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Remote Medical Claims Processing Jobs in Kentucky

Epic Denials Management Operator

Louisville, KY · Remote

$17.25 - $23/hr

... Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for ... This is a primarily remote role supporting enterprise Epic support, with minimal travel and ...

Liability Specialist

Lexington, KY · Remote

$63K - $100K/yr

This is a remote, work from home position in Kentucky. * The ideal candidate should live close to ... Five years casualty claims adjusting experience or equivalent experience in the medical or legal ...

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Trace narrative claims to source records--tables, figures, listings, and protocols--to verify that ...

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Trace narrative claims to source records--tables, figures, listings, and protocols--to verify that ...

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Trace narrative claims to source records--tables, figures, listings, and protocols--to verify that ...

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Trace narrative claims to source records--tables, figures, listings, and protocols--to verify that ...

Medicare D Billing Representative

Louisville, KY · Remote

$15.75 - $20.25/hr

... Medical Billing experience Remote: May reside anywhere with the Continental USA. No matter what ... claims * Individual with an understanding of Insurance and Medicaid formularies and processes ...

Showing results 21-40

Remote Medical Claims Processing information

See Kentucky salary details

$12

$16

$22

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

As of Aug 8, 2026, the average hourly pay for remote medical claims processing in Kentucky is $16.91, according to ZipRecruiter salary data. Most workers in this role earn between $15.05 and $18.80 per hour, depending on experience, location, and employer.

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 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.

How to get a job as a remote medical claims processing?

To get a remote medical claims processing job, candidates typically need a high school diploma or equivalent, strong attention to detail, and familiarity with medical billing and coding software. Relevant certifications such as CPC or CCS can improve job prospects, and experience with electronic health records (EHR) systems is often preferred. Applying through healthcare companies, insurance providers, or staffing agencies that specialize in remote roles is common.

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 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 job categories do people searching Remote Medical Claims Processing jobs in Kentucky look for? The top searched job categories for Remote Medical Claims Processing jobs in Kentucky are:
What cities in Kentucky are hiring for Remote Medical Claims Processing jobs? Cities in Kentucky with the most Remote Medical Claims Processing job openings:
Infographic showing various Remote Medical Claims Processing job openings in Kentucky as of August 2026, with employment types broken down into 83% Full Time, 9% Part Time, 4% Contract, and 4% Nights. Highlights an 100% Remote job distribution, with an average salary of $35,169 per year, or $16.9 per hour.

Insurance Specialist (Revenue Cycle) Remote opportunity for KY and So IN candidates only

Seven Counties Services

Louisville, KY • On-site, Remote

Full-time

Re-posted 5 days ago


Seven Counties Services rating

6.0

Company rating: 6.0 out of 10

Based on 6 frontline employees who took The Breakroom Quiz


Job description

Job Description:
Only candidates who reside in the Louisville Metro area will be considered for this position.
ESSENTIAL JOB FUNCTIONS
Completes information on insurance forms. Completes 1500 HCFA insurance for specifications required by insurance companies to allow for timely payment. Maintains a workable knowledge regarding specifications in billing Medicare, Medicaid, Tricare and Commercial: monitoring those accounts to meet specifications. Monitors 1500 for demographic, CPT and charge accuracy. Monitors current fee schedule and recommends as necessary, in compliance with state and federal law. Assist insurance companies inquiring about accounts relative to insurance benefits deposition. Demonstrates knowledge of the personal computer and applicable keystrokes in the electronic transmission of claims, including the correction of claims with minimal interruption. Maintains a workable knowledge of the physician billing system. Follows up on unpaid claims for both insurance and patients via phone, fax or mail, knowing when to become assertive. Identifies overpayments on patient accounts and initiates refund and adjustment process in accordance with internal controls. Answer phone and assists customers promptly and courteously who age through geriatric or who are emancipated minors. Also assists physician offices promptly and courteously. IP Maintains a working knowledge of PCN, retrieving information as needed for daily work disposition. Maintains strict patient confidentiality. Performs special assignments as required. Able to demonstrate proper usage of office equipment. Researches line item EOB's for incorrect payment levels and works directly with insurance companies for assurance of benefits and correct reimbursement through oral and written communication. Monitors and maintains control for balancing purposes. Monitors appropriate codes using the ICD-9 and the CPT formats. Prints, reviews and mails all insurance claims as needed on a regular basis. Responds to and/or directs all correspondence. Maintains direct line of communication with the providers and staff. Communicates with the AR Manager regarding problem areas. Maintains knowledge of Corporate Compliance issues pertaining to daily work. Performs other duties as assigned.
KNOWLEDGE AND ABILITIES
High school graduate or equivalent required. Productive typing ability equivalent to 30 w.p.m. required. Considerable skill in interpersonal communications and the ability to work well with others as a team required. Ability to keep accurate financial records and perform mathematical tasks required. Knowledge of medical terminology, ICD-10 and CPT coding required. Knowledge of E/M procedural coding preferred. Computer knowledge required. Knowledge of Windows preferred
EXPERIENCE
Minimum of two years of experience in a medical billing environment working with insurance and patient claims processing required.
PHYSICAL DEMANDS
Position has no unusual demands. Typical office job, requiring lifting of 10 pounds maximum, with occasional lifting and carrying of medical records. Position may require walking or standing, stooping, or bending. Minor discomfort from continual use of video display terminal.
Time Type:
Full time

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