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Remote Medical Claims Processing Jobs in Spring, TX

Oshi Health

Accounts Receivable Specialist

Houston, TX · Remote

$19.25 - $25.50/hr

Knowledge of medical billing, insurance claims processing, and payer reimbursement. * Experience ... Remote-first -- work from home within our approved states * Growth: Tailored professional ...

Deloitte

Epic Denials Management Operator

Houston, TX · Remote

$17.25 - $23/hr

... Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for ... This is a primarily remote role supporting enterprise Epic support, with minimal travel and ...

IQVIA

Sr Software Development Engineer

Houston, TX · On-site +1

$117K - $154K/yr

Optimize system performance, scalability, and reliability in high-volume claims processing ... remote) U.S. residents only; work must be performed within the United States. Experience ...

IQVIA

Sr Software Development Engineer

Houston, TX · On-site +1

$117K - $154K/yr

Optimize system performance, scalability, and reliability in high-volume claims processing ... remote) U.S. residents only; work must be performed within the United States. Experience ...

Dane Street

Medical Toxicology Physician

Houston, TX · Remote

This is a fully remote opportunity offering flexible scheduling, allowing you to accept or decline ... Respond to clinical questions to support claims management * Deliver clear, well-supported written ...

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Showing results 21-40

All JobsMedical Claims Processing JobsRemote Medical Claims Processing JobsRemote Medical Claims Processing Jobs in Spring, TX

Remote Medical Claims Processing information

See Spring, TX salary details

$12

$17

$22

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

As of Aug 8, 2026, the average hourly pay for remote medical claims processing in Spring, TX is $17.32, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $19.23 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.

How to get a job as a remote medical claims processing?

To get a remote medical claims processing job, candidates typically need a high school diploma or equivalent, strong attention to detail, and familiarity with medical billing and coding software. Relevant certifications such as CPC or CCS can improve job prospects, and experience with electronic health records (EHR) systems is often preferred. Applying through healthcare companies, insurance providers, or staffing agencies that specialize in remote roles is common.

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?

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 Spring, TX? For Remote Medical Claims Processing jobs in Spring, TX, the most frequently searched job titles are:
What job categories do people searching Remote Medical Claims Processing jobs in Spring, TX look for? The top searched job categories for Remote Medical Claims Processing jobs in Spring, TX are:
What cities near Spring, TX are hiring for Remote Medical Claims Processing jobs? Cities near Spring, TX 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 Spring, TX as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 16% Part Time, and 7% Contract. Highlights an 89% Physical, 4% Hybrid, and 7% Remote job distribution, with an average salary of $36,034 per year, or $17.3 per hour.

Workers Compensation Claims Examiner- Remote (TX)

TEEMA Group

Houston, TX • Remote

$73K - $88K/yr

Full-time

Posted 11 days ago

Job description

Senior Workers’ Compensation Claims Adjuster – Texas

Location: Houston, TX
Job Type: Full-Time, Direct Hire
Salary: Up to $88,000/year
Caseload: Approximately 110–150 Workers’ Compensation Files

****THIS IS NOT A MEDICAL BILLING POSITION****

*****ONLY APPLY IF YOU HAVE WORKERS COMP CLAIMS EXPERIENCE*****

****MUST HAVE A WORKERS COMP LICENSE*****

Are you an experienced Texas Workers’ Compensation Claims Adjuster who can independently manage complex indemnity claims from first notice of loss through resolution?

We are hiring a Senior Workers’ Compensation Claims Adjuster to join an established national third-party administrator (TPA) in Houston. This is a senior-level individual contributor position for an adjuster who understands Texas workers’ compensation regulations, can confidently make compensability decisions, and is comfortable taking ownership of a complex caseload.

If you have 5+ years of workers’ compensation claims experience, strong indemnity experience, and an active Texas Workers’ Compensation Adjuster License, we want to hear from you.

What You’ll Be Doing

  • Independently manage approximately 110–150 workers’ compensation files, including complex and high-exposure indemnity claims.

  • Handle claims from initial report through final resolution.

  • Conduct timely and thorough claim investigations.

  • Determine compensability in accordance with Texas workers’ compensation laws and regulations.

  • Administer appropriate workers’ compensation benefits.

  • Manage medical treatment, authorizations, and medical billing.

  • Evaluate claim exposure and establish appropriate reserves within assigned authority.

  • Maintain an organized diary system and ensure files accurately reflect claim activity and status.

  • Communicate regularly with injured workers, medical providers, vendors, clients, and other stakeholders.

  • Provide clients with timely updates regarding claim status, injury trends, and safety concerns.

  • Conduct independent file reviews.

  • Identify issues that could affect claim exposure and take appropriate action.

  • Maintain compliance with company policies, procedures, and regulatory requirements.

  • Drive claims toward timely and appropriate resolution.

What You Must Have

  • Active Texas Workers’ Compensation Adjuster License – REQUIRED

  • Minimum 5 years of workers’ compensation claims handling experience.

  • Strong indemnity claims experience – REQUIRED.

  • Demonstrated experience independently handling complex workers’ compensation claims.

  • Strong knowledge of Texas workers’ compensation statutes and regulations.

  • Experience with claim investigation, compensability, medical management, reserves, and claim resolution.

  • Strong knowledge of medical terminology.

  • Excellent analytical and investigative skills.

  • Strong written and verbal communication skills.

  • Ability to independently manage a high-volume caseload.

  • High School Diploma or GED.

Candidates without an active Texas Workers’ Compensation Adjuster License will not be considered for this position.

Preferred Qualifications

  • Bachelor's degree in a related field.

  • Previous TPA or multi-client claims experience.

  • Experience managing approximately 110–150 workers’ compensation files.

  • Experience handling complex or high-exposure indemnity claims.

  • Proficiency with Microsoft Word and Excel.

Why Consider This Opportunity?

Join an established national claims organization with more than 30 years of experience providing workers’ compensation, claims management, loss control, and risk management services.

This position offers experienced adjusters the opportunity to take ownership of a meaningful caseload, work with complex claims, and continue developing their technical expertise within a professional claims environment.

If you have an active Texas Workers’ Compensation Adjuster License, 5+ years of WC claims experience, and a strong indemnity background, apply today for immediate consideration.

Email your resume today!

mpalkin@teemagroup.com