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Remote Medical Claims Processing Jobs in Michigan

Stellantis

Dealer Audit Manager

Auburn Hills, MI · Remote

$98K - $129K/yr

... remote auditing techniques, claims processing, and optical recognition software * Experience ... medical, dental, vision, and prescription drug coverage -- ensuring you and your family stay ...

SalvoHealth

Medical Assistant, Remote

Detroit, MI · On-site +1

$18 - $22/hr

... remote work environment. The Virtual Medical Assistant will be responsible for making out-bound ... process oriented, and has a patient-first mindset. What You Will Do * Conduct outbound calls to ...

SalvoHealth

Medical Assistant, Remote

Detroit, MI · Remote

$18 - $22/hr

... remote work environment. The Virtual Medical Assistant will be responsible for making out-bound ... process oriented, and has a patient-first mindset. What You Will Do * Conduct outbound calls to ...

ASCENSUS

Bilingual Call Center Representative

Detroit, MI · Remote

$19/hr

These positions are 100% fully remote**** The first 4 weeks consist of training from 10:00 am to 6 ... Examine, review, process, calculate and (a) pay claims based on information, plan design, insurance ...

Beaumont Urgent Care

A/R Specialist

Farmington Hills, MI · Remote

$18.50 - $22.75/hr

Insurance Accounts Receivable (A/R) Specialist Remote | Full-Time Join a Growing Healthcare ... Research and resolve insurance claim denials, rejections, and unpaid claims. * Analyze Explanation ...

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

Remote Medical Claims Processing information

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.

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, and why are they important?

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 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 July 2026, with employment types broken down into 89% Full Time, 8% Part Time, 2% Contract, and 1% Nights. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution.
Customer Service Trainee

Customer Service Trainee

Delta Dental of Michigan

Farmington Hills, MI • On-site, Remote

$14.25 - $19.75/hr

Full-time

Medical, Dental

Posted 3 days ago

Job description

Job Title:
Customer Service Trainee
Number of Positions:
16
Location:
Farmington Hills, MI
Location Specifics:
Fully Remote
Job Summary:
Candidates must reside in Michigan within a reasonable commuting distance of our Farmington Hills, MI office for team meetings, collaborative sessions, and training.
Training will be hybrid.
At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities for all. We are one of the largest dental plan administrators in the country, and are part of the Delta Dental Plans Association, which operates two of the largest dental networks in the nation.
At Delta Dental, we celebrate our All In culture. It's a mindset, feeling and attitude we wrap around all that we do - from taking charge of our careers, to helping colleagues and lending a hand in the community.
Typical Assignments:
In a developing and learning capacity, the Trainee will perform the following typical assignments:
  • Researches inquiries by accessing the claims processing system and other informational sources
  • Responds to customer/group and provider questions through telephone contact and/or written communication (such as mail) using proper etiquette, grammar, punctuation, etc.
  • Maintains related departmental records and files
  • Operates office equipment which may include a personal computer, calculator, copier, fax machine, etc.
  • Makes corrections to claims and eligibility
  • Enters new claims, eligibility and subscriber information into the mainframe
  • Reviews subscriber's coverage to determine type and level of benefits

#LI-Remote
Minimum Requirements:
Bidding Requirements:
  • Possess a high school diploma or equivalent
  • One year of customer service experience in a business environment that requires the use of a computer program to assist the customer, preferably in a call center, and/or dental experience
  • Successful completion of the customer service simulation test (minimum score of 62 out of a possible 100) (assessment waived if candidate previously passed test while at Delta Dental or if previously held Customer Service Trainee, Customer Service Advisor or Customer Service Associate position)
  • Employees bidding the first shift must have the ability to begin work 8:25 a.m. or work until 6:30 p.m., Monday through Friday
  • Employees bidding the second shift must have the ability to begin work at 11:00 a.m. or work until 12:00 Midnight, Monday through Friday

The company will provide equal employment and advancement opportunity within the context of its unique business environment without regard to race, color, religion, gender, gender identity, gender expression, age, national origin, familial status, citizenship, genetic information, disability, sex, sexual orientation, marital status, pregnancy, height, weight, military status, or any other status protected under federal, state, or local law or ordinance.

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