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Remote Medical Claims Processor Jobs in Aiken, SC

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$11

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$21

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

As of Sep 5, 2026, the average hourly pay for remote medical claims processor in Aiken, SC is $16.57, according to ZipRecruiter salary data. Most workers in this role earn between $14.71 and $18.41 per hour, depending on experience, location, and employer.

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.

More about Remote Medical Claims Processor jobs

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Remote Medical Claims Processor jobs near you
Infographic showing various Remote Medical Claims Processor job openings in Aiken, SC as of August 2026, with employment types broken down into 85% Full Time, 11% Part Time, and 4% Contract. Highlights an 100% Remote job distribution, with an average salary of $34,522 per year, or $16.6 per hour.

Remote - Client Services Representative (Central or Eastern zones)

Transworld Systems Inc.

Augusta, GA • On-site, Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 15 days ago

Transworld Systems Inc. rating

4.8

Company rating: 4.8 out of 10

Based on 21 frontline employees who took The Breakroom Quiz

60th of 72 rated call and contact centers

Job description

Overview
After the submission of your application, you will receive an email with instructions to complete a series of assessments through our online platform, Harver. Completing this AI-powered assessment is required for prompt consideration of your application, as it serves as the initial screening in our employment process.
Candidates hired for work-from-home positions will receive company-issued equipment. Additional details regarding equipment policies and procedures will be provided during the interview and onboarding process.
Work Location: This is a remote/work from home position
Compensation: $45-$65k Annual based on experience
Build Your Future! Come join our thriving team as a Remote Call Center Representative! We are seeking ambitious, self-motivated and driven people just like you for a rewarding career in the customer service arena.
Qualified candidates for this position should possess a background in student loan servicing and/or client services.
Why should you consider TSI (part of TSI family of companies)?
  • Work from home
  • Paid training
  • Team-oriented work environment
  • Growth opportunity
  • Comprehensive benefits package available: including medical, dental and vision, 401k retirement plan with employer matching, paid time off and paid holidays!

Responsibilities
  • Research data regarding account and billing information to validate and confirm debts owed
  • Handle and respond to daily client requests, inquiries, and problems via telephone, email, fax and mail.
  • Produce reports as requested by clients by assisting in the creation of the reports.
  • Dependent upon position, demonstrate ability and willingness to learn new computer platform/systems.
  • Knowledge, understanding, and compliance with all applicable Federal, State, and Local laws \ regulations
  • Knowledge, understanding, and compliance with TSI policies and procedures.
  • Follow up in a timely manner to ensure customer satisfaction.
  • Provide feedback to management concerning possible problems or areas of improvement.
  • Make recommendations to implement improved processes.
  • Perform other duties as assigned by management.

Qualifications
  • High School Diploma or GED certificate, or equivalent of relevant work experience desired.
  • Proficient personal computer skills, including Microsoft Office required
  • Excellent interpersonal, written, and oral communication skills required
  • Must have professional and mature manner, have a "can-do" attitude
  • Ability to maintain the highest level of confidentiality
  • Ability to work with minimal supervision required
  • Ability to work in a team fostered environment
  • Ability to work in a multi-tasked environment
  • Ability to prioritize and organize work

Physical Requirements:
  • Normal, corrective vision range; ability to see color and to distinguish letters, numbers and symbols
  • Frequently required to sit, stand, walk, talk, hear, bend and reach
  • Ability to reach with hands and arms
  • Occasionally lift and/or move up to 20lbs with or without accommodation
  • Ability to stand for long periods of time with or without accommodation

For Remote Positions: The minimum internet speed requirements for remote work are as follows:
  • Broadband internet connection (No DSL, or Dial Up)
  • Hard wired connection required (no Wi-Fi, Wi-Fi hotspots)
  • Speed Test Results: 25 mbps download, 20 mbps upload

Work Conditions:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. You are acknowledging that you can perform the essential functions with or without a reasonable accommodation. The noise level in the work environment is usually moderate. The work environment is primarily indoors. The position requires little to no travel.
This job description is not an exclusive or exhaustive list of all job functions that a team member in this position may be asked to perform. Duties and responsibilities can be changed, expanded, reduced or delegated by management to meet the business needs of the company.
We provide Equal Employment Opportunity for all individuals regardless of race, color, religion, gender, age, national origin, marital status, sexual orientation, status as a protected veteran, genetic information, status as a qualified individual with a disability and any other basis protected by federal, state or local laws.

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