ZipRecruiter

Log In

2

Remote Claims Reviewer Jobs in Raleigh, NC (NOW HIRING)

UNC HEALTH

Revenue Cycle Representative

Chapel Hill, NC · On-site +1

$18.12 - $25.51/hr

... claims and denied claims. Review credit balances for possible reallocation or refunds. May be ... Remote Work Schedule: Day Job Location of Job: US:NC:Chapel Hill Exempt From Overtime: Exempt: No ...

UNC HEALTH

Revenue Cycle Representative

Chapel Hill, NC · On-site +1

$18.12 - $25.51/hr

... claims and denied claims. Review credit balances for possible reallocation or refunds. May be ... Remote Work Schedule: Day Job Location of Job: US:NC:Chapel Hill Exempt From Overtime: Exempt: No ...

UNC HEALTH

Revenue Cycle Representative

Chapel Hill, NC · On-site +1

$18.12 - $25.51/hr

... claims and denied claims. Review credit balances for possible reallocation or refunds. May be ... Remote Work Schedule: Day Job Location of Job: US:NC:Chapel Hill Exempt From Overtime: Exempt: No ...

UNC HEALTH

Revenue Cycle Representative

Chapel Hill, NC · On-site +1

$18.12 - $25.51/hr

... claims and denied claims. Review credit balances for possible reallocation or refunds. May be ... Remote Work Schedule: Day Job Location of Job: US:NC:Chapel Hill Exempt From Overtime: Exempt: No ...

UNC HEALTH

Revenue Cycle Representative

Chapel Hill, NC · On-site +1

$18.12 - $25.51/hr

... claims and denied claims. Review credit balances for possible reallocation or refunds. May be ... Remote Work Schedule: Day Job Location of Job: US:NC:Chapel Hill Exempt From Overtime: Exempt: No ...

UNC HEALTH

Revenue Cycle Representative

Chapel Hill, NC · On-site +1

$18.12 - $25.51/hr

... claims and denied claims. Review credit balances for possible reallocation or refunds. May be ... Remote Work Schedule: Day Job Location of Job: US:NC:Chapel Hill Exempt From Overtime: Exempt: No ...

Deloitte

Hospital Billing Coordinator

Raleigh, NC · Remote

$50K - $60K/yr

As an Epic Hospital Billing Coordinator, you will help review and submit hospital claims, resolve billing issues, and work across teams to reduce avoidable denials. This is a primarily remote role ...

next page

Showing results 1-20

All JobsRemote Claims Reviewer JobsRemote Claims Reviewer Jobs in Raleigh, NC

Remote Claims Reviewer information

See Raleigh, NC salary details

$29.6K

$62.8K

$87.5K

How much do remote claims reviewer jobs pay per year?

As of Jun 16, 2026, the average yearly pay for remote claims reviewer in Raleigh, NC is $62,805.00, according to ZipRecruiter salary data. Most workers in this role earn between $49,600.00 and $73,400.00 per year, depending on experience, location, and employer.

What jobs pay 2000 a day?

Remote claims reviewers typically do not earn $2,000 a day; their pay is usually based on hourly rates or per claim processed. High-paying roles in specialized fields like consulting, executive positions, or certain freelance jobs may reach or exceed this level, but they are not common for claims review positions. Achieving such earnings generally requires advanced skills, significant experience, or working in high-demand industries.

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 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, and why are they important?

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.

What job makes $10,000 a month without a degree?

A remote claims reviewer can potentially earn $10,000 a month by evaluating insurance claims, especially with experience and specialized knowledge. Success in this role depends on skills in detail-oriented analysis, familiarity with claims processing software, and often self-motivation, as it typically does not require a formal degree.

What does a claims reviewer do?

A claims reviewer evaluates insurance claims to determine their validity and ensure they comply with policy terms. They review documentation, assess evidence, and make decisions on claim approval or denial, often using specialized software and following company guidelines.

How to make 2000 a week working from home?

A remote claims reviewer can potentially earn $2,000 per week by handling a high volume of claims efficiently, often requiring strong attention to detail, relevant insurance knowledge, and good organizational skills. Increasing earnings may involve working additional hours, gaining specialized certifications, or taking on more complex claims to justify higher pay rates.

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 the most commonly searched types of Claims Reviewer jobs in Raleigh, NC? The most popular types of Claims Reviewer jobs in Raleigh, NC are:
What are popular job titles related to Remote Claims Reviewer jobs in Raleigh, NC? For Remote Claims Reviewer jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Remote Claims Reviewer jobs in Raleigh, NC look for? The top searched job categories for Remote Claims Reviewer jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Remote Claims Reviewer jobs? Cities near Raleigh, NC with the most Remote Claims Reviewer job openings:
Remote Claims Reviewer jobs near you
Infographic showing various Remote Claims Reviewer job openings in Raleigh, NC as of June 2026, with employment types broken down into 92% Full Time, 5% Part Time, and 3% Contract. Highlights an 100% Remote job distribution, with an average salary of $62,805 per year, or $30.2 per hour.
Epic PB/PB Claims Analyst

Epic PB/PB Claims Analyst

The Select Group

Morrisville, NC • On-site, Remote

Full-time

Posted 5 days ago

Job description

EPIC PB/CLAIMS ANALYST | REMOTE (EST)
The Select Group is seeking an Epic PB/PB Claims Analyst to support a large Community Connect initiative with one of our top healthcare partners. This individual will play a key role in supporting Professional Billing (PB) and PB Claims workflows, revenue cycle optimization initiatives, and implementation efforts related to onboarding affiliated entities into the Epic environment. They will assist with workflow analysis, build support, testing, troubleshooting, and operational readiness efforts throughout the Community Connect project lifecycle.
WHAT YOU'LL CONTRIBUTE
  • Support the successful implementation and optimization of Epic Professional Billing (PB) and PB Claims workflows across affiliated organizations
  • Partner with revenue cycle, operational, and Epic application teams to align workflows and drive project objectives
  • Contribute to Community Connect onboarding efforts by analyzing current-state processes and supporting future-state workflow design
  • Help improve claims accuracy, reimbursement efficiency, and overall revenue cycle performance through workflow support and issue resolution
  • Participate in testing, validation, and go-live activities to support operational readiness and a smooth transition into the Epic environment
  • Provide documentation, troubleshooting support, and recommendations for ongoing system and workflow optimization throughout the project lifecycle

EPIC PB/CLAIMS ANALYST RESPONSIBILITIES
  • Support Epic PB and PB Claims implementation and optimization activities
  • Assist with Community Connect onboarding and revenue cycle workflow alignment
  • Collaborate with revenue cycle, operational, and Epic application teams
  • Support claims processing workflows, charge review activities, claim edits, and reimbursement processes
  • Participate in workflow analysis, testing, validation, and issue resolution activities
  • Assist with build review, configuration updates, and system optimization efforts
  • Support end-user operational readiness and go-live activities
  • Document workflows, decisions, and implementation updates
  • Participate in project meetings with operational and technical stakeholders

EPIC PB/CLAIMS REQUIREMENTS
  • Active Epic PB certification required
  • Strong experience supporting Epic PB and PB Claims workflows required
  • Experience supporting healthcare revenue cycle workflows in complex healthcare environments
  • Previous Community Connect or Epic implementation experience
  • Experience with claims management, reimbursement workflows, and charge review processes
  • Strong understanding of Professional Billing operations
  • Strong troubleshooting, communication, and documentation skills
  • Ability to work cross-functionally with operational and technical teams

Bonus Qualifications
  • Additional Epic revenue cycle certifications preferred
  • Experience supporting large health systems or academic medical centers
  • Revenue cycle optimization experience
  • Go-live or operational readiness support experience
  • Experience with workflow redesign or process improvement initiatives

TSG is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
#LI-MD5
75779

Apply