ZipRecruiter

Log In

2

Remote Medical Claims Processor Jobs in Michigan

BeneSys, Inc.

Specialty Claims Analyst (Troy, MI)

Troy, MI · Remote

$21 - $24/hr

Applicants for this remote role will only be considered if they live in these locations: Illinois ... Qualifications - Individual must be skilled in medical claims processing and knowledge of medical ...

New

Scribe-X

$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 ...

Scribe-X

Remote Medical Scribe

Lansing, MI · 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 ...

CSAA

Job Title Process Manager, Commercial Casualty Claims - Remote Requisition Number R7810 Process Manager, Commercial Casualty Claims - Remote (Open) Location California - Home Teleworkers Additional ...

CSAA

In order for your application to be correctly processed please sign-in before you apply Internal ... Job Title Commercial Insurance Consultant, Claims Insights- Remote Requisition Number R7770 ...

CSAA

$59K - $77K/yr

In order for your application to be correctly processed please sign-in before you apply Internal ... Job Title Commercial Senior Auto Claims Adjuster- Remote Requisition Number R7890 Commercial Senior ...

Summit

$69K - $92K/yr

Georgia, Illinois, Indiana, Kentucky, North Carolina, South Carolina, Tennessee. #LI-Remote Job ... Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental ...

Summit

$69K - $92K/yr

Georgia, Illinois, Indiana, Kentucky, North Carolina, South Carolina, Tennessee. #LI-Remote Job ... Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental ...

Great American Insurance Group

$69K - $92K/yr

Georgia, Illinois, Indiana, Kentucky, North Carolina, South Carolina, Tennessee. #LI-Remote Job ... Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental ...

New

Ourhrconnect

Coordinator, Medical Affairs

Wyoming, MI · On-site +1

... and will be hybrid or remote. The office is located at One Century Plaza, Nashville, TN ... managed care or medical claims payment policy issues. Working knowledge of word processing ...

next page

Showing results 1-20

All JobsMedical Claims Processor JobsRemote Medical Claims Processor JobsRemote Medical Claims Processor Jobs in Michigan

Remote Medical Claims Processor information

See Michigan salary details

$12

$16

$22

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

As of Aug 7, 2026, the average hourly pay for remote medical claims processor in Michigan is $16.97, according to ZipRecruiter salary data. Most workers in this role earn between $15.10 and $18.85 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.
More about Remote Medical Claims Processor jobs
What are the most commonly searched types of Medical Claims Processor jobs in Michigan? The most popular types of Medical Claims Processor jobs in Michigan are:
What are popular job titles related to Remote Medical Claims Processor jobs in Michigan? For Remote Medical Claims Processor jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Remote Medical Claims Processor jobs in Michigan look for? The top searched job categories for Remote Medical Claims Processor jobs in Michigan are:
What cities in Michigan are hiring for Remote Medical Claims Processor jobs? Cities in Michigan with the most Remote Medical Claims Processor job openings:
Remote Medical Claims Processor jobs near you
Infographic showing various Remote Medical Claims Processor job openings in Michigan as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $35,293 per year, or $17 per hour.

Specialty Claims Analyst (Troy, MI)

BeneSys, Inc.

Troy, MI • Remote

$21 - $24/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted yesterday

New

BeneSys rating

7.8

Company rating: 7.8 out of 10

Based on 11 frontline employees who took The Breakroom Quiz

152nd of 482 rated business services

Job description

Specialty Claims Analyst (Troy, MI)
Summary - The Specialty Claims Analyst will process Disability, SUB, Flex, and Death claims. Provide support for WEX health card users and receive documentation from members through e-mail, fax or by hard copy mail to correctly process submitted claims. Assists with customer service.
Applicants for this remote role will only be considered if they live in these locations: Illinois, Indiana, Iowa, Kentucky, Michigan, Missouri, Ohio, Oregon, Pennsylvania, Wisconsin.
Essential Duties and Responsibilities include but not limited to
  • Process Flex claims in the appropriate amount of time to ensure that member receives payment in a timely manner according to the rules of the plan.
  • Coordinate with Eligibility by informing them of payouts of SUB and Disability benefits to update disability credit hours.
  • Work with the Local Halls to determine benefits for weekly SUB payments.
  • Prepare and send Disability and SUB Reports to the Local Halls on a weekly basis.
  • Determine benefits for multiple groups to process claims correctly, and retrieve documentation required by each group for payments to go out; outcome is either the issuing of a check or sending letters of rejection with proper appeal procedures.
  • Work with Pension to coordinate retirement dates, to avoid overlapping payments of both Pension and Disability simultaneously.
  • Document Disability and SUB dates to avoid overpayments; request refunds from members when overpayments are made.
  • Run checks on assigned days weekly, for SUB, Disability, Flex and Death Benefits, advise Operations of these check runs, and coordinate with accounting on the release of checks.
  • Process stops payments, voids and refunds for all benefit types.
  • Provide back-up for Customer Service and Eligibility; take calls in assigned queue for SUB, Disability, Flex and Death Claims.
  • Research payments according to plan rules to respond to members requests for payment of claim; call back members with result. Ensure the member that claim was processed correctly, and the maximum benefit was received.
  • Process death applications and gather information needed for different life insurance carriers for processing of death benefits.
  • Maintain claims processing quality standards of at least 98%.
  • Maintain claims turnaround times as defined by Specialty Claims Management based on type of claim assigned (claim TAT varies based on SUB, MRA, disability or death)
  • Support Plan Manager/Associates as needed.
  • Regular and predictable attendance is an essential function of this job.
Qualifications - Individual must be skilled in medical claims processing and knowledge of medical terminology. Have two (2) years of experience in a related field, required. Good reasoning and phone skills. Proficient in Microsoft office.
Applicants for this remote role will only be considered if they live in these locations: Illinois, Indiana, Iowa, Kentucky, Michigan, Missouri, Ohio, Oregon, Pennsylvania, Wisconsin.
Education and/or Experience - High School diploma or GED equivalent. Prior claims experience preferred.
Language Skills - Ability to read and interpret the plan rules as outlined in the SPD (Summary Plan Description), user manuals and department rules amp; procedures. Ability to communicate with members, union officials and co-workers the plan rules and procedures to process amp; issue Disability and SUB payments.
Mathematical Skills - Ability to calculate hours and SUB Credits to properly process claims for payment. Ability to determine tax amounts on payments.
Reasoning Ability - Ability to calculate and determine eligibility amp; benefits available according to multiple plan rules to process claims for payment.
Work Schedule - Full time. Monday - Friday, 7:30am - 4:00 pm. Permanent Remote position (No in-office days).
Competitive Benefits and Compensation Package
  • 12 paid holidays
  • Paid Time Off (PTO)
    • Pro-rated during first year of employment
    • 15 days of PTO provided in the next calendar year!
  • 3 days paid bereavement
  • Up to 20 days paid jury leave
  • Medical, dental, and vision insurance, with option for dependent coverage
  • Company-paid basic life, short-term disability, long-term disability, and AD amp;D insurance
  • 401k with employer match
  • Tuition reimbursement program
  • Career development opportunities
  • Referral bonus for all successful full-time referrals
  • Annual opportunities for increases
Pay
The pay range for this position is $21.00 - $24.00 an hour. Actual salary is dependent on skills, experience, education, and other business factors.
Our Culture
BeneSys wants to be a great service provider to the members we serve, and we recognize we can only do that if we are also a great employer with successful employees. In short, our success is driven by our employees' successes. We want to be a place where people want to work, feel proud of what they do and feel fulfilled both professionally and personally. We want to create a place where employees can find long-term growth and potential.
Our culture focuses on three core values:
  • Collaboration: working together across 31 locations to achieve the best for the company and our clients
  • Dedication: striving to create an environment where all employees work toward a common goal while committing to providing the best customer service to our members and our colleagues
  • Integrity: doing what we say we will do. Upholding strong ethical and moral principles
ADA amp; EEO
Reasonable accommodations will be made so that qualified individuals with disabilities are able to complete the application process and, if hired, fulfill the essential functions of their job.

What BeneSys employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

BeneSys logo

About BeneSys

Sourced by ZipRecruiter

Industry

Insurance and employee benefit funds

Company size

501 - 1,000 Employees

Headquarters location

Troy, MI, US

Year founded

1979

View All BeneSys Jobs

Apply