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Remote Medical Claims Processing Jobs in Michigan

BeneSys, Inc.

Claims Analyst (Troy, MI)

Troy, MI · Remote

Level I - Previous claims processing experience necessary. Must have working knowledge of medical ... Applicants for this remote role will only be considered if they live in these locations: Arizona ...

BeneSys, Inc.

Specialty Claims Analyst (Troy, MI)

Troy, MI · Remote

$21 - $24/hr

Applicants for this remote role will only be considered if they live in these locations: Illinois ... Qualifications - Individual must be skilled in medical claims processing and knowledge of medical ...

Scribe-X

$14 - $17/hr

Work for a company that understands the med school application process and supports your healthcare goals. Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider ...

Scribe-X

Remote Medical Scribe

Lansing, MI · Remote

$14 - $17/hr

Work for a company that understands the med school application process and supports your healthcare goals. Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider ...

Great American Insurance Group

$20 - $27/hr

... and processed accurately and efficiently. This role serves as a key partner to adjusters by ... This is a remote, work-from-home position for candidates located within the Mountain or Central ...

Select Minds LLC

Facets Analyst

Lansing, MI · On-site +1

$95K - $98K/yr

Remote - United States Work Hours: EST hours Employment: Full-Time Geographic Restrictions ... S We are seeking an experienced Facets Analyst with strong expertise in Facets claims processing ...

CSAA

In order for your application to be correctly processed please sign-in before you apply Internal ... Job Title Commercial Insurance Consultant, Claims Insights- Remote Requisition Number R7770 ...

Summit

$69K - $92K/yr

Georgia, Illinois, Indiana, Kentucky, North Carolina, South Carolina, Tennessee. #LI-Remote Job ... Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental ...

Great American Insurance Group

$69K - $92K/yr

Georgia, Illinois, Indiana, Kentucky, North Carolina, South Carolina, Tennessee. #LI-Remote Job ... Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental ...

Tmhcc

Property Claims Adjuster

Troy, MI · On-site +1

Remote / Hybrid (dependent upon on proximity of office location) Reports To: Katie Toman Employment ... The Property Claims Adjuster will also support the subrogation process for claims identified as ...

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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 Michigan?

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

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

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

Remote Medical Claims Processing jobs near you
Infographic showing various Remote Medical Claims Processing job openings in Michigan as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 16% Part Time, 2% Temporary, 7% Contract, and 1% Nights. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution.

Claims Analyst (Troy, MI)

Troy, MI • Remote

BeneSys, Inc.
Insurance and Employee Benefit Funds • 501 - 1,000 employees

7.8

Company rating: 7.8 out of 10

Based on 11 frontline employees who took The Breakroom Quiz

157th of 499 rated business services

Good employer

Paid breaks

Uninterrupted breaks

Learn more about BeneSys, Inc.external

Full-time

Medical, Dental, Vision, Retirement, PTO

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Claims Analyst (Troy, MI)
Summary – The Claims Analyst will be responsible for medical, dental, and vision claims processing of claims submitted electronically or on hard copy. Each Analyst will specialize in a particular group but is expected to handle claims processing for multiple groups.
Applicants for this remote role will only be considered if they live in these locations: Arizona, California, Colorado, Washington DC, Iowa, Illinois, Indiana, Kentucky, Massachusetts, Maryland, Michigan, Missouri, Nevada, Ohio, Oregon, Pennsylvania, Texas, Utah, Washington, Wisconsin.
Essential Duties and Responsibilities include but not limited to
  • Review claims for benefit determination based on exception reports of electronic claim submission or hard copy submissions.
  • Make corrections when necessary to incorrect participant or provider data.
  • Assist Client Services Representatives with difficult claim adjustments/corrections.
  • Analyst must be able to determine benefits for multiple groups and process claims accurately according to the corresponding Plan Documents.
  • Primary responsibilities will not include telephone or personal interaction with participants or providers unless; it is determined by a supervisor or manager that assistance is needed in this area.
  • Regular and predictable attendance is an essential function of this job.
Claim Analyst Levels
  • Level I – Previous claims processing experience necessary. Must have working knowledge of medical terminology, CPT, ICD9/10, and HCPCS codes as well as CMS1500 and CMS1450 claim forms. Must be detail-oriented, work well independently and part of a team, self-motivated, possess analytical skills and ability to make benefit determinations utilizing plan documents. Must meet established productivity and quality expectations of 98% procedural and 99% payment/financial accuracy. Ability to process specialty claims such as flexible spending and HRAs.
  • Level II – Must be proficient at all Level I skills. Complete understanding of claims processing system and assigned funds. Demonstrated ability to process all claim types and resolve complex claims including but not limited to Coalition and Hospitalist claims. Sound understanding of all aspects of the adjustment process. Ability to assist with system testing and claims auditing. Demonstrates initiative, sound judgment, and independent decision-making ability.
  • Level III – Must be proficient at all Level I and II skills. Solid understanding of all claim types and the ability to assist on all funds. Ability to identify inconsistencies and escalate findings appropriately. Excellent communication skills. Ability to train and assist new hires as well as provide support for Analyst I and II’s. Conduct audits, report findings, provide detailed analysis of claims, and recommend changes for process improvement.
  • Unit Lead - Must be proficient at all Level I - III skills. Must possess leadership ability and excellent communication skills both verbally and in writing. Demonstrates the ability to understand and facilitate the resolution of all complex claims issues including adjustments and appeals. Provide training to new hires and existing staff. Complete reporting for inventory, department, and individual analysts’ performance stats. Monitors inventory to ensure turn-around-times are maintained and department goals are achieved. Identifies error trends for training needs and works with the supervisor for implementation of processes to improve overall performance. Must demonstrate initiative, ability to multi-task and prioritize, and excellent organizational skills. Ability to represent the department on workgroups and new system implementation.
Qualifications - Individual must have previous medical claims processing experience and knowledgeable of medical terminology (i.e., CPT codes, ICD-9 codes, HCPCS, ADA codes). Analyst must be methodical and possess the skills to determine approval for benefit payment, versus pending or denying. Analyst will be accountable for benefit determinations. Excellent customer service skills are a must.
Applicants for this remote role will only be considered if they live in these locations: Arizona, California, Colorado, Washington DC, Iowa, Illinois, Indiana, Kentucky, Massachusetts, Maryland, Michigan, Missouri, Nevada, Ohio, Oregon, Pennsylvania, Texas, Utah, Washington, Wisconsin.
Education and/or Experience - High School diploma or GED equivalent and two years related experience.
Language Skills - Ability to read and interpret documents such as Summary Plan Descriptions of Plan rules. Ability to communicate professionally and clearly with other departments of BeneSys.
Mathematical Skills - Ability to apply concepts of basic addition, subtraction, multiplication and division.
Reasoning Ability - Ability to apply common sense to carry out detailed written or oral instructions.
Work Schedule - Full-time. Monday – Friday, 7:30am - 4:00pm. Permanent Remote position (No in-office days).
Competitive Benefits and Compensation Package
  • 15 days Paid Time Off (PTO) during first full calendar-year of service
  • 12 paid holidays
  • 3 days paid bereavement
  • Up to 20 days paid jury leave
  • Medical, dental, and vision insurance, with option for dependent coverage
  • Company-paid basic life, short-term disability, long-term disability, and AD amp;D insurance
  • 401k with employer match
  • Tuition reimbursement program
  • Career development opportunities
  • Referral bonus for all successful full-time referrals
  • Annual opportunities for increases
Pay - Hourly rate ranges from $25.00 - $27.00. Actual rate dependent on location, skills, education, experience and other business factors.
Our Culture
BeneSys wants to be a great service provider to the members we serve, and we recognize we can only do that if we are also a great employer with successful employees. In short, our success is driven by our employees’ successes. We want to be a place where people want to work, feel proud of what they do and feel fulfilled both professionally and personally. We want to create a place where employees can find long-term growth and potential.
Our culture focuses on three core values:
  • Collaboration: working together across 31 locations to achieve the best for the company and our clients
  • Dedication: striving to create an environment where all employees work toward a common goal while committing to providing the best customer service to our members and our colleagues
  • Integrity: doing what we say we will do. Upholding strong ethical and moral principles
ADA amp; EEO
Reasonable accommodations will be made so that qualified individuals with disabilities are able to complete the application process and, if hired, fulfill the essential functions of their job.

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About BeneSys

Sourced by ZipRecruiter

Industry

Insurance and employee benefit funds

Company size

501 - 1,000 Employees

Headquarters location

Troy, MI, US

Year founded

1979

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Benefits

Hours and flexibility

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