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Remote Medical Claims Processing Jobs in Illinois

Allied

Manager, Claims Processing

Chicago, IL · On-site +1

$70K - $85K/yr

A minimum of 5 years of medical claims analysis and adjudication experience (including dental and ... Remote Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly ...

Spotter

Spotter AI is on the lookout for a dedicated and detail-oriented Claims Specialist to enhance our claims processing team. This remote position is vital in ensuring that our clients receive prompt and ...

Allied

RRT Analyst

Chicago, IL · On-site +1

$48K - $50K/yr

Minimum of 3 years medical claims processing experience required * Experience with the QicLink ... Remote Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly ...

New

Allied Benefit Systems

RRT Analyst

Chicago, IL · Remote

Minimum of 3 years medical claims processing experience required * Experience with the QicLink ... Remote Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly ...

New

Allied

Senior Claims Refund Analyst (Remote)

Chicago, IL · On-site +1

$50K - $55K/yr

Log, track and process all refunds received * Responsible for sorting and copying paperwork for ... Medical, Dental, Vision, Life and Disability Insurance, Generous Paid Time Off, Tuition ...

Allied

Claims Process Improvement Lead

Chicago, IL · On-site +1

$55K - $60K/yr

Remote The company has reviewed this to ensure that essential functions and basic duties have been ... to, Medical, Dental, Vision, Life & Disability Insurance, Generous Paid Time Off, Tuition ...

Consociate Health

Claims Auditor

IL · On-site +1

$23 - $24/hr

This position audits claims processed by our claims department daily and is responsible to ensure ... Medical, Dental and Vision Insurance * Basic Group Life, Short Term and Long Term Disability

Guidehealth

Remote Medical Assistant- Healthguide

Chicago, IL · On-site +1

$18.25 - $23.50/hr

Understanding the referral and prior authorization process. * Continuously building a trusting ... Appropriately escalating medical issues to the Health Guide Registered Nurse, Primary Care ...

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All JobsMedical Claims Processing JobsRemote Medical Claims Processing JobsRemote Medical Claims Processing Jobs in Illinois

Remote Medical Claims Processing information

See Illinois salary details

$13

$18

$24

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

As of Sep 12, 2026, the average hourly pay for remote medical claims processing in Illinois is $18.86, according to ZipRecruiter salary data. Most workers in this role earn between $16.78 and $20.96 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 Illinois?

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

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

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

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

Cities in Illinois 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 Illinois as of September 2026, with employment types broken down into 100% Full Time. Highlights an 9% In-person, and 91% Remote job distribution, with an average salary of $39,239 per year, or $18.9 per hour.

Manager, Claims Processing

Chicago, IL • On-site, Remote

Allied
See more jobs at Alliedexternal

$70K - $85K/yr

Full-time

Medical, Dental, Vision, Life, PTO

Posted 8 days ago

Job description

POSITION SUMMARY
The Manager of Claims Processing will lead teams responsible for ensuring that claims are processed according to network and client Service Level Agreements and in accordance with Plan Documents, Regulatory standards, and established policies and procedures. The Manager of Claims Processing is responsible for management of all claim inventories and leading teams in a fast paced, high growth environment that demands strong decision making, adaptability, and effective cross functional coordination. Additionally, this position will support strategies and enhancements that are implemented to improve the claims process and enhance member experience.
ESSENTIAL FUNCTIONS
  • Monitor inventory, productivity, and quality reports for all books of business to ensure that all claims are handled timely and accurately
  • Lead initiatives to manage/reduce inventory levels through data driven analysis, forecasting improvements, and innovative problem solving.
  • Oversee key networks, products, and individual client performance requirements with a focus on service excellence, performance compliance, and audit requirements
  • Manage elevated authority claim reviews to ensure appropriate handling; release claims accurately and timely in conjunction with dollar authority limit set for Manager role
  • Provide comprehensive support for new clients and products across all books of business
  • Collaborate with internal stakeholders to resolve, address escalated client/broker issues, and streamline workflows for better efficiency and accuracy
  • Attend outside audits as needed to ensure accurate reporting
  • Develop and implement strategies that align with the company's overall goals and objectives.
  • Attend continuing education classes as required, including but not limited to HIPAA training.
  • Adhere to, and apply all applicable privacy and security laws, including but not limited to HIPAA, HITECH and any regulations promulgated thereto
  • Lead, coach, motivate and develop. Responsible for one-on-one meetings, performance appraisals, growth opportunities and attracting new talent.
  • Clearly communicate expectations, provide employees with the training, resources, and information needed to succeed.
  • Actively engage, coach, counsel and provide timely, and constructive performance feedback.
  • Other duties as assigned

EDUCATION
  • Bachelor's degree or equivalent work experience required.

EXPERIENCE AND SKILLS
  • A minimum of 5 years of medical claims analysis and adjudication experience (including dental and vision claims analysis) required
  • A minimum of years' experience at a supervisor level with demonstrated leadership competencies.
  • Demonstrated understanding of Claims Management systems and platforms
  • Strong analytical and technical claims expertise across relevant lines of business, CPT, HCPCS, and ICD-10 coding, Coordination of Benefits (COB), and medical terminology
  • Excellent written and verbal communication skills
  • Exceptional time management skills and ability to prioritize work
  • Strong problem solving and conflict resolution skills and ability to handle sensitive client escalations

POSITION COMPETENCIES
  • Accountability
  • Coaching and Feedback
  • Collaboration
  • Customer Focus
  • Decision Making
  • Execution Management
  • People Leadership

PHYSICAL DEMANDS
  • This is a standard desk job requiring extended sitting and computer work.

WORK ENVIRONMENT
  • Remote

Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive.
The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.
Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life and Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend.
Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.

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