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Remote Medical Claims Processing Jobs in Minnesota

As Gravie looks to continue its member-centric approach to healthcare, the Medical Claims Examiner ... Process complex claim scenarios in accordance with Summary Plan Descriptions (SPDs). Areas of ...

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives Workers' Compensation ... A comprehensive benefits package is available for full-time regular employees and includes Medical ...

Description Reviews a patient's medical records after a visit or procedure to translate information ... to process claims for the work performed by the provider. Skills icd 10, cpt 4, certified coder ...

Remote Medical Scribe

Saint Paul, MN ยท 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 ...

Remote Medical Scribe

Minneapolis, MN ยท 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 ...

Remote Medical Scribe

Rochester, MN ยท 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 ...

Indemnity Claims Specialist

Minneapolis, MN ยท Remote

$51K - $83K/yr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives claims, confirms ... Manages non-complex and non-problematic medical only claims and minor lost-time workers ...

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 ...

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Remote Medical Claims Processing information

See Minnesota salary details

$13

$19

$25

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

As of Aug 28, 2026, the average hourly pay for remote medical claims processing in Minnesota is $19.07, according to ZipRecruiter salary data. Most workers in this role earn between $16.97 and $21.20 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 job categories do people searching Remote Medical Claims Processing jobs in Minnesota look for?

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

Infographic showing various Remote Medical Claims Processing job openings in Minnesota as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 15% Part Time, 7% Contract, and 1% Nights. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $39,659 per year, or $19.1 per hour.

Medical Claims Examiner II

Gravie

Minneapolis, MN โ€ข On-site, Remote

Full-time

Medical, Retirement, PTO

Posted 7 days ago


Job description

Hi, we're Gravie. Our mission is to create health benefits that actually benefit small and midsize businesses and their employees. Our innovative benefit solutions and services are developed and delivered by a diverse group of unique people. We encourage you to be your authentic self - we like you that way.
A Little More About this Role:
As Gravie looks to continue its member-centric approach to healthcare, the Medical Claims Examiner II will support, review and adjudicate claims in our best in class claim system. They are a subject matter expert capable of thoroughly evaluating, researching, and analyzing claim submissions with a solid knowledge of national claims guidelines. In addition to owning a high-volume, high-complexity caseload, this role may serve as a go-to resource for other Examiners, contribute to training and special projects, and support leadership with inventory management, process development, and auditing.
You will:
  • Accurately review, investigate, and verify coverage to ensure proper processing of medical claims, identifying key processing requirements based on Summary Plan Descriptions (SPD), policies, and departmental procedures
  • Process complex claim scenarios in accordance with Summary Plan Descriptions (SPDs). Areas of expertise include, but are not limited to: Coordination of Benefits (COB), Prior Authorization, Claim Adjustments, Health Reimbursement Arrangements (HRA), Transplant Claims, and High Dollar Claims Processing.
  • Review claims queues and provide expertise to address nuances with appropriate parties.
  • Serve as a go-to resource for other Examiners, answering questions and helping resolve claims issues as they arise
  • Continually meet department metrics and quality standards set forth by leadership
  • Communicate complex claims issues clearly through documentation and direct communication
  • Provide ongoing feedback to leadership on workflow gaps, process improvements, system enhancements, and training needs
  • Support leadership with special projects as assigned, including inventory management, process development, and auditing

You bring:
  • High School Diploma
  • 4 + years of experience processing/adjusting and/or analyzing medical claims preferably in a TPA environment
  • Strong knowledge of CPT/HCPC and ICD-10 code rules
  • Ability to set priorities, manage time and work independently
  • Functional comfort with Zoom, Microsoft Teams, or Google Meets
  • General knowledge of CMS claims submission regulations
  • Strong collaboration and communication skills within a team setting

Extra credit:
  • Medical Coding experience/certification
  • Medical Billing experience
  • Understanding of provider data
  • Degree in Healthcare Administration or similar field
  • Previous experience using Javelina processing system
  • Experience with training and ability to create processes/procedure documentation
  • Previous start-up company experience
A Little More About Us:
  • We know healthcare. Our company was founded and is still led by industry veterans who have started and grown several market-leading companies in the space.
  • We have raised money from top tier investors who share the same long-term vision as we do of building an industry defining company that will endure over the long run. We are well capitalized.
  • Our clients love us. Customer satisfaction rates among employees using Gravie health plans consistently rank above 80% - nearly 40 points above the industry average.
  • Our culture is unique. We tend to be non-hierarchical, merit-driven, opinionated but kind people who thrive working in a high-performance, fast-paced environment. People at Gravie care deeply about making a positive impact in the lives of the people we serve.
Benefits
Our unique benefits program is the gravy, i.e., the special sauce that sets our compensation package apart. In addition to standard health and wellness benefits, Gravie's package includes alternative medicine coverage, flexible PTO, up to 16 weeks paid parental leave, paid holidays, a 401k program, transportation perks, education reimbursement, and 2 days of paid paw-ternity leave.