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Remote Medical Claims Processing Jobs in Burr Ridge, IL

Miller Cooper

Full Stack Software Engineer

Chicago, IL · Remote

$125K - $145K/yr

... in a remote environment. * Excellent communication and collaboration skills. Preferred * Hands-on experience with healthcare claims processing, including 837 (institutional/professional) claim ...

Miller Cooper

Full Stack Software Engineer

Chicago, IL · Remote

$125K - $145K/yr

... in a remote environment. * Excellent communication and collaboration skills. Preferred * Hands-on experience with healthcare claims processing, including 837 (institutional/professional) claim ...

CCMSI

Multi-Line Claims Representative

Chicago, IL · On-site +1

Remote eligible; This role may be performed in states where CCMSI is authorized to hire. Pay ... We don't just process claims--we support people. As the largest privately-owned Third Party ...

CCMSI

Multi-Line Claims Representative

Chicago, IL · On-site +1

Remote eligible; This role may be performed in states where CCMSI is authorized to hire. Pay ... We don't just process claims-we support people. As the largest privately-owned Third Party ...

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Showing results 21-40

All JobsMedical Claims Processing JobsRemote Medical Claims Processing JobsRemote Medical Claims Processing Jobs in Burr Ridge, IL

Remote Medical Claims Processing information

See Burr Ridge, IL salary details

$13

$19

$25

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

As of Sep 13, 2026, the average hourly pay for remote medical claims processing in Burr Ridge, IL is $19.21, according to ZipRecruiter salary data. Most workers in this role earn between $17.07 and $21.35 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 cities near Burr Ridge, IL are hiring for Remote Medical Claims Processing jobs?

Cities near Burr Ridge, IL with the most Remote Medical Claims Processing job openings:

Remote Medical Claims Processing jobs near you

Senior Analyst, Payment Integrity Disputes

Chicago, IL • Remote

Oscar Health
Insurance Services • 1 - 5K employees
Learn more about Oscar Healthexternal

$64K - $85K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 23 days ago

Oscar Health rating

6.6

Company rating: 6.6 out of 10

Based on 7 frontline employees who took The Breakroom Quiz

Job description

Hi, we're Oscar. We're hiring a Senior Analyst, Payment Integrity Disputes to join our Disputes team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role:

You will be responsible for supporting payment integrity disputes and issue resolution in the Oscar claim environment for both the Oscar Insurance business. You will scope, triage, investigate and execute on solutions and process improvements. You will leverage a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally and understand and translate friction from stakeholders into actionable opportunities for improvement.

You will report into the Manager, Payment Integrity (Pre-Pay).

Work Location: This is a remote position, open to candidates who reside in: Atlanta, Georgia; Chicago, Illinois; Dallas, Texas; Louisville, Kentucky; Minneapolis, Minnesota; Philadelphia, Pennsylvania; Salt Lake City, Utah. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. #LI-Remote

Pay Transparency: The base pay for this role is: $64,832 - $85,092 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

  • Contribute as a subject matter expert for Oscar reimbursement policies, payment integrity disputes, internal claims processing edits and external vendor edits.
  • Respond to internal and external inquiries and disputes regarding policies and edits.
  • Research industry standard coding rules, summarize and provide input into reimbursement policy language and scope.
  • Use knowledge gained through research and claims review to ideate payment integrity opportunities. Translate into business requirements; submit to and collaborate with internal partners to effectuate change.
  • Ingest information from internal and external partners regarding adverse claim outcomes; collaborate with partners to scope, size, prioritize items and deliver solutions.
  • Use insights from partner submissions, data mining, process monitoring, etc., work with the team to proactively identify thematic areas of opportunity to solve problems.
  • Perpetuate a culture of transparency and collaboration by keeping stakeholders well informed of progress, status changes, blockers, completion, etc.; field questions as appropriate.
  • Support Oscar run state objectives by providing speedy research, root cause analysis, training, etc. whenever leadership escalates and assigns issues.
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • Experience in Payment Integrity focused on Disputes and/or appeals
  • 4+ years of experience in claims processing, coding, auditing or health care operations
  • 3+ years experience in medical coding
  • Medical coding certification through AAPC (CPC, COC) or AHIMA (CCS, RHIT, RHIA)
  • Experience with reimbursement methodologies, provider contract concepts and common claims processing/resolution practices.
  • 2+ years experience deriving business insights from datasets and solving problems
  • 1+ years experience improving business workflows and processes
  • 1+ years experience collaborating with internal and external stakeholders

Bonus points:

  • 2+ years experience in a technical role (QA analyst, PM, operations analyst, finance, consulting, industrial engineering) or a process improvement role (Six Sigma or similar)
  • 2+ years of experience working with large data sets using excel or a database language
  • Experience in a professional healthcare claims organization
  • Knowledge management, training, or content development in operational settings
  • Process Improvement or Lean Six Sigma training
  • Experience using SQL

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here. 

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency:  Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

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