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Remote Medical Claims Processor Jobs in Baltimore, MD

Erie Insurance

Liability Specialist

Silver Spring, MD · On-site +1

$63K - $100K/yr

Preferred candidate will work remote and can live near MD or DC however, hiring manager will ... Five years casualty claims adjusting experience or equivalent experience in the medical or legal ...

System One

Lead Healthcare Product Owner

Baltimore, MD · Remote

$72/hr

Identify and resolve breakdowns/errors in the PA/claims process--pinpoint fail points and implement ... medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as ...

System One

Lead Healthcare Product Owner

Baltimore, MD · Remote

$72/hr

Identify and resolve breakdowns/errors in the PA/claims process--pinpoint fail points and implement ... medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as ...

System One

Lead Healthcare Product Owner

Baltimore, MD · Remote

$72/hr

Identify and resolve breakdowns/errors in the PA/claims process--pinpoint fail points and implement ... medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as ...

USAA

Sr. Auto Appraiser - Field (Maryland)

Baltimore, MD · On-site +1

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Maintains accurate and current claim file documentation throughout the claims process for complex ...

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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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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.

Healthcare Project Manager - (FACETS Claims Systems)

System One

Baltimore, MD • Remote

$119K/yr

Contractor

Medical, Dental, Vision, Life, Retirement

Posted 18 days ago

Job description

Role: Project Manager – Interfaces & Integration (FACETS Claims Systems) Work model: Hybrid (onsite + remote) Location: DMV area — Baltimore, MD / Washington, DC (EST) Type: Contract-to-hire | Hours: 40/week Openings: 5

Overview

We’re building a strong FACETS bench to support a large healthcare payer modernization effort (migrating multiple claims platforms into FACETS). This Project Manager will lead integration/interface workstreams—coordinating cross-team delivery, testing, and release readiness for upstream/downstream system connections.

What You’ll Do

  • Own the interface/integration delivery plan: milestones, dependencies, RAID, and risks
  • Partner with business SMEs and technical teams on requirements, mapping, and validation
  • Drive SIT/UAT planning, execution tracking, and defect triage through closure
  • Coordinate release/cutover planning and production readiness for interface deployments
  • Maintain key documentation: interface inventory, data mapping summaries, test evidence, runbooks

Must-Have Qualifications (Non-Negotiable)

  • Hands-on FACETS experience — required
  • Project/Program Management experience on integration-heavy initiatives (interfaces, system-to-system data movement)
  • Healthcare payer domain experience (claims platform ecosystem understanding)
  • Strong stakeholder management across engineering, QA/testing, data, and business teams

Nice to Have

  • API and/or batch/file-based integrations experience
  • EDI exposure (e.g., X12 834/835/837/270/271), if relevant to the workstream

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