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Remote Medical Claims Processor Jobs in Baton Rouge, LA

Ochsner Health

Physician - Primary Care

Baton Rouge, LA · On-site +1

... medical and academic leader, is recruiting Internal Medicine doctors and Family Medicine doctors ... Remote messaging Nurses to reduce in basket messages sent through the portal * Outpatient Care ...

Ochsner Health

Physician - Primary Care

Baton Rouge, LA · On-site +1

Full benefits including medical, dental and vision insurance * Additional benefit options focused ... Please refer to the to determine whether the position you are interested in is remote or on-site.

Ochsner

Physician - ENT - All Regions

Baton Rouge, LA · On-site +1

The position will entail a robust clinical practice, opportunities for resident and medical student ... Please refer to the to determine whether the position you are interested in is remote or on-site.

Ochsner

Physician - Optometrist

Baton Rouge, LA · On-site +1

... medical record platform utilized throughout the Ochsner Health System Tort reform state ... Please refer to the to determine whether the position you are interested in is remote or on-site.

Ochsner

Obstetrics Gynecology Physician

Baton Rouge, LA · On-site +1

Ochsner employs more than 18,000 employees and over 1,100 physicians in over 90 medical specialties ... Please refer to the to determine whether the position you are interested in is remote or on-site.

Ochsner

Physician - Dermatology

Baton Rouge, LA · On-site +1

Patient-base includes both medical and cosmetic dermatology. M-F schedule; seeing between 25-30 ... Please refer to the to determine whether the position you are interested in is remote or on-site.

Ochsner Health

Physician - Dermatology

Baton Rouge, LA · On-site +1

Patient-base includes both medical and cosmetic dermatology. M-F schedule; seeing between 25-30 ... Please refer to the to determine whether the position you are interested in is remote or on-site.

Ochsner

Physician - Otolaryngology

Baton Rouge, LA · On-site +1

EPIC medical record platform utilized throughout the Ochsner Health System * Tort reform state WHY ... Please refer to the to determine whether the position you are interested in is remote or on-site.

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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 11, 2026, the average hourly pay for remote medical claims processor in Baton Rouge, LA is $15.27, according to ZipRecruiter salary data. Most workers in this role earn between $13.56 and $16.97 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

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The most popular types of Medical Claims Processor jobs in Baton Rouge, LA are:

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For Remote Medical Claims Processor jobs in Baton Rouge, LA, the most frequently searched job titles are:

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The top searched job categories for Remote Medical Claims Processor jobs in Baton Rouge, LA are:

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Cities near Baton Rouge, LA 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 Baton Rouge, LA as of September 2026, with employment types broken down into 1% As Needed, 81% Full Time, 12% Part Time, and 6% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $31,768 per year, or $15.3 per hour.

Transition Care Manager

Baton Rouge, LA • Remote

Amerihealth Caritas
Health Care and Social Assistance • 5 - 10K employees
Learn more about Amerihealth Caritasexternal

Full-time

Posted 7 days ago

AmeriHealth Caritas rating

8.3

Company rating: 8.3 out of 10

Based on 73 frontline employees who took The Breakroom Quiz

Job description

Role Overview: The Transition Care Manager is responsible for completing preventive, multidisciplinary discharge planning for plan members presenting to the Emergency Room and/or Acute Setting, in accordance with AmeriHealth Caritas policies and procedures. The Transition Care Manager will assess and process discharge planning needs across all disciplines, including necessary case management referrals.

Work Arrangement:

  • Remote - Associate must reside in the state of Louisiana (LA).
  • Associates must have access to a reliable high-speed internet connection to support daily responsibilities, with a minimum download speed of 50 Mbps and an upload speed of 5 Mbps.
  • Fully remote associates residing in states where internet service is required by contract, law, or regulation may be eligible for reimbursement.

Responsibilities:

  • Consistent application of medical health benefit policy and medical management guidelines to authorize services.
  • Appropriately identifies and refers requests to the Medical Director when guidelines are not met.
  • Review daily Emergency Room (ER) or inpatient census of plan members.
  • Receive and process facility referrals.
  • Complete surveys to identify plan member needs.
  • Identify gaps in care.
  • Determine members' understanding of illness and outpatient management of illness.
  • Evaluate, coordinate, and implement discharge needs for all short-term and long-term Behavioral Health needs.
  • Refer members for case management and/or social work services based on community needs and resource availability.
  • Schedule appointments and arrange critical follow-up calls for care coordination.
  • Educate members on how and where to seek appropriate care and follow-up services.

Education & Experience

  • Master's degree required.
  • Must be a Licensed Mental Health Practitioner.
  • Current and unrestricted Licensed Professional Counselor (LPC) or Licensed Clinical Social Worker (LCSW) licensure to practice in the state of Louisiana is required.
  • 3 or more years of Behavioral Health experience required.
  • 3 or more years of overall healthcare/discharge planning experience required.
  • Emergency Room or Acute Discharge Planning experience preferred.

Licensure:

  • Must be a Licensed Mental Health Practitioner.
  • Current and unrestricted Licensed Professional Counselor (LPC) or Licensed Clinical Social Worker (LCSW) licensure to practice in the state of Louisiana is required.
  • Eligibility to obtain Certified Case Manager (CCM) certification within one year of hire
  • Valid driver's license and current automobile insurance are required.

Skills & Abilities:

  • Proficiency with Microsoft Office Suite, including Word, Excel, Outlook, Teams, and SharePoint in a Windows-based environment.
  • Proficiency with electronic medical record and charting programs
  • Strong discharge planning, care coordination, and case management referral skills.
  • Ability to identify gaps in care and assess member needs across multiple disciplines.
  • Knowledge of Behavioral Health discharge planning and community resource coordination.
Employment Type: FULL_TIME

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