supervision of the PFS Supervisor of Claims Follow-up and Denials, performs all duties necessary to properly follow up on outstanding claims and correct/re-process all denied claims to obtain timely reimbursement of each third-party claim and ensure the financial stability of a large multi-specialty, multi-state physician practice. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers, and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done.

The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES Review all denied claims (primary, secondary, tertiary), correct them in the system and send corrected/appealed claims to third party payers to result in reimbursement for services performed. Resolve all outstanding claims (whether the payer has responded or not), underpaid claims and overpaid claims. Identify and analyze denials and enact corrective measures as needed to effectively communicate and resolve errors and ensure timely and accurate reimbursement.

Understand and maintain compliance with HIPAA guidelines when handling patient information. Contact internal departments/patients to acquire missing or erroneous information on a claim. Identify denial trends resulting in revenue delay and report to supervisor.

Follow department policies and procedures pertaining to workflows, assignments and adjustments. Contact third party payers and answer their inquiries. Retrieve appropriate medical record documentation based on third party requests.

Research payer policies and ensure claims meet those payer policies. Thoroughly master the nuances of assigned specialties. Perform other related duties as required.

WORKING CONDITIONS Position can be fully remote, hybrid or in-office. Manager will approve work arrangements. MINIMUM QUALIFICATIONS BASIC KNOWLEDGE Equivalent to a high school graduate.

Knowledge of third party billing, including 1500 claim forms, CPT and ICD-10. Excellent verbal and written communication skills. Technical proficiencies to include Microsoft Excel, Outlook and Teams applications.

Demonstrated problem solving skills. EXPERIENCE One to three years of relevant experience in insurance follow-up of professional/hospital billing. Experience with Epic preferred.

SUPERVISORY RESPONSIBILITY None Pay Range $19.97-$32.96 Location Corporate Headquarters - 15 LaSalle Square Providence, Rhode Island 02903 Work Type 7:30 am - 4:00 pm Work Shift Day Daily Hours 8 hours Driving Required No Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment. Apply

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