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Remote Medical Claims Processing Jobs in Pennsylvania

Great American Insurance Group

$18.50 - $25.50/hr

... processing, and administration of workers' compensation claims. This position serves as a key ... This is a remote, work-from-home position. Candidates must reside within the Pacific Time Zone and ...

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 ...

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 ...

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 ...

Allcat Claims Service

Claims Examiner

North East, PA · On-site +1

Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties ... Medical, Dental, Vision, Paid Time Off and Paid Holidays, 401(K), in accordance with Company policy.

Gallagher

Claims Adjuster Senior

Mechanicsburg, PA · Remote

Whether you're managing claims, supporting clients, or improving processes, you'll play a vital ... This role is fully remote How you'll make an impact * Apply claims management experience to execute ...

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Remote Medical Claims Processing information

See Pennsylvania salary details

$13

$19

$25

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

As of Aug 19, 2026, the average hourly pay for remote medical claims processing in Pennsylvania is $19.51, according to ZipRecruiter salary data. Most workers in this role earn between $17.36 and $21.68 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 are popular job titles related to Remote Medical Claims Processing jobs in Pennsylvania?

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

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

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

What cities in Pennsylvania are hiring for Remote Medical Claims Processing jobs?

Cities in Pennsylvania 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 Pennsylvania as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 20% Part Time, and 6% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $40,590 per year, or $19.5 per hour.

Remote Medical Billing Specialist

TRC Talent Solutions

Pittsburgh, PA • Remote

$17.75 - $22.75/hr

Full-time

Re-posted 4 days ago

Job description

Medical Billing Specialist 100% Remote

$1822/hour | Full-Time | Permanent Opportunity

We're growing and looking for experienced Medical Billing Specialists to join our fully remote team! In this role, you will focus on back-end A/R follow-up, denial resolution, and aged account remediation for Hospital and/or Physician Billing accounts.

Our team partners with healthcare providers and hospital organizations to deliver revenue cycle and accounts receivable support services. If you thrive in a fast-paced environment, enjoy problem solving, and have experience working insurance denials and unpaid claims, we'd love to hear from you.

Why Join Us?

  • 100% Remote

  • Flexible Schedule

  • Health, Dental, Vision, and Life Insurance

  • PTO, Paid Sick Leave, and Paid Holidays

  • Career Growth Opportunities

What Youll Do:

  • Perform second-tier insurance account follow-up on outstanding A/R balances

  • Resolve denied, underpaid, and unresolved insurance claims

  • Resolve aged accounts and payer issues

  • Work high-dollar accounts and conduct detailed account research

  • Review UB-04 and/or HCFA 1500 claims for billing accuracy

  • Investigate eligibility discrepancies, coding issues, payer denials, and reimbursement variances

  • Communicate professionally with insurance payers, clients, and internal teams

  • Identify payer trends, workflow issues, and barriers to resolution

  • Submit corrected claims, rebills, secondary billing, and appeals as needed

  • Document account activity and correspondence thoroughly and accurately

  • Escalate payer errors appropriately for reprocessing

  • Work with commercial and government payers

  • Maintain productivity and quality standards

Experience & Education:

  • 1-2 years of Healthcare Revenue Cycle experience required

  • Experience with Hospital Billing and/or Physician Billing required

  • Strong knowledge of denials, insurance follow-up, UB-04 and/or HCFA 1500 claims

  • Experience using systems like Epic, Cerner, Meditech, McKesson, Allscripts, Soarian, etc.

  • Proficiency in Microsoft Office and other internet-based systems

  • Strong ability to multitask across multiple applications and systems

  • High School Diploma or equivalent required; Associate's or Bachelor's Degree preferred

Physical Requirements:

  • Ability to sit for extended periods of time

  • Frequent use of hands and fingers for typing and computer work

  • Ability to communicate via phone and computer

  • Occasionally lift up to 15 pounds