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Remote Medical Claims Processing Jobs in Ohio (NOW HIRING)

SalvoHealth

Medical Assistant, Remote

Cleveland, OH · 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 ...

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

Remote Medical Claims Processing information

See Ohio salary details

$13

$18

$24

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

As of Jul 14, 2026, the average hourly pay for remote medical claims processing in Ohio is $18.51, according to ZipRecruiter salary data. Most workers in this role earn between $16.44 and $20.58 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.

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 Ohio? For Remote Medical Claims Processing jobs in Ohio, the most frequently searched job titles are:
What job categories do people searching Remote Medical Claims Processing jobs in Ohio look for? The top searched job categories for Remote Medical Claims Processing jobs in Ohio are:
What cities in Ohio are hiring for Remote Medical Claims Processing jobs? Cities in Ohio 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 Ohio as of July 2026, with employment types broken down into 87% Full Time, 11% Part Time, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $38,496 per year, or $18.5 per hour.
Claims Specialist - Professional Liability

Claims Specialist - Professional Liability

Philadelphia Insurance Companies

Beachwood, OH • On-site, Remote

$95K - $105K/yr

Full-time

Medical, Retirement, PTO

Posted 18 days ago

Philadelphia Insurance Companies rating

8.9

Company rating: 8.9 out of 10

Based on 11 frontline employees who took The Breakroom Quiz

44th of 281 rated insurance

Job description

Marketing Statement:

Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries. We have been in operation since 1962 and are nationally recognized as a member of Ward's Top 50 and rated A++ by A.M.Best.

We are looking for a Claims Specialist - Professional Liability to join our team!

JOB SUMMARY

  • Investigate, evaluate and settle more complex first and third-party commercial insurance property claims.

JOB RESPONSIBILITIES

  • Evaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner.
  • Communicates with all relevant parties and documents communication as well as results of investigation.
  • Thoroughly understands coverages, policy terms and conditions for broad insurance areas, products or special contracts.
  • Travel is required to attend customer service calls, mediations, and other legal proceedings.

JOB REQUIREMENTS

  • High School Diploma; Bachelor's degree from a four-year college or university preferred.
  • 10 plus years related experience and/or training; or equivalent combination of education and experience.

National Range: $95,000.00 - $105,000.00

Ultimate salary offered will be based on factors such as applicant experience and geographic location.

We offer a hybrid work model that provides flexibility to work remotely while maintaining meaningful in-office collaboration with your team.

Remote consideration will be given to qualified candidates located outside of the primary geographic region.

EEO Statement:

Tokio Marine Group of Companies (including, but not limited to the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc.and First Insurance Company of Hawaii, Ltd.) is an Equal Opportunity Employer. In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life experiences, marital status, military status, sexual orientation and/or any other status protected by law.

Benefits:

We offer a comprehensive benefit package, which includes tuition reimbursement and a generous 401K match. Our rich history of outstanding results and growth allow us to focus our business plan on continued growth, new products, people development and internal career opportunities. If you enjoy working in a fast paced work environment with growth potential please apply online.
Additional information on Volunteer Benefits, Paid Vacation, Medical Benefits, Educational Incentives, Family Friendly Benefits and Investment Incentives can be found at https://www.phly.com/Careers/default.aspx

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