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Remote Medical Claims Processor Jobs in Andover, MN

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Remote Medical Claims Processor information

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

As of Aug 23, 2026, the average hourly pay for remote medical claims processor in Andover, MN is $20.10, according to ZipRecruiter salary data. Most workers in this role earn between $17.88 and $22.36 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

What cities near Andover, MN are hiring for Remote Medical Claims Processor jobs?

Cities near Andover, MN with the most Remote Medical Claims Processor job openings:

Remote Medical Claims Processor jobs near you

Unpaid Claims Representative

Nystrom & Associates Ltd

New Brighton, MN • On-site, Remote

$20 - $22/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 6 days ago

Nystrom & Associates rating

7.4

Company rating: 7.4 out of 10

Based on 22 frontline employees who took The Breakroom Quiz

Job description

Location:1200 County Road E., Arden Hills, MN 55112, United States

Working Model: Remote - Minnesota

Employee Type: 1.0

Schedule: Monday through Friday 7:00 AM -3:30 PM

AtSagentBehavioral Health, we believe profound change is possible. As one of the largest behavioral health organizations in the Midwest-with 2,000+ team members across 80+ locations in five states-we offer the stability and resources to help you thrive.
Backed by more than 100 years of combined behavioral health experience,Sagentbrings together the trusted legacies of Ellie Mental Health, LifeWorks, Nystrom & Associates, Psychiatric Associates, Sandhill Counseling & Consultation, and Vantage Point.
Here,you'llfind a supportive, inclusive culture where you can hone your skills, collaborate with a fantastic team, and build a rewarding career focused on what matters most: helping others find hope. Guided by our HOPE values-Humility, Optimism, People-Centered, and Ethical Practice-we provide manageable caseloads, flexible schedules, and compensation options that work for you-from salary to production-based models.

As a Unpaid Claims Representative at Sagent Behavioral Health, you will play a critical role in supporting the timely and accurate processing of insurance claims within our Business Office. You will ensure outstanding claims are followed up on, resolved, and billed appropriately, helping maintain smooth revenue cycle operations for our mental health services. This position requires strong attention to detail, effective communication, and a commitment to resolving claim issues efficiently.

Full Time Benefits:

  • Medical, Dental, Vision

  • 401k, Long Term Disability, Short Term Disability and Life Insurance

  • PTO and Time Off

Responsibilities:

    • Follow up on unpaid insurance claims for assigned payers to ensure timely resolution.
    • Investigate each denied or rejected claim thoroughly and determine the necessary corrective actions.
    • Resubmit or appeal claims as needed to secure proper reimbursement.
    • Communicate directly with insurance companies to gather information, clarify denials, and resolve issues.
    • Respond promptly to inquiries from Providers, Patient Financial Services, and the Insurance Team.
    • Maintain a strong understanding of insurance guidelines, billing rules, and interpretation of EOBs.
    • Identify recurring issues or trends with specific insurance companies and escalate as appropriate.
    • Perform additional duties as assigned by management to support departmental operations.

Requirements:

      • At least 6+ months of experience in the Sagent Behavioral Health's Business Office or comparable claims/AR experience.
      • Familiarity with insurance company guidelines, billing procedures, and claim adjudication processes.
      • Strong attention to detail, problem-solving skills, and a positive, team-oriented mindset.
      • Proficiency with Microsoft Windows, Excel, Word, and Outlook.
      • High school diploma or equivalent, with strong organizational and multitasking abilities.

Compensation: $20.00-$22.00/hr

*Actual compensation may bedeterminedbyvarious factorssuch as education, experience, skillset, internal equity,scheduleand/or location.

* Employees in these positions are W2.

SagentBehavioral Health is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

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