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Remote Medical Claims Analyst Jobs in Delaware (NOW HIRING)

Breakthru

Demand Planning Analyst

Middletown, DE · On-site +1

$60K - $80K/yr

Time Type: Full time Remote Type: Job Family Group: Summary: The primary role of the Demand ... Medical (HMO & PPO), Dental, Vision (PPO)401(k) matching * Annual PTO Accrual and holidays

TEKsystems

Healthy Planet Epic Analyst

Lewes, DE · Remote

$50 - $60/hr

If eligible, the benefits available for this temporary role may include the following: • Medical ... remote position. Application Deadline This position is anticipated to close on Sep 8, 2026. About ...

New

Dutch

Virtual Care Veterinarian (Remote)

Wilmington, DE · Remote

$50 - $80/hr

Review medical history, symptoms, and treatment concerns shared through Dutch's digital platform ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...

Dutch

Virtual Care Veterinarian (Remote)

Dover, DE · Remote

$50 - $80/hr

Review medical history, symptoms, and treatment concerns shared through Dutch's digital platform ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...

Coastal Horizons Center

Remote; Must live 1hr within Wilmington POSITION SUMMARY: Coastal Horizons Center, Inc. has an ... The Revenue Cycle Specialist is responsible for all facets of medical billing and accounts ...

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All JobsMedical Claims Analyst JobsRemote Medical Claims Analyst JobsRemote Medical Claims Analyst Jobs in Delaware

Remote Medical Claims Analyst information

What is a remote medical claims analyst?

A Remote Medical Claims Analyst is a professional who reviews, processes, and evaluates healthcare insurance claims from a remote location, often working from home. Their primary responsibilities include verifying the accuracy of medical billing codes, ensuring claims comply with insurance policies and regulations, and identifying discrepancies or fraudulent activities. They collaborate with healthcare providers, insurance companies, and sometimes patients to resolve claim issues efficiently. Strong analytical skills, attention to detail, and knowledge of medical terminology and billing codes are essential for this role.

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

To thrive as a Remote Medical Claims Analyst, you need a solid understanding of medical terminology, insurance policies, and claims processing, usually supported by a relevant degree or experience in healthcare administration. Familiarity with claims management software, ICD-10/CPT coding systems, and sometimes certifications like CPC or CPB are typically required. Strong attention to detail, analytical thinking, and effective written communication set top performers apart in this role. These skills ensure accurate and timely claims adjudication, minimize errors, and support both customer satisfaction and regulatory compliance.

What are some common challenges faced by remote medical claims analysts, and how can they be addressed?

Remote Medical Claims Analysts often encounter challenges such as interpreting complex medical documentation, staying updated with ever-changing insurance regulations, and managing high volumes of claims efficiently. To address these, it's important to develop strong attention to detail, maintain ongoing education on coding and compliance, and leverage digital tools for workflow management. Collaboration with team members and clear communication with providers and insurers can also help resolve discrepancies more effectively and ensure accurate claims processing.

What are popular job titles related to Remote Medical Claims Analyst jobs in Delaware?

For Remote Medical Claims Analyst jobs in Delaware, the most frequently searched job titles are:

What job categories do people searching Remote Medical Claims Analyst jobs in Delaware look for?

The top searched job categories for Remote Medical Claims Analyst jobs in Delaware are:

What cities in Delaware are hiring for Remote Medical Claims Analyst jobs?

Cities in Delaware with the most Remote Medical Claims Analyst job openings:

Remote Medical Claims Analyst jobs near you
Infographic showing various Remote Medical Claims Analyst job openings in Delaware as of August 2026, with employment types broken down into 89% Full Time, and 11% Part Time. Highlights an 100% Remote job distribution.

Healthcare Data and Analytics Specialist - Remote - USA

FullStack Labs

Dover, DE • On-site, Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 13 days ago

Job description

About FullStack
FullStack is one of the fastest-growing software consultancy companies in the Americas. We deliver transformational digital solutions to top global companies and Silicon Valley startups. As an employee-first company, we focus on hiring the most talented software designers and developers by creating a positive, respectful, and supportive work environment where they can achieve their greatest potential.
We're most proud of:
  • Offering life-changing career opportunities to talented software professionals across the Americas.
  • Building highly-skilled software development teams for hundreds of the world's greatest companies.
  • Having delivered hundreds of successful custom software solutions, which have positively impacted the lives and careers of millions of users.
  • Our 4.2-star rating on GlassDoor.
  • Our client Net Promoter Score of 68, twice the industry average.

The Position
We're looking to hire a Healthcare Data and Analytics Specialist to join our team. You'll work with our incredible clients in one of two ways:
  • Team Augmentation: You will integrate directly into our client's team and work alongside their existing designers and engineers daily.
  • Design & Build: You will work on a FullStack product team to build and deliver a product to our clients.

What We Are Looking For
  • 5+ years of professional software engineering, data analysis, or data operations experience.
  • Advanced English is required.
  • Successful completion of a four-year college degree is required.
  • Deep experience in working with healthcare data, including medical claims, pharmacy claims, eligibility, enrollment, or payer/TPA/PBM benefits.
  • Expertise in using SQL to join complex datasets, investigate discrepancies, and construct maintainable analytical logic.
  • Solid background in healthcare data validation, reconciliation, data quality monitoring, and data operations workflows.
  • Solid understanding of healthcare claims structures, terminology, utilization, and financial metrics (such as allowed and paid amounts).
  • Track record of creating recurring analytical reporting, data dictionaries, and metric definitions for clients, employers, or executives.
  • Demonstrated experience investigating data issues and tracing discrepancies through different stages of a data ecosystem.
  • Comfortable working with relational databases (such as PostgreSQL) and familiar with file transmissions like SFTP, flat files, or APIs.
  • Knowledgeable in HIPAA compliance, protected health information (PHI) regulations, and healthcare data security controls.
  • Ability to work through new and difficult issues and contribute to libraries as needed.
  • Ability to create and maintain continuous integration and delivery of applications.
  • Forensic attention to detail.
  • A positive mindset and a can-do attitude.
  • Experience working on Agile/Scrum teams.
  • Meaningful experience working on large, complex systems.
  • Ability to take extreme ownership over your work. Every day is a challenge to ensure you are performing to the expectations you and your team have agreed upon.
  • Ability to identify with the goals of FullStack's clients and dedicate yourself to delivering on the commitments you and your team make to them.

What We Offer
  • Competitive Salary.
  • Paid Time Off (vacation, sick leave. parental leave, and holidays).
  • 100% remote work.
  • The ability to work with leading startups and Fortune 500 companies.
  • Health, dental, and vision insurance.
  • 401(k) w/ 4% match.
  • Ample opportunity for career advancement.
  • Continuing education opportunities.

FullStack is proud to be an equal opportunity workplace. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status.
Learn more about our Applicants Privacy Notice .
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About FullStack Labs

Sourced by ZipRecruiter

FullStack Labs is the fastest-growing software consultancy in the Americas. We help organizations like Uber, GoDaddy, MGM, Siemens, Stanford University, and the State of California, build distributed software development teams, and deliver transformational digital solutions. As an employee-first company, we focus on hiring the most talented software designers and developers in the western hemisphere, by creating a positive, respectful, and supportive work environment where they can achieve their greatest potential.

Industry

It services

Company size

11 - 50 Employees

Headquarters location

Sacramento, CA, US

Year founded

2013

Social media

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