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Remote Fsa Claims Processor Jobs in Raleigh, NC (NOW HIRING)

AMM Healthcare

RCM Coder

Cary, NC · Remote

$17.25 - $23.25/hr

This is a remote position and candidates must be located in North Carolina. Essential Functions ... Resolves disputed claims by gathering, verifying, and providing additional information * Identify ...

Atlantic Medical Management

RCM Coder

Cary, NC · Remote

$17.25 - $23.25/hr

This is a remote position and candidates must be located in North Carolina. Essential Functions ... Resolves disputed claims by gathering, verifying, and providing additional information * Identify ...

Senture

Medical Director

Raleigh, NC · Remote

While this position allows remote work, the individual must reside within the state of North ... Strong understanding of provider credentialing and peer review processes. * Ability to pass any ...

GFL Environmental

Benefits Administrator

Raleigh, NC · Remote

... FSA), and Health Savings Accounts(HSA). * Enrollment & Lifecycle Events: Coordinate and execute ... claims resolution, and guide employees through the leave of absence process. * Vendor & Broker ...

Linesight

Senior Cost Manager

Raleigh, NC · On-site +1

$108K - $145K/yr

Actively participate in the tender/bid process--from initial tender/bid documentation through ... Support the settlement of construction disputes/loss and expense claims with transparency * Foster ...

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Showing results 21-40

All JobsFsa Claims Processor JobsRemote Fsa Claims Processor JobsRemote Fsa Claims Processor Jobs in Raleigh, NC

Remote Fsa Claims Processor information

See Raleigh, NC salary details

$11

$18

$25

How much do remote fsa claims processor jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for remote fsa claims processor in Raleigh, NC is $18.63, according to ZipRecruiter salary data. Most workers in this role earn between $15.87 and $20.10 per hour, depending on experience, location, and employer.

What is a remote FSA claims processor?

Remote FSA Claims Processors are professionals who review, verify, and process Flexible Spending Account (FSA) claims submitted by employees. Working from a remote location, they ensure that claims meet eligibility requirements, comply with IRS guidelines, and are supported by appropriate documentation. They communicate with clients or participants to resolve discrepancies and may use specialized software to manage claims efficiently. Their role is essential in facilitating timely reimbursements for healthcare and dependent care expenses.

What skills and qualifications are needed to be a remote FSA claims processor?

To thrive as a Remote FSA Claims Processor, you need a thorough understanding of healthcare reimbursement, insurance terminology, and claims adjudication, usually supported by a high school diploma or equivalent experience. Familiarity with claims processing software, HIPAA compliance standards, and document management systems is typically required. Strong attention to detail, excellent organizational skills, and effective written communication help you excel in this remote role. These skills and qualifications are crucial to accurately processing claims, ensuring regulatory compliance, and delivering timely customer service.

How does a remote FSA claims processor collaborate with other departments while working virtually?

As a Remote FSA Claims Processor, you'll regularly interact with colleagues in customer service, compliance, and IT departments through digital channels such as email, instant messaging, and video conferencing. Collaboration is essential for resolving complex claims, clarifying policy details, and ensuring data accuracy. Remote processors often participate in virtual team meetings and may use shared platforms to track claim statuses and updates. Strong communication skills and responsiveness are key to maintaining seamless workflow and meeting processing deadlines.

What is the difference between Remote Fsa Claims Processor vs Remote Health Insurance Claims Processor?

AspectRemote Fsa Claims ProcessorRemote Health Insurance Claims Processor
CertificationsTypically requires knowledge of FSA regulations, basic insurance processing certificationsRequires understanding of health insurance policies, claims processing certifications
Work EnvironmentRemote, administrative setting handling FSA claimsRemote, administrative setting handling health insurance claims
Industry UsageCommon in benefits administration, HR departmentsCommon in insurance companies, healthcare providers

While both roles involve processing insurance-related claims remotely, the Remote Fsa Claims Processor specializes in flexible spending account claims, focusing on FSA-specific regulations. The Remote Health Insurance Claims Processor handles broader health insurance claims, often requiring more extensive knowledge of health policies. Both roles are remote, administrative, and industry-related, but they differ in scope and certification requirements.

What are popular job titles related to Remote Fsa Claims Processor jobs in Raleigh, NC?

For Remote Fsa Claims Processor jobs in Raleigh, NC, the most frequently searched job titles are:

What job categories do people searching Remote Fsa Claims Processor jobs in Raleigh, NC look for?

The top searched job categories for Remote Fsa Claims Processor jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Remote Fsa Claims Processor jobs?

Cities near Raleigh, NC with the most Remote Fsa Claims Processor job openings:

Remote Fsa Claims Processor jobs near you
Infographic showing various Remote Fsa Claims Processor job openings in Raleigh, NC as of August 2026, with employment types broken down into 97% Full Time, and 3% Contract. Highlights an 4% Hybrid, and 96% Remote job distribution, with an average salary of $38,750 per year, or $18.6 per hour.

Financial Analyst I-Rate Specialist (Full Time, Remote, North Carolina Based)

Alliance

Morrisville, NC • On-site, Remote

$61K - $78K/yr

Full-time

Posted 7 days ago

Job description

The Rate Specialist updates and monitors provider rates. This position will ensure the rates paid to providers for Medicaid, State, and other member services are aligned with cost-based methods that are both financially viable for Alliance and that will financially support the provider and promote quality of services to members
This position will allow the successful candidate to work a schedule that will be primarily remote. While there is no expectation of being in the office routinely, they will be required to come into the Alliance Office for business and team meetings as needed.
Responsibilities & Duties-
Maintain Alliance rates
  • Maintain and update rates within the Alliance Claims System (ACS) according to the applicable benefit plan and ensure the integrity of the rates data in the system
  • Ensure that rates are in line with Medicaid published rates where applicable
  • Update and track provider and member specific enhanced rates by specific categories of service
  • Complete service rate changes and initializations
  • Develop and maintain process flows and procedures to address all aspects of rate setting and maintenance
  • Maintain Alliance published rate schedule

Conduct regular reviews of State published material
  • Maintain knowledge of internal and external healthcare fee schedules and analyze comparable provider rates from other payers
  • Participate as needed in conversations with NC Department of Health and Human Services (NC DHHS) regarding rates
  • Regularly review rate material published by NC DHHS and prepare rate updates according to contractual requirements

Financial Analysis
  • Conduct financial analysis in response to rate change requests
  • Work closely with Provider Networks and/or Clinical Operations to analyze payment methodologies for In Lieu of Services and Alternative Payment Arrangements
  • Collaborate on new provider rate projects and other strategies to develop financially viable payment structures
  • Work with EVP/Chief Financial Officer and Finance Manager in developing reimbursement rate offers for providers, including accurate, easy-to-understand analysis of the negotiated rates for communications with providers

Customer Support
  • Assist with internal and external inquires to resolve provider reimbursement issues
  • Collaborate with Provider Networks in communicating to provider community
  • work closely with the Claims Department, Provider Networks, Information Technology, and Utilization Management Departments

Improve reporting and input capabilities
  • Evaluate all internal (MicroStrategy) reports related to provider or member rates for their usefulness and accuracy. Recommend changes to aid in the ability to enhance and effectively manage our rates and reporting process
  • Work with IT to develop processes for easier rate updates in ACS
  • Help develop routine and ad-hoc reports for internal review

Minimum Requirements-
Education & Experience
Associates Degree in Business Administration, Finance, Public Policy, Hospital Administration, or related field and at least four (4) years of related experience in financial analysis with demonstrated capacity to independently draw inferences and to communicate findings or an equivalent combination of education and experience.
Or
Bachelor's Degree in Business Administration, Finance, Public Policy, Hospital Administration, or related field and at least two (2) years of related experience in financial analysis with demonstrated capacity to independently draw inferences and to communicate findings
Additional Training Preferred:
A background in managed healthcare, insurance operations preferred
Knowledge, Skills, & Abilities
  • Considerable knowledge of standardized accounting practices and principles
  • Knowledge of program components and accounting processes.
  • Knowledge of accounting and auditing principles and practices.
  • Skill in communicating, both orally and in written form.
  • Advanced skills with Microsoft products, particularly Excel and Access
  • Ability to apply and explain accounting practices.
  • Ability to interpret and analyze accounting data.
  • Ability to interpret and apply common to moderately complex Federal and State fiscal regulations
  • Ability to analyze and correct financial problems and accounting errors.
  • Ability to prepare interpretive or analytical Accounting or financial reports
  • Ability to determine compliance with pertinent guidelines, rules, regulations, and laws.

Salary Range
$61,439 - $78,335/Annually
Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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