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Remote Medical Claims Processing Jobs (NOW HIRING)

TEEMA

Claims Reviewer

Phoenix, AZ · Remote

$26.40 - $27.88/hr

Familiarity with medical claims processing and terminology. * Preferred : * Coding experience ... Eligible Locations The position is remote, but you can only reside in the following states: AK, AR ...

Karna, LLC

$20 - $25/hr

Minimum of 5 years' experience in medical claims processing, including professional and facility ... PM18 #remote

KARNA LLC

$22 - $25/hr

Minimum of 5 years' experience in medical claims processing, including professional and facility ... PM18 #remote Salary Description $22-25/hour

NTT DATA

Medical Claims Processor, Remote

$17.50 - $22/hr

Remote Claims Processing Associate NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team. In this role, the candidate will be responsible for:

NTT DATA

Medical Claims Processor

$17 - $18/hr

... processing of professional and hospital claim forms files by provider. Reviewing the policies and ... The starting hourly range for this remote role is $17.00-18.00. This range reflects the minimum and ...

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Remote Medical Claims Processing information

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

As of Jul 14, 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.

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 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 July 2026, with employment types broken down into 91% Full Time, 7% Part Time, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $40,493 per year, or $19.5 per hour.
Claims Reviewer

Claims Reviewer

TEEMA

Phoenix, AZ • Remote

$26.40 - $27.88/hr

Full-time

Posted 6 days ago

Job description

Claims Reviewer Opportunity

Join a dynamic team where your expertise in claims review can make a real difference! We're looking for a detail-oriented Claims Reviewer who can apply clinical and coding knowledge to ensure accurate claims processing. If you have a strong foundation in medical claims and are passionate about quality, we want to hear from you!

Position Highlights

  • Role: Conduct retrospective review of medical, surgical, and behavioral health claims.

  • Focus: Evaluate claims for medical necessity, appropriateness, and adherence to program benefits.

  • Collaboration: Work closely with medical directors, providers, peer reviewers, and various internal teams.

Key Responsibilities

  • Review and validate claims using established criteria and processing guidelines.

  • Prepare cases for payment or further review.

  • Identify opportunities for process improvement and flag quality or fraud concerns.

  • Support peers and clinical/non-clinical staff with claims and coding inquiries.

What You Bring

  • Required:

    • High School Diploma or GED.

    • 2+ years of experience in medical claims review.

    • Familiarity with medical claims processing and terminology.

  • Preferred:

    • Coding experience.

    • Knowledge of behavioral health claims.

Skills for Success

  • Strong technical skills in claims tools (e.g., CDST, Supercoder).

  • Organizational and team-building abilities.

  • Resilience in a fast-paced, high-intensity environment.

  • Effective communication and problem-solving.

Additional Requirements

  • Must pass background, credit, and drug screening.

  • Adherence to federal THC policies (medical card required if applicable).

Eligible Locations
The position is remote, but you can only reside in the following states: AK, AR, AZ, CO, DC, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NC, ND, NE, NM, NV, OK, OR, SC, SD, TN, TX, UT, VA, WA, WI, WY.

Ready to bring your claims expertise to a rewarding role? Apply today to be part of our team!

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About Teema

Sourced by ZipRecruiter

TEEMA is an award-winning, industry-leading recruitment agency dedicated to building meaningful relationships across North America. We achieve this time after time by consistently sourcing, screening, managing and securing top talent tailored to employers’ specific needs. The team that makes this happen consists of hundreds of experienced professional recruiters backed by exceptional, tenured leadership and back-office support. No matter how unique or challenging your hiring needs may be or how misunderstood or undervalued your in-demand skills may be in your current role, we have you covered. Our primary objective is to provide an exceptional recruitment experience for our clients and candidates and an ecosystem that empowers our team to thrive.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Litchfield Park, AZ, US

Social media

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