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Remote Medical Claims Processing Jobs (NOW HIRING)

KARNA LLC

Medical Claims Review Nurse

$95K - $110K/yr

Documents Medical Management processes, including medical claims review. * Completes ad hoc ... PM18 #remote Salary Description $95,000.00 - $110,000.00

Curative HR LLC

Claims Resolution Specialist

Austin, TX · On-site +1

$25 - $29/hr

Process claim adjustments, reversals, reprocessing, and corrected claims. Balance Billing ... Maintain a secure remote work environment. * Perform additional duties and special projects as ...

Curative HR LLC

Claims Resolution Specialist

Austin, TX · Remote

$25 - $29/hr

Process claim adjustments, reversals, reprocessing, and corrected claims. Balance Billing ... Maintain a secure remote work environment. * Perform additional duties and special projects as ...

Curative HR LLC

Claims Resolution Specialist

Austin, TX · Remote

$25 - $29/hr

Process claim adjustments, reversals, reprocessing, and corrected claims. Balance Billing ... Maintain a secure remote work environment. * Perform additional duties and special projects as ...

Moda Health

Supervisor, Medical Claims

Milwaukie, OR · Remote

Position Summary Provides supervision, coaching and support to Claims Processors. Organizes staff ... A reliable, high-speed, hard-wired internet connection required to support remote or hybrid work.

VIVA Health

Claims Training Coordinator

Birmingham, AL · Remote

Reinforce training on professional and facility medical claims processing. * Work collaboratively with the claims trainer, claims leadership, quality, and operations teams. * Develop, maintain, and ...

Elite Technical

Claims Adjuster

Baltimore, MD · Remote

Medical Terminology, Provider Refund. Subrogation, Workers Comp. Disbursements. - Must have claims adjustment review and processing experience - Ability to analyze information gathered from ...

Medix

Claims Specialist (Remote)

Muttontown, NY · Remote

$20 - $25/hr

Remote (U.S. Based) Contract: 6-12 months + (I.e. Indefinite Contract) Schedule: Monday-Friday, 8 ... medical claims are reviewed efficiently, documentation is processed accurately, and cases move ...

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Remote Medical Claims Processing information

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$13

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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 Auditor (Hybrid)

Medical Claims Auditor (Hybrid)

Northwest Administrators, Inc.

Mountlake Terrace, WA • On-site, Remote

$30.70 - $41.54/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 10 days ago

Job description

Are you a skilled communicator with strong writing abilities and deep claims experience? Do you have actual hands-on experience processing medical claims, from beginning to end? Do you enjoy applying your medical claims expertise to work one-on-one, or in small group settings, to help others strengthen their accuracy, compliance, and performance? If you answered 'YES' to these questions, then you may be the person we're seeking for our Claims Auditor position!
What you'll be doing...
As a Health and Welfare Claims Auditor, the main focus will be to review the work completed by the Health and Welfare Medical, Dental, Vision, Time Loss and Life Claims Processors. This position requires collaboration with other auditors, outside vendors, account executives, department supervisors and managers, and medical consultants.
Primary responsibilities for this position include:
  • Perform internal audits of our Health and Welfare Claims Processors' work
  • Design and implement training plans for Claims Processors
  • Conduct training sessions for groups of new Claims Processors
  • Train and cross-train on plan, system and procedural changes
  • Respond to day-to-day referral questions
  • Perform random and large dollar claims audits
  • Prepare written claim processing guideline materials
  • Coordinate vendor interaction with specific PPOs and benefit providers

This position has a hybrid work schedule with 3 days per week in the office, after completion of training. The position can be based in our Seattle, Mountlake Terrace or Federal Way office.
Who you are...
  • Educated. Bachelor's degree preferred or equivalent combination of education & experience
  • Experienced. Medical & Dental Claims processing; auditing/training experience preferred
  • Organized. Able to prioritize work, multi-task and work independently
  • Communicator. Excellent verbal, written and interpersonal communication skills
  • Technically Savvy. Intermediate level experience using Microsoft Office Suite of tools

Who we are...
Northwest Administrators, Inc. is an industry leader in third-party administration of employee benefits. We administer one of the largest multi-employer pension plans in the country, along with numerous large health and welfare plans. As part of our team, you will benefit from many training and development opportunities and can expect a better-than-market benefits package. See what our associates are saying about us at Northwest Administrators Inc. | Careers (nwadmin.com)
If hired, you can expect...
  • Hourly rate range of $30.70 - $41.54 per hour (dependent upon experience & qualifications)
  • Medical, dental (w/Orthodontia), vision, Rx benefits, disability & life insurance
  • Optional benefits: health flex spending, dependent care assistance & pet insurance
  • Generous 401(k) plan with employer base contribution and match
  • Paid Vacation (10 days), Sick Leave (10 days) and Holidays (10 days)
  • Collaborative team environment
  • Work-life balance

Equal Employment Opportunity
NWA is proud to be an Equal Employment Opportunity employer. All employment decisions are based on business needs, job requirements and individual qualifications, without regard to race, color, religion, national origin, sex, sexual orientation, gender identity or expression, age, physical or mental disability, marital status, amnesty, veteran status, citizenship, family medical history or genetic information or any other characteristic protected by local, state, or federal laws. NWA prohibits any discrimination or harassment based on any of these characteristics.
We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact Human Resources at HR@nwadmin.com to request accommodation.
Northwest Administrators Inc. | Privacy Policy (nwadmin.com)

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