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Remote Medical Claims Processor Jobs in Anderson, SC

Absolute Total Care

Medical Director

Anderson, SC · On-site +1

$225K - $428K/yr

... processes, and membership. * Conduct regular rounds to assess and coordinate care for high-risk ... Reviews claims involving complex, controversial, or unusual or new services in order to determine ...

Absolute Total Care

Medical Director

Simpsonville, SC · On-site +1

$225K - $428K/yr

... processes, and membership. * Conduct regular rounds to assess and coordinate care for high-risk ... Reviews claims involving complex, controversial, or unusual or new services in order to determine ...

Capstone Search Group

Be Seen First

Commercial Insurance Account Executive - Remote (10240)

Greenville, SC · Remote

... claims issues, and other considerations. Location : 100% remote within the Southeast to include ... We offer Direct Hire (Contingency Search, Engaged/Retained and Recruitment Process Outsourcing [RPO ...

New

HDVI

Physical Damage Adjuster

Greenville, SC · Remote

Please note that this is a remote position. What You'll Do * Responsible for the handling of all ... Participate in regular claims reviews with both internal and external customers * Maintain current ...

HDVI

Liability Adjuster

Greenville, SC · Remote

About the Role As a Liability Adjuster, you will work closely with HDVI's Claims and Fleet Services ... Medical, Dental, Vision, Short/Long Term Disability, Basic Life, and AD&D to support you and your ...

Talkiatry

Psychiatrist (Remote)

Anderson, SC · Remote

$325K - $375K/yr

Active, unrestricted medical license (multi-state licensing support available) * Interest in ... If you need a reasonable accommodation to complete the application or interview process, please ...

Talkiatry

Psychiatrist (Remote)

Greenville, SC · Remote

$325K - $375K/yr

Active, unrestricted medical license (multi-state licensing support available) * Interest in ... If you need a reasonable accommodation to complete the application or interview process, please ...

Talkiatry

Psychiatrist (Remote)

Anderson, SC · Remote

$325K - $375K/yr

Active, unrestricted medical license (multi-state licensing support available) * Interest in ... If you need a reasonable accommodation to complete the application or interview process, please ...

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Remote Medical Claims Processor information

See Anderson, SC salary details

$12

$17

$23

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

As of Jul 29, 2026, the average hourly pay for remote medical claims processor in Anderson, SC is $17.82, according to ZipRecruiter salary data. Most workers in this role earn between $15.87 and $19.81 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 the Job of 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, and why are they important?

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 Anderson, SC? The most popular types of Medical Claims Processor jobs in Anderson, SC are:
What are popular job titles related to Remote Medical Claims Processor jobs in Anderson, SC? For Remote Medical Claims Processor jobs in Anderson, SC, the most frequently searched job titles are:
What job categories do people searching Remote Medical Claims Processor jobs in Anderson, SC look for? The top searched job categories for Remote Medical Claims Processor jobs in Anderson, SC are:
What cities near Anderson, SC are hiring for Remote Medical Claims Processor jobs? Cities near Anderson, SC 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 Anderson, SC as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $37,067 per year, or $17.8 per hour.

Ambulatory Coder III, FT, Days, - Remote

Prisma Health

Greenville, SC • On-site, Remote

$17.75 - $22.25/hr

Full-time

Re-posted 3 days ago

Prisma Health rating

7.1

Company rating: 7.1 out of 10

Based on 347 frontline employees who took The Breakroom Quiz

375th of 890 rated healthcare providers

Job description

Inspire health. Serve with compassion. Be the difference.
Job Summary
Responsible for abstracting and validating CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physician's office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines. Serves as a subject matter expert for assigned specialty.
Essential Functions
  • All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference.
  • Abstracts/codes for assigned provider(s)/division(s) based on medical record documentation. Adheres to all coding and compliance guidelines.
  • Utilizes appropriate coding software and coding resources in order to determine correct codes.
  • Communicates billing related issues to assigned supervisor/manager and participates in meetings in order to improve overall billing, when applicable.
  • Follows departmental policies for charge corrections.
  • Participates in coding educational opportunities (webinars, in house training, etc.).
  • Provides feedback to providers in order to clarify and resolve coding concerns.
  • Resolves assigned pre-billing edits.
  • Assists in identifying areas that require additional training.
  • Mentors and assists in training other coders and new team members
  • Performs other duties as assigned.

Supervisory/Management Responsibilities
  • This is a non-management job that will report to a supervisor, manager, director or executive.

Minimum Requirements
  • Education - High School diploma or equivalent or post-high school diploma / highest degree earned. Associate degree preferred
  • Experience - Five (5) years professional fee coding experience

In Lieu Of
  • NA

Required Certifications, Registrations, Licenses
  • Certified Professional Coder (CPC)
  • Specialty Certification from AAPC that correlates with assigned specialty

Knowledge, Skills and Abilities
  • Maintain knowledge of governmental and commercial payer guidelines.
  • Knowledge of office equipment (fax/copier)
  • Proficient computer skills including word processing, spreadsheets, database
  • Data entry skills
  • Mathematical skills

Work Shift
Day (United States of America)
Location
Patewood Outpt Ctr/Med Offices
Facility
7001 Corporate
Department
70019178 Medical Group Coding & Education Services
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

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