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Remote Medical Claims Analyst Jobs in Raleigh, NC

Iatinsurancegroup

Claims Major Case Director

Raleigh, NC · On-site +1

$92K - $130K/yr

... remote arrangements for the ideal candidate. This role is a true complex claims handling role that ... All Time Limit Demands to be escalated to management. * Assist Sr. Claim specialists with analysis ...

Deloitte

Accounts Receivable Analyst

Raleigh, NC · Remote

$23.25 - $29.75/hr

... remote client service delivery. Recruiting for this role ends on 08/01/2026 Work you'll do As an ... Rebill corrected claims and route issues to coding, billing, credentialing, denials, and/or ...

Deloitte

Epic Denials Management Operator

Raleigh, NC · Remote

$17.50 - $23.25/hr

This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Experience working in claims clearinghouse systems * Familiarity with Epic Analytics and Reporting ...

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

As of Aug 4, 2026, the average hourly pay for remote medical claims analyst in Raleigh, NC is $24.41, according to ZipRecruiter salary data. Most workers in this role earn between $18.70 and $24.52 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?

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 the most commonly searched types of Medical Claims Analyst jobs in Raleigh, NC? The most popular types of Medical Claims Analyst jobs in Raleigh, NC are:
What are popular job titles related to Remote Medical Claims Analyst jobs in Raleigh, NC? For Remote Medical Claims Analyst jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Remote Medical Claims Analyst jobs in Raleigh, NC look for? The top searched job categories for Remote Medical Claims Analyst jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Remote Medical Claims Analyst jobs? Cities near Raleigh, NC with the most Remote Medical Claims Analyst job openings:
Remote Medical Claims Analyst jobs near you

Epic PB/PB Claims Analyst

The Select Group

Morrisville, NC • On-site, Remote

Full-time

Re-posted 24 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.
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