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Remote Medical Claims Processor Jobs in Baltimore, MD

J29 Inc.

Pharmacist III - Contingent

Millersville, MD · On-site +1

$56.75 - $68/hr

Remote About J29 J29 is an employee centered healthcare management consulting company that specializes in processing, reviewing, and analyzing medical claims, records, disputes, and audits.

J29 Inc.

Data Analyst III - Contingent

Millersville, MD · On-site +1

$60K - $75K/yr

Remote Salary: $60,000-75,000 depending on years of experience About J29 J29 is an employee ... processing, reviewing, and analyzing medical claims, records, disputes, and audits. Established in ...

J29 Inc.

HR Generalist

Millersville, MD · On-site +1

$40K - $50K/yr

Remote, with preference given to candidates in eastern standard time zone Report To: Director of ... processing, reviewing, and analyzing medical claims, records, disputes, and audits. Established in ...

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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 Sep 12, 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 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 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:

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

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The top searched job categories for Remote Medical Claims Processor jobs in Baltimore, MD are:

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Cities near Baltimore, MD 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 Baltimore, MD as of September 2026, with employment types broken down into 1% As Needed, 73% Full Time, 20% Part Time, and 6% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $40,235 per year, or $19.3 per hour.

Complex Claims Specialist

Bel Air, MD • On-site, Remote

The Harford Mutual Insurance Companies
51 - 200 employees
Learn more about The Harford Mutual Insurance Companiesexternal

$95K - $136K/yr

Full-time

Posted 28 days ago

Job description

WHO WE ARE:
Harford Mutual Insurance Group is a growing, dynamic mutual insurance carrier providing commercial property and casualty insurance products and services to a regional market. Headquartered in Harford County, Maryland, Harford Mutual offers a positive, diverse, and inclusive work environment with a rich company culture. Founded in 1842 on the principles of mutuality, we believe in insuring opportunity through mutual success® for our policyholders, agents, communities, and employees, and invite our employees to continue that tradition with respect, integrity, exemplary service, and personal responsibility.
Listed within this posting is the anticipated salary range for this position, plus variable incentive compensation. The final salary offered to a successful candidate may vary and will be dependent on several factors that include, but are not limited to, your business experience, education, and individual capacity. Harford Mutual is a multi-state employer, and this salary range may not reflect positions that work in other states.
THE OPPORTUNITY:
The Complex Claims Specialist exercises independent judgment and discretion in the investigation, evaluation, negotiation, and resolution of highly complex, high-severity commercial casualty claims. The role serves as a technical resource to the claims organization, providing oversight, guidance, and strategic direction on significant exposure claims involving litigation, catastrophic injuries, complex coverage issues, and large financial exposures.
LOCATION:
Remote/Hybrid (Bel Air, MD office)
WHAT YOU'LL DO:
  • Provide technical oversight of complex auto claims, including the identification and evaluation of commercial auto claims with significant severity potential.
  • Direct claim handling of complex claims, typically in excess of $250,000, & handling of complex coverage claims.
  • Actively coordinate claim file reviews with insured and agent.
  • Provide mentorship and guidance to claims staff on complex casualty claims.
  • Provide constant communication and feedback to claims staff and management regarding complex claims.
  • Maintain lawsuit record keeping & monitor defense counsel adherence to litigation procedures
  • Participates in complex exposure analysis and strategies.
  • Devise and implement Alternative Dispute Mechanisms.
  • Develop and implement litigation expense reduction methods.
  • Reduce and monitor number of open lawsuits.
  • Attend trials, settlement conferences and other discovery processes, as well as negotiate settlements
  • Perform field investigation where necessary.
  • Review and establish appropriate reserves.
  • Provide necessary information to reinsurers and affiliates.

WHAT YOU'LL BRING:
  • Minimum four-year degree or comparable work experience; JD is a plus
  • Minimum of 12 years' industry experience
  • Completion CPCU, AIC, SCLA or equivalent
  • Knowledge and understanding of litigation process.
  • Ability to understand and analyze insurance coverage

BENEFITS:
PHYSICAL DEMANDS & WORK ENVIRONMENTAL FACTORS:
The physical demands described above are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
EEO STATEMENT:
Harford Mutual Insurance Group provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Most new hires fall within this range and have the opportunity to earn more over time. Initial placement within the salary range, however, is based on an individual's relevant knowledge, skills and experience for the position.
Base salary is only one component of our competitive Total Rewards package. To learn more, please visit the Perks & Benefits on our website.

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