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Medical Claims Billing Specialist - REMOTE in CST - $26/hr

Omaha, NE · Remote

$26 - $28/hr

Highly respected healthcare consulting business is hiring experienced Medical Claims Billers who ... Ability to MANUALLY process and adjudicate claims Ideal Candidates: * High level analytical skills

Sagility

Claims Processor - Work from Home

$17/hr

BroadPath, a Sagility Company, is hiring experienced medical Claims Processors to join our remote team! Claims Processors are responsible for the accurate and timely entry, review, and resolution of ...

Sagility LLC

Claims Processor - Work from Home

$17/hr

Claims Processor - Work from Home BroadPath, a Sagility Company, is hiring experienced medical Claims Processors to join our remote team! Claims Processors are responsible for the accurate and timely ...

Sagility

Claims Processor - Work from Home

Concord, NC · Remote

$17/hr

Claims Processor - Work from Home BroadPath, a Sagility Company, is hiring experienced medical Claims Processors to join our remote team! Claims Processors are responsible for the accurate and timely ...

Conduent, Inc.

Remote Claims Processing Clerk

KY · Remote

$15/hr

Remote Claims Processing Clerk Schedule: Monday- Friday 8:00 AM - clean desk (based on business ... Health benefits start Day 1 to include Medical, Dental, Vision and 401K savings plan * Growth ...

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

Process medical claims and learn systems and workflows Adjustments & Disputes (Core Role ... Mostly remote, flexible work model * Contract-to-hire with potential for full-time conversion based ...

Sidecar Health

Claims Processor I

San Antonio, TX · Remote

$15.25 - $19.50/hr

... medical claims information in accordance with Sidecar Health policies and processing guidelines ... Ability to work independently in a remote environment with demonstrated accountability, consistent ...

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Remote Medical Claims Processing information

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$13

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$25

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

As of Jun 21, 2026, the average hourly pay for remote medical claims processing in the United States is $19.47, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $21.63 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.
More about Remote Medical Claims Processing jobs
What cities are hiring for Remote Medical Claims Processing jobs? Cities with the most Remote Medical Claims Processing job openings:
What states have the most Remote Medical Claims Processing jobs? States with the most job openings for Remote Medical Claims Processing jobs include:
What job categories do people searching Remote Medical Claims Processing jobs look for? The top searched job categories for Remote Medical Claims Processing jobs are:
Remote Medical Claims Processing jobs near you
Infographic showing various Remote Medical Claims Processing job openings in the United States as of June 2026, with employment types broken down into 83% Full Time, 14% Part Time, and 3% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $40,493 per year, or $19.5 per hour.
Medical Claims Clinical Review Nurse

Medical Claims Clinical Review Nurse

MedPOINT Management

Sherman Oaks, CA • Remote

$36 - $48/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 9 days ago

Job description

Benefits:
  • 401(k)
  • 401(k) matching
  • Company parties
  • Dental insurance
  • Employee discounts
  • Health insurance
  • Opportunity for advancement
  • Paid time off
  • Parental leave
  • Savings bank
  • Training & development
  • Vision insurance
  • Wellness resources

About the Role:
Join MedPOINT Management as a Medical Claims Clinical Review Nurse in Sherman Oaks, CA, where you'll play a crucial role in ensuring the quality and accuracy of medical claims. This is an exciting opportunity to work in a dynamic environment that values clinical expertise and attention to detail.
Responsibilities:
  • Conduct thorough clinical reviews of medical claims to ensure compliance with policies and regulations.
  • Collaborate with healthcare providers to clarify information and resolve discrepancies.
  • Utilize clinical knowledge to assess the medical necessity of services rendered.
  • Document findings and recommendations clearly and accurately in the claims management system.
  • Participate in training and development initiatives to enhance team performance.
  • Stay updated on industry trends, regulations, and best practices related to medical claims.
  • Provide support and guidance to claims processing teams as needed.
  • Assist in the development of clinical review policies and procedures.
Requirements:
  • Registered Nurse (RN) license in California is required.
  • Minimum of 3 years of clinical nursing experience, preferably in a hospital or healthcare setting.
  • Experience in medical claims review or utilization management is a plus.
  • Strong analytical skills with attention to detail and accuracy.
  • Excellent communication and interpersonal skills.
  • Ability to work independently and manage multiple priorities effectively.
  • Proficiency in electronic medical record (EMR) systems and claims management software.
  • Commitment to continuous professional development and improvement.
About Us:
MedPOINT Management has been a leader in the healthcare management industry for over a decade. Our commitment to excellence and patient-centered care has earned us the trust of our clients and the loyalty of our employees. Join us and be part of a team that makes a difference in the lives of patients every day.

This is a remote position.