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Remote Medical Claims Processor Jobs in Baltimore, MD

Process medical claims and learn systems and workflows Adjustments & Disputes (Core Role ... Mostly remote, flexible work model * Contract-to-hire with potential for full-time conversion based ...

Process medical claims and learn systems and workflows Adjustments & Disputes (Core Role ... Mostly remote, flexible work model * Contract-to-hire with potential for full-time conversion based ...

Process medical claims and learn systems and workflows Adjustments & Disputes (Core Role ... Mostly remote, flexible work model * Contract-to-hire with potential for full-time conversion based ...

Process medical claims and learn systems and workflows Adjustments & Disputes (Core Role ... Mostly remote, flexible work model * Contract-to-hire with potential for full-time conversion based ...

Process medical claims and learn systems and workflows Adjustments & Disputes (Core Role ... Mostly remote, flexible work model * Contract-to-hire with potential for full-time conversion based ...

Process medical claims and learn systems and workflows Adjustments & Disputes (Core Role ... Mostly remote, flexible work model * Contract-to-hire with potential for full-time conversion based ...

Process medical claims and learn systems and workflows Adjustments & Disputes (Core Role ... Mostly remote, flexible work model * Contract-to-hire with potential for full-time conversion based ...

Process medical claims and learn systems and workflows Adjustments & Disputes (Core Role ... Mostly remote, flexible work model * Contract-to-hire with potential for full-time conversion based ...

Hybrid - onsite and remote We're looking for a Client Relationship Manager who thrives in a fast ... of medical claims experience (claims processing, denials, investigations, or claims issue ...

Hybrid - onsite and remote We're looking for a Client Relationship Manager who thrives in a fast ... of medical claims experience (claims processing, denials, investigations, or claims issue ...

Hybrid - onsite and remote We're looking for a Client Relationship Manager who thrives in a fast ... of medical claims experience (claims processing, denials, investigations, or claims issue ...

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As Senior Claims Adjuster, Workers Compensation you are responsible for managing the process from ... Fully remote but requires experience with workers compensation claims in Maryland and Virginia.

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Remote Medical Claims Processor information

See Baltimore, MD salary details

$13

$19

$25

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

As of Aug 5, 2026, the average hourly pay for remote medical claims processor in Baltimore, MD is $19.34, according to ZipRecruiter salary data. Most workers in this role earn between $17.21 and $21.49 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.
What are the most commonly searched types of Medical Claims Processor jobs in Baltimore, MD? The most popular types of Medical Claims Processor jobs in Baltimore, MD are:
What are popular job titles related to Remote Medical Claims Processor jobs in Baltimore, MD? For Remote Medical Claims Processor jobs in Baltimore, MD, the most frequently searched job titles are:
What job categories do people searching Remote Medical Claims Processor jobs in Baltimore, MD look for? The top searched job categories for Remote Medical Claims Processor jobs in Baltimore, MD are:
What cities near Baltimore, MD are hiring for Remote Medical Claims Processor jobs? Cities near Baltimore, MD with the most Remote Medical Claims Processor job openings:
Infographic showing various Remote Medical Claims Processor job openings in Baltimore, MD as of July 2026, with employment types broken down into 80% Full Time, and 20% Contract. Highlights an 100% Remote job distribution, with an average salary of $40,235 per year, or $19.3 per hour.

Healthcare Claims Adjuster

System One

Baltimore, MD โ€ข Remote

$25/hr

Contractor

Medical, Dental, Vision, Life, Retirement

Re-posted 19 days ago


Job description

Job Title: Healthcare Claims Adjuster

Location: Baltimore, Maryland (meetings and tranings) Type: Contract To Hire Compensation: $25/HR Contractor Work Model: 80% Remote (must reside in D.C., MD, or VA per client)

About the Role We’re hiring a Healthcare Claims Adjuster with a strong claims processing background and exposure to adjustments, rework, or dispute resolution who wants to grow in that area. The role involves handling claims adjustments, discrepancies, and provider dispute work.

This is a fast-paced role with the opportunity to build hands-on adjustment experience and potential for long-term growth. What You’ll Do Processing (Training Ramp-Up)

  • Process medical claims and learn systems and workflows
Adjustments & Disputes (Core Role)
  • Investigate and resolve claim discrepancies and provider disputes
  • Perform adjustments, reprocessing, and corrections
  • Review overpayments, underpayments, and errors
Daily Operations
  • Handle high volume (~50 cases/day after ramp-up)
  • Update claims systems and maintain accurate records
  • Shift between processing and adjustment work
Quality & Accuracy
  • Identify trends and exceptions
  • Ensure accuracy and compliance
Why This Role Is a Great Fit
  • Grow adjustment expertise (not just processing)
  • Exposure to complex claims and dispute resolution
  • High-impact work on claim backlog
  • Mostly remote, flexible work model
  • Contract-to-hire with potential for full-time conversion based on performance
What You Bring Required Skills:
  • 2+ years of medical claims experience
  • Strong claims processing background
  • Adjustment experience (rework, discrepancies, or dispute resolution)
  • Ability to work in a fast-paced, high-volume environment
  • Strong attention to detail and problem-solving skills
Nice to Have (sets you apart):
  • Payer-side experience
  • FACETS or similar claims system experience
  • Exposure to refunds, subrogation, or workers’ compensation

System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.

#M-1 #LI-AJ1 Ref: #851-Rockville-S1