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Remote Medical Claims Processor Jobs in Puerto Rico

... remote work model once training is completed. Candidates who value teamwork, clear processes ... medical, dental, vision, 401k and any statutory sick pay where required. We are committed to ...

... Medical Affairs, IT, and HR. Key Responsibilities * APAC Privacy Legal Advisor. Serve as the ... Conduct PIAs and DPIAs for APAC-specific initiatives and maintain records of processing activities ...

Administrative shift (support a 24/7 manufacturing operations, some remote work is possible) Why ... Experience developing and executing process characterization studies , with strong technical ...

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Remote Medical Claims Processor information

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 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 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 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 are popular job titles related to Remote Medical Claims Processor jobs in Puerto Rico?

For Remote Medical Claims Processor jobs in Puerto Rico, the most frequently searched job titles are:

What job categories do people searching Remote Medical Claims Processor jobs in Puerto Rico look for?

The top searched job categories for Remote Medical Claims Processor jobs in Puerto Rico are:

What cities in Puerto Rico are hiring for Remote Medical Claims Processor jobs?

Cities in Puerto Rico with the most Remote Medical Claims Processor job openings:

Infographic showing various Remote Medical Claims Processor job openings in Puerto Rico as of August 2026, with employment types broken down into 75% Full Time, and 25% Contract. Highlights an 100% Remote job distribution.

Remote Call Center Representative - Puerto Rico

Conduent Business Solutions of Puerto Rico, Inc.

Dorado, PR • On-site, Remote

$11/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 13 days ago


Job description

Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.


Remote Call Center Representative

Location:  Remote – Must reside in Puerto Rico

Pay Rate: $11.00/hour

Employment Type: Full-Time

Shift Information: Must be available to work any 8-hour shift, Monday through Sunday

Job Summary:

We’re hiring a Remote Call Center Representative in Puerto Rico to provide high-quality customer service support in a fast-paced call center environment. In this role, you will handle inbound customer calls, resolve inquiries, and deliver a positive customer experience while meeting performance goals.

Key Responsibilities:

  • Provide professional customer service support via inbound calls
  • Handle high-volume call center interactions efficiently and accurately
  • Resolve customer inquiries, issues, and complaints in a timely manner
  • Maintain accurate records through data entry and system updates
  • Follow company processes, compliance standards, and quality guidelines
  • Meet productivity, attendance, and performance metrics
  • Collaborate with team members to improve customer satisfaction

Required Qualifications:

  • High school diploma or GED required
  • Minimum of 6 months of call center, customer service, or dispatch experience
  • Strong communication and customer service skills
  • Ability to work in a fast-paced call center environment
  • Basic computer skills and ability to navigate multiple systems
  • Reliable attendance and strong work ethic
  • Proficient in English
  • Must reside in Puerto Rico and be authorized to work in the U.S. permanently.
  • Ability to successfully complete a background check, credit check, and security fingerprinting

What We Offer:

  • Competitive hourly pay
  • Monthly incentive opportunity of up to $350 after training by meeting performance metrics
  • Night or weekend differential, based on shift worked
  • Benefits from day one (medical, dental, vision) for eligible roles
  • Paid time off and holidays
  • Paid training
  • Career growth and advancement opportunities
  • Supportive and inclusive work environment

Training Requirements:

  • Complete a mandatory 3-week paid training program (Week 1 classroom training; Weeks 2–3 supported call handling). 
  • Maintain an average quiz score of 80% or higher and complete all required E-Learning courses.

Technical & Workspace Requirements:

  • Secure wired high-speed internet connection, including a verified speed test of at 50 Mbps download & 10 Mbp upload; (Wi-Fi not permitted). 
  • Dedicated workspace with a desk, chair, and a quiet, distraction-free environment. 
  • Company equipment provided

Apply now and make an impact from day one

Looking for more information?
We’re happy to help. Visit our landing page to explore key details about the role, including shift schedules, examples of call types, FAQs, and our workspace and internet requirements. It’s a great resource to help you understand what to expect and determine whether this opportunity is the right fit for you. Landing Page: About Call Center Representative Role in San Antonio & Puerto Rico

Pay Transparency Laws in some locations require disclosure of compensation and/or benefits-related information.  For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time. The estimated hourly rate for this role is $11.00, which may be below your state's minimum wage. Please consider this when applying.


Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.

For US applicants: People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded:  click here to access or download the form.  Complete the form and then email it as an attachment to FTADAAA@conduent.com. You may also click here to access Conduent's ADAAA Accommodation Policy.