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Remote Medical Claims Processor Jobs in Carver, MA

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Remote Medical Claims Processor information

See Carver, MA salary details

$15

$21

$28

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

As of Sep 5, 2026, the average hourly pay for remote medical claims processor in Carver, MA is $21.34, according to ZipRecruiter salary data. Most workers in this role earn between $18.99 and $23.70 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.

What cities near Carver, MA are hiring for Remote Medical Claims Processor jobs?

Cities near Carver, MA with the most Remote Medical Claims Processor job openings:

Infographic showing various Remote Medical Claims Processor job openings in Carver, MA as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 16% Part Time, and 6% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $44,379 per year, or $21.3 per hour.

Licensed Independent Clinical Social Worker - Remote Position at Sarasota Memorial Medical Center

Sarasota Memorial Medical Center

New Bedford, MA โ€ข On-site, Remote

$80K - $100K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 2 days ago

New


Job description

Position Overview

Sarasota Memorial Medical Center is seeking a dedicated and experienced Licensed Independent Clinical Social Worker (LICSW) to join our dynamic team in a fully remote capacity. This full-time role offers a unique opportunity to provide essential mental health support to clients at our Detox Center located in New Bedford, Massachusetts. You will play a pivotal role in conducting assessments, developing treatment plans, and providing therapeutic interventions to foster healing and resilience among individuals facing various mental health challenges.

About the Organization

Sarasota Memorial Medical Center is renowned for its commitment to delivering high-quality and accessible mental health services to a diverse clientele. Our organization is dedicated to creating a supportive environment that prioritizes patient-centered care and holistic healing. We specialize in the diagnosis, treatment, and management of a broad spectrum of mental health conditions, such as depression, anxiety disorders, and trauma-related issues. Our evidence-based therapies and personalized care approaches ensure that each client receives the support they need to promote their overall well-being.

Work Environment

This position is set within a remote work environment, allowing for flexibility and a balanced work-life dynamic. As part of our Detox Center team, you will collaborate with other healthcare professionals, including psychiatrists and psychologists, to provide coordinated care that addresses the complex needs of our clients. The role may involve flexible scheduling, including evening and weekend hours, to meet the needs of those we serve effectively.

Key Responsibilities
  • Conduct thorough psychosocial assessments to gain insights into clients' mental health concerns, strengths, and available resources.
  • Utilize evidence-based treatment modalities, including cognitive-behavioral therapy (CBT), solution-focused therapy, and trauma-informed care, to provide individual, family, and group therapy sessions.
  • Develop, implement, and regularly review individualized treatment plans in collaboration with clients, ensuring goals and interventions align with their unique needs.
  • Facilitate group therapy sessions, psychoeducation classes, and support groups to foster community and promote shared learning among clients.
  • Offer crisis intervention services, perform risk assessments, and engage in safety planning as required, ensuring clients receive immediate support in critical situations.
  • Maintain accurate and timely clinical documentation in compliance with ethical and legal standards, thus ensuring accountability and quality of care.
  • Collaborate with interdisciplinary teams to ensure that treatment plans are comprehensive and effectively implemented, addressing all aspects of client care.
Patient Population / Client Focus

The primary client population for this role includes individuals seeking detoxification services who may be experiencing a range of mental health challenges. This includes, but is not limited to, clients dealing with substance use disorders, anxiety, depression, and trauma. As a Social Worker, your insights and interventions will directly impact the recovery journey of these individuals and contribute significantly to their emotional and psychological well-being.

Qualifications
  • A Masterโ€™s degree in Social Work from an accredited program.
  • Current and valid state licensure as a Licensed Independent Clinical Social Worker (LICSW).
  • A minimum of two years of relevant experience within a mental health or outpatient setting, demonstrating a solid understanding of therapeutic practices.
  • In-depth knowledge of various evidence-based therapeutic modalities and treatment approaches to support diverse client needs.
  • Exceptional interpersonal skills, with a strong emphasis on communication and assessment abilities.
Preferred Experience
  • Experience working with clients in detox or substance use settings, highlighting insight into trauma-informed care and addiction recovery processes.
  • Proficiency in electronic health record systems for efficient documentation and care coordination.
  • Previous involvement in program development or community outreach initiatives aimed at enhancing mental health services.
Compensation and Benefits

We offer a competitive salary range of $80,000 to $100,000 annually, along with a comprehensive benefits package. This includes health insurance that covers medical, dental, and vision, as well as retirement plans featuring employer matching to assist with your long-term financial planning. Additionally, we provide generous paid time off, which encompasses vacation, personal days, and holidays, along with opportunities for continuing education and training to further develop your clinical skills.

Career Growth Opportunities

Working at Sarasota Memorial Medical Center not only provides the chance to make a positive impact in the lives of clients but also presents numerous opportunities for professional advancement. We encourage a culture of continuous learning and growth, where Social Workers can enhance their skills, take on leadership roles within the organization, and potentially influence program development based on emerging best practices in mental health care.

Why Join Our Team

By becoming a part of our dedicated team, you will experience the fulfillment of transforming lives through compassionate mental health care. Our organization values innovation, collaboration, and respect for each individual, fostering an inclusive and diverse environment where every staff member is empowered to contribute to our mission. With a commitment to excellence and a focus on meaningful client outcomes, youโ€™ll find a supportive workplace that champions your professional aspirations.

Application Information

If you are passionate about making a difference in the field of mental health and are ready to join a mission-driven team, we invite you to submit your application today. Take the next step in your career and join Sarasota Memorial Medical Center in enhancing the lives of individuals seeking support.