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Remote Medical Claims Processing Jobs (NOW HIRING)

Ageatia Global Solutions

$15.75 - $20/hr

FULL TIME REMOTE PURPOSE: Under direct supervision, reviews and adjudicates paper/electronic claims ... Preferred Qualifications 5+ years Claims processing, billing, or medical terminology experience ...

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 ...

WellSense Health Plan

Medical Claims Auditor

$57.50K - $83.50K/yr

The Medical Claims Auditor manages the process by which claims failing established clinical-related ... Our Investment in You: · Full-time remote work · Competitive salaries · Excellent benefits Key ...

Creative Global Consulting

Remote US Citizen SCOPE This position manages the end-to-end medical billing cycle with primary ... Insurance verification and authorization processes * Denial management skills * Payment posting ...

Diverse Lynx

Claims Adjudicator

Tampa, FL · Remote

$19/hr

Tampa, FL (Remote after 8 Week Onsite Training) Duration: Full Time Salary: $19/Hr. + Benefits Job Overview: Key Responsibilities * Claims Adjudication: Review, verify, and process medical claims ...

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

As of May 30, 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 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.

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 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 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.

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 May 2026, with employment types broken down into 71% Full Time, and 29% Contract. Highlights an 100% Remote job distribution, with an average salary of $40,493 per year, or $19.5 per hour.
Medical Biller/Claims Processing - Patient Support Representative (Remote; 10am-7pm EST)

Medical Biller/Claims Processing - Patient Support Representative (Remote; 10am-7pm EST)

IQVIA, Inc.

Houston, TX • On-site, Remote

$23/hr

Full-time

Posted 5 days ago

IQVIA rating

8.1

Company rating: 8.1 out of 10

Based on 51 frontline employees who took The Breakroom Quiz

54th of 203 rated it services

Job description

Patient Support Medical Claims Processing Representative
Contract Remote Role - Location (Open to Remote US)
As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need them. We help customers gain insight and access to their markets and ultimately demonstrate their product's value to payers, physicians, and patients. A significant part of our business is providing patient support programs on the behalf of our customers. With the right experience, you can help provide support to patients in need of available therapies.
IQVIA has the world's largest Commercial Sales & Medical Solutions (CSMS) organization dedicated to the launch and marketing of pharmaceutical and medical products. With a focus on providing talent for patient support, field/inside sales, medical device support, clinical support, and medical affairs our CSMS division has 10,000+ field professionals in more than 30 countries addressing physician and patient needs.
We are excited to announce that currently we are looking for a 100% remote (work from home-WFH) contact Patient Support Medical Claims Processing Representative to join our team. In this position, you will provide payment assistance solutions such as co-pay cards or vouchers. The Patient Support Call Center Representative is primarily responsible for receiving medical claims from HCPs or patients and vetting the claim against program specific business rules to determine if the claim should be paid or rejected. This role will be a contract role with IQVIA managed by an external agency, with the opportunity to be converted to an IQVIA full-time employee.
Job Responsibilities:
  • Primary responsibilities involve receiving medical claims from HCPs or patients, ensuring the adequate supporting documentation has been provided, interpreting the EOB/CMS1500, vetting the claim against program specific business rules and ultimately determining if the claim should be paid or rejected
  • Exceptional organizational skills are required
  • May provide support as needed for customer requests via telephone, email, fax, or other available means of contact to the Support Center
  • Requires the ability to recognize operational challenges and suggest recommendations to management, as necessary
  • Ability to work 40 hours per week (shift available: 10:00am - 7:00pm ET) under moderate supervision

Minimum Education & Experience:
  • High School Diploma or equivalent
  • Experience in claim processing required
  • Medical Billing Certification required
  • Coding Certification required
  • Ability to interpret Explanation of Benefits (EOB)
  • HIPPA certified
  • Customer Service Experience preferred
  • Pharmacy Technician experience preferred
  • Bi-lingual (English/Spanish) preferred

To be eligible for this position, you must reside in the same country where the job is located.
IQVIA is an Equal Opportunity Employer. We cultivate a diverse corporate culture across the 100+ countries where we operate, celebrating and rewarding teamwork and inclusiveness. By embracing our differences, we create innovative solutions that are good for IQVIA, our clients, and the advancement of healthcare everywhere. This role will be a contract role with IQVIA managed by an external agency, with the opportunity to be converted to an IQVIA full-time employee.
#LI-CES
#LI-REMOTE
#LI-DNP
IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more at https://jobs.iqvia.com
IQVIA is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable law. https://jobs.iqvia.com/eoe
IQVIA is committed to integrity in our hiring process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application must be truthful and complete. Any false statements, misrepresentations, or material omissions during the recruitment process will result in immediate disqualification of your application, or termination of employment if discovered later, in accordance with applicable law. We appreciate your honesty and professionalism.
The potential base pay range for this role is $23.00 per hour. The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits.

What IQVIA employees say

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About IQVIA

Sourced by ZipRecruiter

At IQVIA, we are passionate about helping customers and partners improve results and patient outcomes. Everything we do contributes to this vision for creating a healthier world. In today’s healthcare environment, it’s not only about how much data, information, and technology you have at your fingertips – it’s what you do with it. IQVIA is focused on making intelligent connections for customers across the entire healthcare ecosystem to help you drive healthcare forward. Whether that means partnering with novel technology companies to boost patient engagement, leveraging AI & machine learning to accelerate results, or using decentralized trials to reach the right patients wherever they are – we are always looking for smarter ways to move you forward.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Durham, NC, US

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