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Remote Medical Claims Processing Jobs in Arizona

Ccfs

Risk Claims Manager

Phoenix, AZ · Remote

$85K - $95K/yr

This position has the potential to be remote. ESSENTIAL JOB DUTIES * Personally investigate and ... Knowledge of statistical process control desirable.

Arizona Department of Administration

$19.71/hr

REMOTE OPTIONS, PHOENIX Categories: Administrative Support/Customer Service, Business and Financial ... The Claims Review Specialist 2, is responsible for reviewing, investigating, and processing ...

USAA

Inside Senior Property Claims Adjuster

Phoenix, AZ · On-site +1

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Maintain accurate, thorough, and current claim file documentation throughout the claims process.

USAA

Inside Senior Property Claims Adjuster

Phoenix, AZ · On-site +1

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Maintain accurate, thorough, and current claim file documentation throughout the claims process.

USAA

Inside Senior Property Claims Adjuster

Phoenix, AZ · On-site +1

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Maintain accurate, thorough, and current claim file documentation throughout the claims process.

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Remote Medical Claims Processing information

What is remote medical claims processing?

Remote medical claims processing involves reviewing, validating, and submitting health insurance claims from a location outside of a traditional office, often from home. Professionals in this role analyze patient data, ensure claims are accurate and complete, and handle communication with insurance companies to facilitate timely reimbursement. This job requires strong attention to detail, knowledge of medical terminology and billing codes, and proficiency with healthcare management software. Many employers offer remote positions to streamline operations and accommodate flexible work arrangements.

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

To thrive as a Remote Medical Claims Processor, you need a strong understanding of medical terminology, insurance policies, and claims adjudication, typically supported by a high school diploma or an associate degree in health administration. Proficiency with claims management software, electronic health record (EHR) systems, and familiarity with coding systems like ICD-10 and CPT is essential. Attention to detail, time management, and effective written communication are standout soft skills in this role. These skills and qualities ensure accurate, efficient claims processing and help maintain compliance with healthcare regulations.

What are some common challenges faced when working remotely as a medical claims processor, and how can they be managed?

Remote medical claims processors often face challenges such as maintaining clear communication with team members, managing a high volume of claims efficiently, and staying updated on frequently changing insurance policies. To manage these challenges, it's important to utilize collaboration tools, participate in regular virtual meetings, and establish a structured daily routine. Additionally, leveraging secure digital resources and ongoing training can help ensure accuracy and compliance, making remote work both productive and rewarding.

What is the difference between Remote Medical Claims Processing vs Remote Medical Billing Specialist?

AspectRemote Medical Claims ProcessingRemote Medical Billing Specialist
CredentialsKnowledge of insurance policies, claims processing certifications often preferredMedical billing certifications, coding credentials like CPC or CCS+
Work EnvironmentHome-based, computer-focused, insurance company or third-party payerHome-based, healthcare provider offices, billing companies
Industry UsageInsurance companies, third-party administratorsHospitals, clinics, medical practices
Search & Comparison IntentFocus on claims processing tasks, insurance reimbursementFocus on billing, coding, and invoicing processes

Remote Medical Claims Processing involves reviewing and submitting insurance claims for reimbursement, often requiring knowledge of insurance policies. Remote Medical Billing Specialists handle invoicing and coding for healthcare providers. While both roles are home-based and involve healthcare finance, claims processing emphasizes insurance submission, whereas billing focuses on patient invoicing and coding accuracy.

What are popular job titles related to Remote Medical Claims Processing jobs in Arizona?

For Remote Medical Claims Processing jobs in Arizona, the most frequently searched job titles are:

What job categories do people searching Remote Medical Claims Processing jobs in Arizona look for?

The top searched job categories for Remote Medical Claims Processing jobs in Arizona are:

What cities in Arizona are hiring for Remote Medical Claims Processing jobs?

Cities in Arizona with the most Remote Medical Claims Processing job openings:

Remote Medical Claims Processing jobs near you
Infographic showing various Remote Medical Claims Processing job openings in Arizona as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 14% Part Time, 2% Temporary, and 6% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution.

Claims Analyst

SOUTHWEST SERVICE ADMINISTRATORS IN

Phoenix, AZ • On-site, Remote

$19 - $25.50/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 25 days ago

Job description

The Claims Analyst is responsible for reviewing, analyzing and processing medical and/or dental claims. This role is responsible for analyzing claims from first submission and processing them to the final payment while maintaining complete accuracy, production and quality standards.
Responsibilities
Analyzing/Processing
  • Gain and maintain the understanding of the plan designs and effectively apply that knowledge.
  • Analyze claims as appropriate from first submission to finalizing.
  • Maintain complete and accurate processing.

Teamwork
  • Work cooperatively with other team members
  • Actively participate in team meetings and training activities.
  • Perform additional responsibilities and projects as periodically assigned.

Education/Certification:
  • (Minimum) High School Diploma/GED
  • Three (3) years recent experience processing medical claims

Skills/Abilities:
  • Ability to maintain production and quality standards.
  • Extensive knowledge of medical terminology, CPT Codes, ICD 9/10 and medical claim forms.
  • Ability to read, analyze and assess medical documentation and draw valid conclusions.
  • Minimum 40 WPM and 3,000 KPH proficiency
  • Solid knowledge of MS Excel & MS Word (i.e. pivot tables and lookup functions).
  • Professional, client-focused approach to colleagues and assignments.
  • Strong oral and written communication skills with exceptional attention to details.
  • Ability to seek out experiences that may change perspective or provide an opportunity to learn new things.
  • Strong dedication to follow-through on all tasks and assignments.
  • Ability to organize, set priorities, work independently and complete multiple projects within established deadlines.
  • Ability to sit for long periods of time operating a computer keyboard.

Employee Benefits Program
COMPANY PROVIDES:
  • MEDICAL, DENTAL, VISION
  • SHORT-TERM DISABILITY
  • Full coverage benefits for a low weekly premium of $5 (Employee Only), $15 (for Child(ren) and $20 per week for full family or Employee/Spouse.
  • COMPANY PAID supplemental dental coverage of $1,000 per year for Employee.
  • COMPANY PAID LONG TERM Disability & Life/AD&D coverage.
  • 401K Plan including company match up to 5%.
  • COMPANY PAID additional pension plan entirely funded by the company.
  • EXCEPTIONAL TIME OFF package including Paid Personal Leave (PPL) and Vacation with annual BUY BACK options!!!!
  • Annual, automatic pay increases.

Southwest Service Administrators provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, pregnancy, military and veteran status, age, physical and mental disability, genetic characteristics, or any other considerations made unlawful by applicable state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence compensation and training. Southwest Service Administrators expressly prohibits any form of workplace harassment based on race, color, religion, sex, national origin, pregnancy, military and veteran status, age physical and mental disability, or genetic characteristics.

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