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Remote Medical Claims Processing Jobs in Washington

Clearwaters.IT

Senior .NET Developer

Washington, DC · Remote

$56.25 - $71.75/hr

Remote - candidates must live within the United States Description: Seeking a Senior Developer to ... Experience working with X.12 Medical Claims Processing (835, 837, 277, 275, etc.). * Experience ...

Clearwaters.IT

Senior .NET Developer

Washington, DC · On-site +1

$62.25 - $79.25/hr

Remote - candidates must live within the United States Description: Seeking a Senior Developer to ... Experience working with X.12 Medical Claims Processing (835, 837, 277, 275, etc.). * Experience ...

Clearwaters.IT

Senior .NET Developer

Washington, DC · Remote

$62.25 - $79.25/hr

Remote - candidates must live within the United States Description: Seeking a Senior Developer to ... Experience working with X.12 Medical Claims Processing (835, 837, 277, 275, etc.). * Experience ...

J29 Inc.

Physician Auditor

Millersville, MD · On-site +1

$189K - $238K/yr

Remote Type: Part-Time *This position is contingent upon the successful award of the associated ... processing, reviewing, and analyzing medical claims, records, disputes, and audits. Established in ...

J29 Inc.

Survey Interviewer

Millersville, MD · On-site +1

$20 - $25/hr

Remote *This position is contingent upon the successful award of the associated contract ... processing, reviewing, and analyzing medical claims, records, disputes, and audits. Established in ...

AFSPA

Health Benefits Officer II

Washington, DC · On-site +1

$44K - $50K/yr

... claims, medical/pharmacy coverage, and eligibility issues. This essential role supporting a mission ... This position is fully remote, scheduled Monday through Friday from 11:00 AM to 7:00 PM EST ...

AFSPA

Health Benefits Officer II

Washington, DC · On-site +1

$44K - $50K/yr

... claims, medical/pharmacy coverage, and eligibility issues. This essential role supporting a mission ... This position is fully remote, scheduled Monday through Friday from 11:00 AM to 7:00 PM EST ...

AFSPA

Health Benefits Officer II

Washington, DC · On-site +1

$44K - $50K/yr

... claims, medical/pharmacy coverage, and eligibility issues. This essential role supporting a mission ... This position is fully remote, scheduled Monday through Friday from 11:00 AM to 7:00 PM EST ...

AFSPA

Health Benefits Officer II

Washington, DC · On-site +1

$44K - $50K/yr

... claims, medical/pharmacy coverage, and eligibility issues. This essential role supporting a mission ... This position is fully remote, scheduled Monday through Friday from 11:00 AM to 7:00 PM EST ...

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All JobsRemote Medical Claims Processing JobsRemote Medical Claims Processing Jobs in Washington

Remote Medical Claims Processing information

See Washington salary details

$15

$22

$29

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

As of Jun 17, 2026, the average hourly pay for remote medical claims processing in Washington is $22.05, according to ZipRecruiter salary data. Most workers in this role earn between $19.62 and $24.52 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.

How much do remote medical billers make in the US?

Remote medical billers in the US typically earn between $15 and $25 per hour, with annual salaries ranging from approximately $30,000 to $52,000. Compensation varies based on experience, certifications, and the complexity of claims processed.

How can I make 70000 a year working from home?

Remote medical claims processing roles can pay up to $70,000 annually for experienced professionals. Achieving this salary typically requires strong attention to detail, knowledge of medical billing and coding, and proficiency with claims processing software. Gaining relevant certifications and working full-time or handling high-volume claims can help reach this income level.

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.

Do claims adjusters work remotely?

Many claims adjusters, including those in medical claims processing, work remotely, especially in companies that utilize digital tools and claim management software. Remote work allows for flexible schedules and the use of communication platforms like email and video conferencing, making it a common arrangement in the industry.

How to become a medical claim processor?

To become a medical claim processor, typically one needs a high school diploma or equivalent, along with training in medical billing and coding. Familiarity with healthcare management software and understanding of insurance policies are also important; some roles may require certification such as Certified Professional Coder (CPC).

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 Washington? For Remote Medical Claims Processing jobs in Washington, the most frequently searched job titles are:
What job categories do people searching Remote Medical Claims Processing jobs in Washington look for? The top searched job categories for Remote Medical Claims Processing jobs in Washington are:
Remote Medical Claims Processing jobs near you
Senior Consultant - Appian Connected Claims

Senior Consultant - Appian Connected Claims

Astor & Sanders

Mclean, VA • Remote

Full-time

Medical, Dental, Life, Retirement, PTO

Posted 24 days ago

Job description

Senior Consultant — Appian Connected Claims

Astor & Sanders Corporation (Astor) is an award-winning IT solutions provider headquartered in McLean, VA, seeking a Senior Consultant specializing in Appian Connected Claims. This is a remote consultant position.

The Senior Consultant – Appian Connected Claims is a key delivery and advisory role responsible for leading end-to-end implementations of Appian's Connected Claims platform for insurance and public sector clients. You will bridge business requirements and technical solutions, guiding clients from discovery through go-live while serving as a trusted advisor on claims process transformation and intelligent automation.

Roles & Responsibilities

  • Design end-to-end Appian Connected Claims solutions aligned to client business and technical requirements
  • Define integration patterns with core systems (policy admin, billing, document management, third-party data providers)
  • Lead architectural reviews and ensure scalability, security, and compliance standards are met
  • Develop and own solution design documents, data flow diagrams, and technical specifications
  • Serve as the primary day-to-day point of contact for client stakeholders, including claims leadership and IT teams
  • Facilitate workshops, sprint reviews, and executive status meetings
  • Manage project scope, risks, and dependencies in partnership with the project manager
  • Build long-term trusted advisor relationships that generate follow-on opportunities
  • Configure and extend Appian Connected Claims including FNOL, triage, adjudication, and settlement workflows
  • Develop and review Appian process models, interfaces, records, and integrations
  • Guide and mentor junior developers on Appian best practices and coding standards
  • Support UAT, performance testing, and production deployment activities
  • Elicit, document, and validate business and functional requirements across claims domains
  • Map current-state claims processes and design future-state workflows with measurable KPIs
  • Translate complex claims operations terminology into actionable platform configurations
  • Identify and articulate process improvement opportunities enabled by automation and AI

Requirements

  • 5+ years of consulting or implementation experience, with at least 3 years on the Appian platform
  • Hands-on experience with Appian Connected Claims or equivalent Appian insurance/claims solutions
  • Appian Senior Developer certification (or equivalent demonstrated proficiency)
  • Strong understanding of P&C or health insurance claims lifecycle — FNOL, investigation, adjudication, subrogation, and settlement
  • Proven ability to lead client-facing engagements independently from requirements through deployment
  • Experience integrating Appian with external systems via REST/SOAP APIs, Kafka, or ESB middleware
  • Excellent communication skills with ability to present to both technical teams and executive stakeholders

Preferred qualifications

  • Experience with Appian AI/ML capabilities including intelligent document processing or predictive analytics in claims
  • Familiarity with ACORD standards and claims data models
  • Prior involvement in digital claims transformation or STP (straight-through processing) initiatives
  • Knowledge of regulatory compliance considerations in claims handling (state DOI requirements, fraud detection mandates)
  • Experience in an Agile/SAFe delivery environment

Benefits

Astor & Sanders Corporation (www.astor-sanders.com) offers a unique, stimulating and challenging environment that fosters individual growth and rewards performance. Astor & Sanders Corporation ( #Astor ) is an Equal Opportunity Employer. 

Some of our competitive benefits include

  • Generous Paid Time Off (PTO) and all Federal Holidays off
  • Comprehensive Health and Dental Insurance Coverage
  • Retirement Savings Plan
  • Pre-Tax Benefit Programs
  • Wellness and Work-Life Support
  • Professional Development
  • Performance and Referral Bonuses
  • Life and Disability Insurance