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Remote Medical Claims Processor Jobs in Florida (NOW HIRING)

... processing medical claims and provider dispute requests in accordance with payer guidelines ... Remote work offered * Equipment provided * Paid trainingto set you up for success * Comprehensive ...

... processing medical claims and provider dispute requests in accordance with payer guidelines ... Remote work offered * Equipment provided * Paid training to set you up for success * Comprehensive ...

... processing medical claims and provider dispute requests in accordance with payer guidelines ... Remote work offered * Equipment provided * Paid trainingto set you up for success * Comprehensive ...

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 ...

We are seeking a full-time, remote Medical Cost Projection Analyst. This position is responsible ... claims data and historical contract performance and support creation of processes and tools ...

We are seeking a full-time, remote Medical Cost Projection Analyst. This position is responsible ... claims data and historical contract performance and support creation of processes and tools ...

Remote Medical Scribe

Tampa, FL · Remote

$14 - $17/hr

Work for a company that understands the med school application process and supports your healthcare goals. Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider ...

Remote Medical Scribe

Hialeah, FL · Remote

$14 - $17/hr

Work for a company that understands the med school application process and supports your healthcare goals. Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider ...

Work for a company that understands the med school application process and supports your healthcare goals. Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider ...

Work for a company that understands the med school application process and supports your healthcare goals. Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider ...

Work for a company that understands the med school application process and supports your healthcare goals. Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider ...

Work for a company that understands the med school application process and supports your healthcare goals. Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider ...

Work for a company that understands the med school application process and supports your healthcare goals. Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider ...

Remote Medical Scribe

Miami, FL · Remote

$14 - $17/hr

Work for a company that understands the med school application process and supports your healthcare goals. Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider ...

Remote Medical Scribe

Orlando, FL · Remote

$14 - $17/hr

Work for a company that understands the med school application process and supports your healthcare goals. Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider ...

Work for a company that understands the med school application process and supports your healthcare goals. Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider ...

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Remote Medical Claims Processor information

See Florida salary details

$10

$14

$19

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

As of Aug 11, 2026, the average hourly pay for remote medical claims processor in Florida is $14.55, according to ZipRecruiter salary data. Most workers in this role earn between $12.93 and $16.15 per hour, depending on experience, location, and employer.

What is the difference between Remote Medical Claims Processor vs Remote Medical Billing Specialist?

AspectRemote Medical Claims ProcessorRemote Medical Billing Specialist
CredentialsTypically requires medical coding or claims processing certificationsOften requires medical billing certifications and coding knowledge
Work EnvironmentRemote, healthcare or insurance companiesRemote, healthcare providers or billing companies
Industry UsageInsurance companies, third-party administratorsHospitals, clinics, billing service providers
Job FocusProcessing and reviewing insurance claims for reimbursementPreparing and submitting bills, managing accounts receivable

While both roles work remotely within the healthcare industry, the Remote Medical Claims Processor primarily reviews and processes insurance claims, focusing on reimbursement. In contrast, the Remote Medical Billing Specialist handles billing procedures, including preparing and submitting invoices. Both roles require similar certifications and often overlap in work environment and employer types, but their core responsibilities differ in claim review versus billing management.

What is a remote medical claims processor?

Remote medical claims processors handle billing paperwork for health care offices or insurance companies. Instead of working in the office, remote medical claims processors complete their job duties from home or another location outside of the office with internet connectivity. As a remote medical claims processor, your responsibilities include ensuring medical insurance claims have proper billing codes that match the services provided, clarifying patient concerns about benefits, and adding changes made to the claim by the doctors or insurer. You may also be required to follow up with the insurer to find out the status of claims and discuss any discrepancies.

What are the key skills and qualifications needed to thrive as a remote medical claims processor?

To thrive as a Remote Medical Claims Processor, a solid understanding of medical terminology, insurance policies, and claims adjudication is essential, typically supported by a high school diploma or equivalent and relevant experience. Familiarity with claims management software, electronic health records (EHR) systems, and knowledge of HIPAA regulations are typically required. Attention to detail, strong organizational skills, and clear written communication help individuals excel in processing claims accurately and efficiently. These skills ensure timely and correct claims processing, reducing errors and supporting the financial health of both healthcare providers and patients.

How does a remote medical claims processor typically collaborate with healthcare providers and insurance companies while working from home?

As a Remote Medical Claims Processor, collaboration with healthcare providers and insurance companies primarily occurs through secure digital communication channels, such as email, specialized claims management software, and phone calls. You will regularly interact with provider offices to clarify patient information, verify coverage, or resolve discrepancies in submitted claims. While the role is independent, you often coordinate with team members and supervisors virtually to ensure claims are processed efficiently and accurately. Maintaining clear documentation and communication is essential for resolving issues and minimizing processing delays.

What does a remote medical claims processor do?

A Remote Medical Claims Processor reviews, evaluates, and processes insurance claims submitted by healthcare providers and patients. Working from a remote location, they verify the accuracy of claim information, ensure proper coding, and determine whether services are covered based on insurance policies. They also communicate with providers, patients, and insurance companies to resolve discrepancies or request additional information. This role helps ensure that claims are processed efficiently and accurately for timely reimbursement.
What are the most commonly searched types of Medical Claims Processor jobs in Florida? The most popular types of Medical Claims Processor jobs in Florida are:
What cities in Florida are hiring for Remote Medical Claims Processor jobs? Cities in Florida with the most Remote Medical Claims Processor job openings:
Infographic showing various Remote Medical Claims Processor job openings in Florida as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $30,260 per year, or $14.5 per hour.

Claims Examiner - Remote

Imagenet

Tampa, FL • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 8 days ago


Job description

Claims Examiner - Remote


Job Type: Full-time

Work Setup: This is a fully remote position
Work Hours:Pacific Time Zone


We are looking forExperienced Claims Examiner to join our rapidly growing team.

Experience isrequiredfor this position.


Job Overview:

As a Claims Examiner, you will be responsible for accurately reviewing, investigating, and processing medical claims and provider dispute requests in accordance with payer guidelines, contractual agreements, regulatory requirements, and internal policies.


Responsibilities:

  • Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of appropriate reimbursement methodologies.
  • Review and investigate provider dispute requests, appeals, and reconsiderations related to processed medical claims.
  • Verify patient eligibility, provider credentialing, and coverage details to facilitate accurate claims processing.
  • Communicate with internal resources, and internal stakeholders to resolve claim discrepancies, request additional information, or clarify issues.
  • Participate in ongoing training and professional development activities.
  • Maintain accurate and detailed records of claims processing activities.
  • Review claim forms and supporting documents
  • Determine eligibility, verify data accuracy
  • Request additional information when needed
  • Process claims end-to-end
  • Identify and escalate complex or unusual claims for further review or investigation.
  • Participate in ongoing training and professional development activities.
  • Handle more complex claims with multiple services, providers


Experience:

  • At least 1-2 years of experience working closely with healthcare claims or in a claims processing/adjudication environment.
  • Experience processing Provider Dispute Resolution (PDR), appeals, reconsiderations, or claim adjustments is highly preferred.
  • Understanding of health claims processing/adjudication
  • Ability to perform basic to intermediate mathematical computation routines
  • Medical terminology strongly preferred
  • Understanding of ICD-9 & ICD-10
  • Basic MS office computer skills
  • Ability to work independently or within a team
  • Time management skills
  • Written and verbal communication skills
  • Attention to detail
  • Must be able to demonstrate sound decision-making skills


What We Offer

  • Remote work offered
  • Equipment provided
  • Paid trainingto set you up for success
  • Comprehensive benefits:Medical, Dental, Vision, Life, HSA, 401(k)
  • Paid Time Off (PTO)
  • 7 paid holidays
  • A supportive team and a company that values internal growth


Ready to Grow Your Career?

We'd love to meet you! Click"Apply Now"and tell us why you'd be a great addition to the Imagenet team.


About Imagenet, LLC

Imagenet is a leading provider of back-office support technology and tech-enabled outsourced services to healthcare plans nationwide. Imagenet provides claims processing services, including digital transformation, claims adjudication and member and provider engagement services, acting as a mission-critical partner to these plans in enhancing engagement and satisfaction with plans' members and providers.


The company currently serves over 70 health plans, acting as a mission-critical partner to these plans in enhancing overall care, engagement and satisfaction with plans' members and providers. The company processes millions of claims and multiples of related structured and unstructured data elements within these claims annually. The company has also developed an innovative workflow technology platform, JetStreamTM, to help with traceability, governance and automation of claims operations for its clients.


Imagenet is headquartered in Tampa, operates 10 regional offices throughout the U.S. and has a wholly owned global delivery center in the Philippines.