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Remote Medical Claims Processor Jobs in Baltimore, MD

CareFirst

Claims Adjuster I (Remote)

Baltimore, MD · Remote

Verifies insurance claims by reviewing claims requirements; examining documentation and calculations; highlighting and summarizing out-of-line situations; recommending changes in operating processes ...

J29 Inc.

Dispute Resolution Analyst I

Millersville, MD · On-site +1

$16.25 - $18.25/hr

Our team of 260 employees focuses on providing processing, review, and analysis of medical claims ... Remote Salary: $16.25-18.25 per hour J29, Inc. is committed to hiring and retaining a diverse ...

Deloitte

Epic Denials Management Operator

Baltimore, MD · Remote

$18 - $23.75/hr

... Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for ... This is a primarily remote role supporting enterprise Epic support, with minimal travel and ...

Erie Insurance

Liability Adjuster

Silver Spring, MD · On-site +1

$56K - $90K/yr

Casualty Claims Division Department of Position: Home & Auto Liability Dept Work from: Remote in ... Low contributions to medical and prescription premiums. We currently pay up to 97% of employees ...

iMedX, Inc.

Medical Billing Manager

Edgewater, MD · On-site +1

$51K - $68K/yr

Proven ability to improve processes and resolve claims issues effectively. * Strong leadership skills with experience managing remote teams. * Excellent written, verbal, and interpersonal ...

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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All JobsMedical Claims Processor JobsRemote Medical Claims Processor JobsRemote Medical Claims Processor Jobs in Baltimore, MD

Remote Medical Claims Processor information

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$13

$19

$25

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

As of Aug 6, 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.
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:
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:
Remote Medical Claims Processor jobs near you
Infographic showing various Remote Medical Claims Processor job openings in Baltimore, MD as of August 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.

Claims Adjuster I (Remote)

CareFirst

Baltimore, MD • Remote

Full-time

Retirement

Posted 24 days ago

CareFirst BlueCross BlueShield rating

7.3

Company rating: 7.3 out of 10

Based on 31 frontline employees who took The Breakroom Quiz

234th of 301 rated insurance

Job description

Resp & Qualifications

PURPOSE: 
Investigate and perform adjustment of claims and ensure that claims are handled properly within authority limits, and in line with standard procedures and guidelines. Verifies insurance claims by reviewing claims requirements; examining documentation and calculations; highlighting and summarizing out-of-line situations; recommending changes in operating processes; completing reports, logs, and audit records.
ESSENTIAL FUNCTIONS:

  • Proactively investigate and perform adjustments of claims. Ensure claims are handled within authority limits, and in line with standard procedures and guidelines.
  • Updates claims audit records by entering, verifying, and securing data.
  • Settle standard/complex claims through payment or denial.
  • Provides claims audit information and reports by collecting, analyzing, and summarizing data and trends.
  • Improves claims adjustment job knowledge by attending training sessions.

QUALIFICATIONS:
Education Level: High School Diploma or GED.
Experience: 3 years claims experience and complete understanding of all systems, policies and procedures.
Preferred Qualifications:

  • Above Target performance rating preferable. 

Knowledge, Skills and Abilities (KSAs)

  • Ability to analyze information gathered from investigation.
  • Excellent communication skills both written and verbal.
  • Ability to recognize, analyze, and solve a variety of problems.
  • Skill in completing assignments accurately with attention to detail.
  • Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.
     


Salary Range: 36,576 - 67,056

Salary Range Disclaimer

The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

Equal Employment Opportunity

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer.  It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Federal Disc/Physical Demand

Note:  The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

PHYSICAL DEMANDS:

The associate is primarily seated while performing the duties of the position.  Occasional walking or standing is required.  The hands are regularly used to write, type, key and handle or feel small controls and objects.  The associate must frequently talk and hear.  Weights up to 25 pounds are occasionally lifted.

Sponsorship in US

Must be eligible to work in the U.S. without Sponsorship

#LI-LY1 

What CareFirst BlueCross BlueShield employees say

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