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Remote Fsa Claims Processor Jobs in Suffolk County, NY

FACETS Claims Processor

Albany, NY ยท Remote

$17 - $21.25/hr

Remote Reply at: Jobs@sourcedge.com FACETS SENIOR CLAIMS PROCESSOR * 5 Years Facets Claims Adjudication Experience * The Claims Examiner must maintain production and inventory standards compliant ...

Copay Claims Processor

New York, NY ยท On-site +1

$18.50 - $23.50/hr

The Copay Claims Processor is a member of the TailorMed Complete team and serves as an extension of ... Ability to work effectively in a remote environment * Experience working within EMRs and Billing ...

Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties ... Enjoys working in a fast-paced environment and easily acclimates to changes in process/systems for ...

Claims Examiner

New York, NY ยท On-site +1

Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties ... Enjoys working in a fast-paced environment and easily acclimates to changes in process/systems for ...

Claims Specialist - NY

Liverpool, NY ยท Remote

$52K - $85K/yr

This is a remote role, supporting the NY office. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives ... process taking into consideration experience, qualifications, and overall fit for the role. The ...

Claims Specialist - NY

Liverpool, NY ยท Remote

$52K - $85K/yr

This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives Workers' Compensation ... process taking into consideration experience, qualifications, and overall fit for the role. The ...

Medical Only Claims Specialist

Liverpool, NY ยท Remote

$16.74 - $26.92/hr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives Workers' Compensation ... process taking into consideration experience, qualifications, and overall fit for the role. The ...

Claims Supervisor - NY

Liverpool, NY ยท Remote

$73K - $113K/yr

This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Supervises WC claims staff in ... process taking into consideration experience, qualifications, and overall fit for the role. The ...

WC Claims Supervisor - NY

Liverpool, NY ยท Remote

$73K - $113K/yr

This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Supervises WC claims staff in ... process taking into consideration experience, qualifications, and overall fit for the role. The ...

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Remote Fsa Claims Processor information

See Suffolk County, NY salary details

$12

$20

$28

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

As of Sep 8, 2026, the average hourly pay for remote fsa claims processor in Suffolk County, NY is $20.53, according to ZipRecruiter salary data. Most workers in this role earn between $17.50 and $22.16 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 the most commonly searched types of Fsa Claims Processor jobs in Suffolk County, NY?

The most popular types of Fsa Claims Processor jobs in Suffolk County, NY are:

What job categories do people searching Remote Fsa Claims Processor jobs in Suffolk County, NY look for?

The top searched job categories for Remote Fsa Claims Processor jobs in Suffolk County, NY are:

What cities near Suffolk County, NY are hiring for Remote Fsa Claims Processor jobs?

Cities near Suffolk County, NY with the most Remote Fsa Claims Processor job openings:

Infographic showing various Remote Fsa Claims Processor job openings in Suffolk County, NY as of June 2026, with employment types broken down into 87% Full Time, and 13% Part Time. Highlights an 42% Physical, 2% Hybrid, and 56% Remote job distribution, with an average salary of $42,701 per year, or $20.5 per hour.

FACETS Claims Processor

Sourcedge Solutions

Albany, NY โ€ข Remote

$17 - $21.25/hr

Contractor

Re-posted 26 days ago


Job description

Location: Remote 
Reply at: Jobs@sourcedge.com
FACETS SENIOR CLAIMS PROCESSOR 
Job Description:
 
  • 5 Years Facets Claims Adjudication Experience
 
  • The Claims Examiner must maintain production and inventory standards compliant with Claims Administration requirements
 
  • High school diploma or equivalent required
 
  • Must have 5+ years of relevant claim processing experience in healthcare industry (managed care or TPA Company) to support our clients
 
  • Possess high productivity and quality standards within a claims processing automation environment
 
  • Knowledge of CPT, HCPC, ICD-10 codes
 
  • Knowledge of HMO, PPO, Medicare and Medicaid plans
 
  • Knowledge of Medical terminology
 
  • Computer with 2 Monitors
 
  • High Speed Internet Connection
 
  • Ability to work remote 8 hour day, Mon-Fri.

Responsibilities:
 
  • The claims examiner is responsible for accurate and timely adjudication of claims for the Health Plans lines of business
 
  • Primary duties include analysis and resolution of claims, including reviewing pended claims and manually resolving based on client specified direction and criteria, including  third-party liability claims
 
  • The claims examiner must be able to work independently, effectively prioritizing work in a production environment that frequently changes to meet production standards and contractual requirements
 
  • Success in this position will be based on the individual's ability to effectively prioritize work, identify, and resolve complex concerns in a professional manner, and work in a team environment to achieve and maintain production and audit standards
 
  • Timely and accurate processing and adjudication of all types of claims from assigned workflow queues
 
  • Compliance with state, federal and contractual requirements to Claims Administration
 
  • Demonstrate a thorough knowledge of the Plan's claims processing procedures as provided in training materials and proficiency with the core and ancillary system applications
 
  • Demonstrates the ability to think analytically to resolve complicated claim issues and identify appropriately when to escalate issues for review
 
  • Ability to review and apply Plan directives and desktop procedures to claims, following step by step guidelines
 
  • Claim analysis of coding and billing compliance, potential third-party liability, accurate coordination of benefits (COB), benefit application including limitations and restrictions, pre-existing conditions, subrogation, medical necessity and other claim investigation as appropriate
 
  • Complete all mandatory claims training/refresher courses
 
  • Actively participates and supports department and organization-wide efforts to improve efficiencies while supporting departmental goals and objectives
 
  • Complete all mandatory compliance and corporate training
 
  • Must be able to adapt to a changing work priorities and requirements and perform other duties as directed to support the overall functions of Claims Administration and support of staff without boundaries within the Plan