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Remote Medical Claims Analyst Jobs in Decatur, GA

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... medical claims for ambulance services. The primary goal of this position is to maintain precise ... records. 7. Display good analytical skills to decipher complex medical records and assign ...

Medical Biller (US-based)

Atlanta, GA ยท Remote

$17.50 - $22.50/hr

Claims Processing: Prepare and submit accurate medical claims to insurance companies, Medicare, and ... Demonstrated ability to analyze billing issues, identify solutions, and implement process ...

Medical Biller (US-based)

Atlanta, GA ยท Remote

$18.75 - $24/hr

Claims Processing: Prepare and submit accurate medical claims to insurance companies, Medicare, and ... Demonstrated ability to analyze billing issues, identify solutions, and implement process ...

Sr. Litigation Analyst

Atlanta, GA ยท On-site +1

$84K - $112K/yr

Provide claims underwriting support. * Comply with Team and Individual Service Levels and Key ... We offer medical, dental, vision, and life insurances; short and long-term disability; a Company ...

Medical Sales Manager

Atlanta, GA ยท Remote

$150K - $180K/yr

Medical Sales Manager We are hiring a Medical Sales Manager to lead and grow a nationwide team of ... analytics to manage performance. * Highly organized, self-motivated, and able to manage a remote ...

Coding Provider Liaison

Atlanta, GA ยท On-site

$17.75 - $22.50/hr

... medical record is present and accurate so that the appropriate utilization, clinical severity ... Responsible for reviewing and analyzing all aspects of the department clinical documentation and ...

Ancillary Claims Adjuster

Atlanta, GA ยท On-site +1

$45K - $55K/yr

As an Ancillary Claims Adjuster (Remote), you'll play a critical role in the claims administration ... Comprehensive healthcare options, including medical, vision, and dental insurance * 401(k) savings ...

Litigation Claims Adjuster, Rideshare

Atlanta, GA ยท On-site +1

$47K - $62K/yr

Analyze auto claims to identify areas of dispute, investigating and gathering all necessary ... You have strong medical causation knowledge * You have a sense of urgency and understanding of how ...

VSC Claims Supervisor

Atlanta, GA ยท On-site +1

$70K - $75K/yr

We are seeking a highly skilled and detail-oriented VSC Level 3 Claims Adjuster (Remote) to join ... Payroll processed weekly with direct deposit * Healthcare options including medical, vision, and ...

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Remote Medical Claims Analyst information

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How much do remote medical claims analyst jobs pay per hour?

As of Jun 24, 2026, the average hourly pay for remote medical claims analyst in Decatur, GA is $24.52, according to ZipRecruiter salary data. Most workers in this role earn between $18.80 and $24.66 per hour, depending on experience, location, and employer.

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 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 the key skills and qualifications needed to thrive as a Remote Medical Claims Analyst, and why are they important?

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 popular job titles related to Remote Medical Claims Analyst jobs in Decatur, GA? For Remote Medical Claims Analyst jobs in Decatur, GA, the most frequently searched job titles are:
What job categories do people searching Remote Medical Claims Analyst jobs in Decatur, GA look for? The top searched job categories for Remote Medical Claims Analyst jobs in Decatur, GA are:
What cities near Decatur, GA are hiring for Remote Medical Claims Analyst jobs? Cities near Decatur, GA with the most Remote Medical Claims Analyst job openings:
Medical Claim Analyst

Medical Claim Analyst

Crawford and Company

Peachtree Corners, GA โ€ข On-site, Remote

$14.89 - $27.22/hr

Full-time

Posted 20 days ago


Job description


Now Hiring: Medical Claim Analyst (NEVADA)
Step into a role where precision meets purpose. As a Medical Claim Analyst, you'll manage medical-only and maintenance claims under direct supervision, ensuring seamless administration of medical benefits.
You'll also review and approve payments and claimant reimbursements for lost-time disability claims (within authority) once compensability is established.
This opportunity is perfect for detail-oriented professionals ready to grow their claims expertise while making a real impact every day.
Responsibilities
  • Processes "M" Case claims (medical only) within area of payment authority up to, but not exceeding $3,500.
  • Processes claims, other than "M" cases, where all issues (indemnity, legal, etc.) have been settled and the claim is only open for payment of medical benefits (i.e. maintenance claims not requiring actuarial reserves).
  • Contacts, by telephone, insureds, claimants, and medical providers for additional information or medical verifications to verify and report the status of claims.
  • May verify coverage on claims by following normal coverage confirmation procedures, as requested. Alerts Team Manager of any errors or discrepancies.
  • Reviews and updates data into a computerized system.
  • Approves payments of medical bills on lost time disability claims, within payment authority, after compensability has been determined by the Team Manager or claim technician/handler.
  • Informs Team Manager of all Workers Compensation "M" Case claims to be removed from the "M" Case classification per Claim Best Practice guidelines.
  • Answers routine questions, orally and in writing, from agents, claimants, insureds, or other interested parties.
  • Keeps Team Manager informed verbally and in writing of activities and problems within assigned area of responsibility; refers matters beyond limits of authority and expertise to Team Manager for direction.
  • Consults with other departments and business units.
  • Documents receipt and contents of medical reports. Reviews and handles other correspondence within authority including material from the team member, customer, or State.
  • Processes claims, other than "M" cases, where all medical issues have been settled and the claim is only open for payment of long term Indemnity benefits.
  • Identifies files that no longer meet the administrative criteria along with recommendation to team manager for reassignment.
  • With the team managers guidance, provides input on the completion of status reports, initiate's activity checks and/or widow's statement of dependency forms.
  • Performs other related duties as required or requested.
  • Upholds the Crawford Code of Business Conduct at all times.
  • Participates in special projects or performs duties in other areas as requested.
  • Upholds the Crawford Code of Conduct

Qualifications
  • College degree or the equivalent education and experience
  • Two or more years of experience as a Claim Clerk or the equivalent, demonstrating a thorough knowledge of computer entry and operations.
  • Demonstrates a thorough working knowledge of claim processing and claim policies and procedures.
  • Demonstrates an understanding of basic medical terminology and appropriate medical tests for claimed conditions
  • Demonstrates effective and diplomatic oral and written communication skills.
  • Demonstrates a customer-focused approach including the ability to identify and understand customer needs, and interacts effectively with others
  • Must be licensed as required by state and local jurisdictions. Must complete designated continuing education courses while in position in order to advance.

#LI-ET1
About Us
Why Crawford?
Because a claim is more than a number - it's a person, a child, a friend. It's anyone who looks to Crawford on their worst days. And by helping to restore their lives, we are helping to restore our community - one claim at a time.
At Crawford, employees are empowered to grow, emboldened to act and inspired to innovate. Our industry-leading team pioneers new solutions for the industries and customers we serve. We're looking for the next generation of leaders to take this journey with us.
We hail from more than 70 countries and speak dozens of languages, reflecting the global fabric of the audience we serve. Though our reach is vast, we proudly operate as One Crawford: united in purpose, vision and values. Learn more at www.crawco.com.
When you accept a job with Crawford, you become a part of the One Crawford family.
Our total compensation plans provide each of our employees with far more than just a great salary
  • Pay and incentive plans that recognize performance excellence
  • Benefit programs that empower financial, physical, and mental wellness
  • Training programs that promote continuous learning and career progression while enhancing job performance
  • Sustainability programs that give back to the communities in which we live and work
  • A culture of respect, collaboration, entrepreneurial spirit and inclusion
Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V Crawford & Company is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. No fee will be paid in the event the candidate is hired by Crawford as a result of the referral or through other means.