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Remote Medical Claims Processing Jobs in Delaware

Remote; Must live 1hr within Wilmington POSITION SUMMARY: Coastal Horizons Center, Inc. has an ... processing electronic claims. * Communicate and educate providers and/or managers when coding ...

... process. Your focus will be on identifying client needs, presenting tailored solutions, and closing ... Comprehensive benefits including medical, dental, vision, 401k, and paid time off * 100% remote ...

Review medical history, symptoms, and treatment concerns shared through Dutch's digital platform ... We may use artificial intelligence (AI) tools to support parts of the hiring process, such as ...

Review medical history, symptoms, and treatment concerns shared through Dutch's digital platform ... We may use artificial intelligence (AI) tools to support parts of the hiring process, such as ...

Active, unrestricted medical license (multi-state licensing support available) * Interest in ... If you need a reasonable accommodation to complete the application or interview process, please ...

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Remote Medical Claims Processing information

See Delaware salary details

$13

$19

$25

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

As of Aug 27, 2026, the average hourly pay for remote medical claims processing in Delaware is $19.48, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $21.63 per hour, depending on experience, location, and employer.

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 Delaware?

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

Infographic showing various Remote Medical Claims Processing job openings in Delaware as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 16% Part Time, and 6% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $40,528 per year, or $19.5 per hour.

Healthcare Data and Analytics Specialist - Remote - USA

Dover, DE โ€ข On-site, Remote

FullStack Labs
IT Servicesย โ€ขย 11 - 50 employees

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 .

FullStack Labs logo

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

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