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Remote Medical Claims Processor Jobs in Canton, OH

Akron Children's Hospital

Coding Denial Specialist

Akron, OH · On-site +1

$18 - $23/hr

... Remote Summary: The Denial Coding Specialist supports the Revenue Recovery team by reviewing claims ... Develops suggestions for coding and documentation process improvements, based on denial analysis ...

HSS Careers

Remote Sales Agent

Sterling, OH · Remote

$69K - $175K/yr

Guide clients through the enrollment process with professionalism and care * Build lasting client ... Comprehensive medical, dental, and prescription benefits * Unionized position with stock options

New

HSS Careers

Remote Sales Agent

Tallmadge, OH · Remote

$69K - $175K/yr

Guide clients through the enrollment process with professionalism and care * Build lasting client ... Comprehensive medical, dental, and prescription benefits * Unionized position with stock options

New

HSS Careers

Remote Sales Agent

New Philadelphia, OH · Remote

$69K - $175K/yr

Guide clients through the enrollment process with professionalism and care * Build lasting client ... Comprehensive medical, dental, and prescription benefits * Unionized position with stock options

HSS Careers

Remote Sales Agent

Akron, OH · Remote

$69K - $175K/yr

Guide clients through the enrollment process with professionalism and care * Build lasting client ... Comprehensive medical, dental, and prescription benefits * Unionized position with stock options

HSS Careers

Remote Sales Agent

Salem, OH · Remote

$69K - $175K/yr

Guide clients through the enrollment process with professionalism and care * Build lasting client ... Comprehensive medical, dental, and prescription benefits * Unionized position with stock options

HSS Careers

Remote Sales Agent

Akron, OH · Remote

$69K - $175K/yr

Guide clients through the enrollment process with professionalism and care * Build lasting client ... Comprehensive medical, dental, and prescription benefits * Unionized position with stock options

HSS Careers

Remote Sales Agent

Akron, OH · Remote

$69K - $175K/yr

Guide clients through the enrollment process with professionalism and care * Build lasting client ... Comprehensive medical, dental, and prescription benefits * Unionized position with stock options

HSS Careers

Remote Sales Agent

Akron, OH · Remote

$69K - $175K/yr

Guide clients through the enrollment process with professionalism and care * Build lasting client ... Comprehensive medical, dental, and prescription benefits * Unionized position with stock options

HSS Careers

Remote Sales Agent

Wadsworth, OH · Remote

$69K - $175K/yr

Guide clients through the enrollment process with professionalism and care * Build lasting client ... Comprehensive medical, dental, and prescription benefits * Unionized position with stock options

New

HSS Careers

Remote Sales Agent

Sharon Center, OH · Remote

$69K - $175K/yr

Guide clients through the enrollment process with professionalism and care * Build lasting client ... Comprehensive medical, dental, and prescription benefits * Unionized position with stock options

New

HSS Careers

Remote Sales Agent

Akron, OH · Remote

$69K - $175K/yr

Guide clients through the enrollment process with professionalism and care * Build lasting client ... Comprehensive medical, dental, and prescription benefits * Unionized position with stock options

HSS Careers

Remote Sales Agent

Canton, OH · Remote

$69K - $175K/yr

Guide clients through the enrollment process with professionalism and care * Build lasting client ... Comprehensive medical, dental, and prescription benefits * Unionized position with stock options

HSS Careers

Remote Sales Agent

Kent, OH · Remote

$69K - $175K/yr

Guide clients through the enrollment process with professionalism and care * Build lasting client ... Comprehensive medical, dental, and prescription benefits * Unionized position with stock options

HSS Careers

Remote Sales Agent

Doylestown, OH · Remote

$69K - $175K/yr

Guide clients through the enrollment process with professionalism and care * Build lasting client ... Comprehensive medical, dental, and prescription benefits * Unionized position with stock options

New

HSS Careers

Remote Sales Agent

Rootstown, OH · Remote

$69K - $175K/yr

Guide clients through the enrollment process with professionalism and care * Build lasting client ... Comprehensive medical, dental, and prescription benefits * Unionized position with stock options

New

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All JobsMedical Claims Processor JobsRemote Medical Claims Processor JobsRemote Medical Claims Processor Jobs in Canton, OH

Remote Medical Claims Processor information

See Canton, OH salary details

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$24

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

As of Aug 29, 2026, the average hourly pay for remote medical claims processor in Canton, OH is $18.19, according to ZipRecruiter salary data. Most workers in this role earn between $16.15 and $20.19 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.

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Cities near Canton, OH 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 Canton, OH as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 17% Part Time, 6% Contract, and 1% Nights. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $37,838 per year, or $18.2 per hour.

Coding Denial Specialist

Akron, OH • On-site, Remote

Akron Children's Hospital
Hospitals • 5 - 10K employees

7.4

Company rating: 7.4 out of 10

Based on 97 frontline employees who took The Breakroom Quiz

349th of 1,064 rated hospitals

People enjoy working here

Good employer

Recommended by students

Learn more about Akron Children's Hospitalexternal

$18 - $23/hr

Full-time

Re-posted 16 days ago

Job description

Full-time, 40 hours/week
Monday-Friday 8am-4:30pm
Remote
Summary:
The Denial Coding Specialist supports the Revenue Recovery team by reviewing claims for coding accuracy and root causes for coding-related denials, as well as proposing process improvements to mitigate future denials. Working closely alongside the Physician Advisor, the Denial Coding Specialist liaises between the Revenue Recovery team and providers, resolving queries for missing documentation and promoting departmental awareness of coding best practices. This position reports to the Revenue Recovery Supervisor.
Responsibilities:
  1. Performs retrospective account reviews and resolves coding denials accordingly.
  2. Analyzes coding-related denials (e.g., bundling issues and inappropriate CPT/diagnoses) to identify trends and root causes
  3. Proactively maintains current knowledge of applicable regulations, requirements, changes, and best practices by following industry sources (e.g., Centers for Medicare & Medicaid Services, American Association of Professional Coders, and professional journals)
  4. Reviews EPIC work queues daily for Denial management and makes necessary and appropriate coding changes based on medical documentation for both professional and technical charge revenue.
  5. Follows up with providers to resolve outstanding queries for additional documentation or diagnosis information
  6. Coordinates and/or completes appeals as applicable with payors.
  7. Develops suggestions for coding and documentation process improvements, based on denial analysis and industry coding guidelines
  8. Extracts data into clear reports to revenue recover and revenue cycle leadership, physician advisor, and providers
  9. Partners with Revenue Cycle team leaders, physicians, and providers to develop and implement process improvements
  10. Provides regular feedback and ad-hoc education to revenue recovery staff and providers to promote departmental knowledge of appropriate coding practices
  11. Other duties as required.

Other information:
Technical Expertise
  1. Experience in CPT and ICD coding is required.
  2. Experience working with all levels within an organization is required.
  3. Experience working in an Electronic Medical Record system preferred
  4. Experience in healthcare is preferred.
  5. Proficiency in MS Office [Outlook, Excel, Word] or similar software is required.

Education and Experience
  • Education: High School Diploma or equivalent is required; Bachelor's degree is preferred.
  • Certification: AAPC or AHIMA Coding Certification is required.
  • Years of relevant experience: 0 to 2 years is preferred.
  • Years of experience supervising: None.

Credentials
Essential (minimum one as applicable):
  • American Academy of Professional Coders
  • American Health Information Management Association
  • Certified Provider Credentialing Specialist
  • Certified Coding Specialist
  • Registered Health Information Technician
  • Certified Coding Associate

Full Time
FTE: 1.000000
Status: Remote
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About Akron Children's Hospital

Sourced by ZipRecruiter

Akron Children's Hospital has been caring for children since 1890, and our pediatric specialties are ranked among the nation's best by U.S. News & World Report. With two hospital campuses, regional health centers and more than 50 primary and specialty care locations throughout Ohio, we're making it easier for today's busy families to find the high-quality care they need. In 2020, our health care system provided more than 1.1 million patient encounters. We also operate neonatal and pediatric units in the hospitals of our regional health care partners. Every year, our Children's Home Care Group nurses provide thousands of in-home visits, and our School Health nurses manage clinic visits for students from preschool through high school. With our Quick Care Online virtual visits and Akron Children's Anywhere app, we're here for families whenever and wherever they need us. Learn more at akronchildrens.org.

Industry

Hospitals

Company size

5,001 - 10,000 Employees

Headquarters location

Akron, OH, US

Year founded

1890

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