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Remote Claims Reviewer Jobs in Arizona (NOW HIRING)

Tango Care

Physician Reviewer (Remote)

Phoenix, AZ · On-site +1

Remote - flexible hours Essential Functions: * Perform focused real-time case reviews by reviewing ... and claims reviews of medical home health services. * Reviews Potential Quality Issues (PQIs)

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Remote Claims Reviewer information

What is a remote claims reviewer?

A Remote Claims Reviewer is a professional who evaluates and processes insurance claims from a remote location, rather than working onsite at an insurance company or healthcare provider. Their primary responsibilities include reviewing submitted claims for accuracy, completeness, and compliance with policy and regulatory guidelines. They may work with various types of claims, such as health, auto, or property insurance, and often use specialized software to assess documentation and make determinations. Remote Claims Reviewers communicate with claimants, providers, and other stakeholders to gather information and resolve issues. This role requires strong attention to detail, analytical skills, and a good understanding of insurance policies and procedures.

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

To thrive as a Remote Claims Reviewer, you need a solid understanding of insurance policies, claims adjudication processes, and attention to detail, typically supported by experience in claims processing or a related field. Familiarity with claims management systems, electronic documentation, and industry certifications such as AIC (Associate in Claims) are commonly required. Excellent analytical skills, strong communication, and self-motivation are critical soft skills for effective remote work and accurate claim evaluations. These skills ensure claims are processed efficiently, accurately, and in compliance with regulations, maintaining trust and minimizing financial risk.

How do remote claims reviewers effectively collaborate with other team members while working from home?

Remote Claims Reviewers typically use a combination of secure communication platforms, such as email, video conferencing, and specialized claims management systems, to stay connected with their colleagues and supervisors. Regular virtual meetings, chat channels, and collaborative document tools help facilitate discussions about complex claims, share updates, and clarify procedures. While working remotely requires proactive communication, most companies provide structured workflows and support resources to ensure claims reviewers can easily reach out for guidance or escalate issues as needed.

What is the difference between Remote Claims Reviewer vs Remote Claims Processor?

AspectRemote Claims ReviewerRemote Claims Processor
Required CredentialsHigh school diploma or equivalent; insurance knowledge often preferredHigh school diploma or equivalent; basic insurance knowledge beneficial
Work EnvironmentHome-based, independent review settingHome-based, processing claims as assigned
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, healthcare providers
Common Search & ComparisonYesYes

The main difference is that Remote Claims Reviewers evaluate and verify claims for accuracy and compliance, often requiring insurance knowledge, while Remote Claims Processors handle the submission and initial processing of claims. Both roles are remote, industry-specific, and involve insurance-related tasks, but their focus and responsibilities differ.

What are popular job titles related to Remote Claims Reviewer jobs in Arizona?

For Remote Claims Reviewer jobs in Arizona, the most frequently searched job titles are:

What job categories do people searching Remote Claims Reviewer jobs in Arizona look for?

The top searched job categories for Remote Claims Reviewer jobs in Arizona are:

What cities in Arizona are hiring for Remote Claims Reviewer jobs?

Cities in Arizona with the most Remote Claims Reviewer job openings:

Remote Claims Reviewer jobs near you

Remote- Claims Specialist Needed | $19/hr | Dallas, TX Area

Phoenix, AZ • On-site, Remote

RemX
Recruiting and Staffing Services • 501 - 1,000 employees
Learn more about RemXexternal

$19/hr

Full-time

Posted 9 days ago

Job description

Remote Claims Specialist
Work From Home | Weekly Pay | Paid Training | Equipment Provided
Are you an experienced healthcare professional with a passion for helping patients navigate their care journey? Join our growing team as a Remote Claims Specialist and make a meaningful impact while working from the comfort of your home.
We're seeking motivated, compassionate, and detail-oriented individuals with healthcare insurance or case management experience who thrive in a fast-paced environment and are committed to delivering exceptional patient support.
?? Why You'll Love This Opportunity
  • $19.00 per hour
  • Weekly Pay
  • Paid Training
  • Comprehensive Benefits Package
  • 100% Remote Position
  • Company Equipment Shipped Directly to You

?? Schedule
Monday through Friday
Hours of Operation: 8:00 AM - 9:00 PM EST
Candidates must be available to work any assigned 8-hour shift within the hours of operation.
Projected Start Date: TBA
?? What You'll Do
As a Claims Specialist, you will play a critical role in supporting patients and ensuring they receive timely assistance throughout the healthcare process.
Key Responsibilities
  • Manage and coordinate patient cases from intake through resolution
  • Assist patients with healthcare-related questions, coverage information, and program support
  • Serve as a liaison between patients, providers, and insurance carriers
  • Conduct outbound outreach and handle inbound inquiries as needed
  • Review documentation to ensure accuracy and completeness
  • Investigate issues, identify solutions, and facilitate timely resolution
  • Maintain detailed and accurate case notes within internal systems
  • Deliver exceptional customer service while maintaining compliance and confidentiality standards
  • Navigate multiple systems and resources efficiently to support patient needs

? Qualifications
Important: Must be available to pick up equipment in Irving, TX
Required
  • At least 1 year of recent, verifiable experience in healthcare insurance, medical claims, case management, or a related healthcare field
  • No exceptions
  • Ability to complete the hiring process quickly
  • Commitment to excellent attendance and performance

Preferred
  • Previous call center experience
  • Experience supporting patients, providers, or healthcare programs
  • Familiarity with medical terminology and healthcare processes
  • Experience working with healthcare insurance plans and reimbursement programs

Essential Skills
  • Strong communication and interpersonal abilities
  • Excellent problem-solving and critical-thinking skills
  • High attention to detail and organizational skills
  • Ability to multitask and navigate multiple systems simultaneously
  • Proficiency with Microsoft Office and computer applications
  • Positive attitude and genuine desire to help others

?? Important Information
  • No time off permitted during the first 90 days of employment
  • Equipment will be provided and shipped directly to employees
  • Reliable high-speed internet and a dedicated workspace are required
  • Important: Must be available to pick up equipment in Irving, TX

?? Ready to Take the Next Step?
If you're looking for a rewarding remote healthcare opportunity where you can make a difference every day, we want to hear from you!
Apply today and start building your future as a Remote Claims Specialist.
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About RemX

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RemX is a proven leader in the Contract to Hire job industry. We help place the right people in the right jobs. Let us help you today!

Industry

Recruiting and staffing services

Company size

501 - 1,000 Employees

Headquarters location

Atlanta, GA, US

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