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Remote Medical Claims Processor Jobs in Cayce, SC

Encompass Health

Remote Pharmacist

Columbia, SC · Remote

$54 - $64.75/hr

This role uses ACEIT and various medication processes to assess, plan, intervene when necessary ... Affordable medical, dental, and vision plans for both full-time and part-time employees and their ...

Bcbsa

Financial Audit Senior Consultant

Columbia, SC · Remote

$107K/yr

... the audit process; instruct audit flow facilitation; analyze and assess audit trends, best ... Intermediate knowledge of auditing, finance, and claims operations. * Advanced negotiation ...

SalvoHealth

Registered Dietitian, Remote

Columbia, SC · Remote

$32 - $43/hr

... medical assistants and gastroenterologists * Support patients with both synchronous and ... If you would like more information about how your data is processed, please contact us.

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Remote Medical Claims Processor information

See Cayce, SC salary details

$12

$18

$23

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

As of Aug 22, 2026, the average hourly pay for remote medical claims processor in Cayce, SC is $18.09, according to ZipRecruiter salary data. Most workers in this role earn between $16.11 and $20.10 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

What cities near Cayce, SC are hiring for Remote Medical Claims Processor jobs?

Cities near Cayce, SC 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 Cayce, SC as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 18% Part Time, and 6% Contract. Highlights an 88% Physical, 1% Hybrid, and 11% Remote job distribution, with an average salary of $37,631 per year, or $18.1 per hour.

REMOTE PART-TIME Commercial Lines CSR for Independent Insurance Agency

Independent Ins Brokers Assoc LLC

Irmo, SC • Remote

$39K - $53K/yr

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 14 days ago

Job description

Welcome to Independent Insurance Brokers Assoc here personalized service meets professional excellence. Nestled in the vibrant community of Irmo, South Carolina, we seek an energetic Administrative Assistant to join our dedicated team. In this role, you'll be the cornerstone of our office operations, ensuring smooth daily functionality with your keen attention to detail and excellent organizational skills. Our team thrives on a collaborative atmosphere, and you'll find yourself at the heart of our agency's activities, supporting our staff and delighting our clients with exceptional service. With no remote work, you will enjoy the warmth of direct interpersonal interactions, becoming a vital part of our office community. Embark on your career with us; we can't wait to welcome you to our family-oriented environment!

Responsibilities

Communication: Handle incoming and outgoing communications, including phone calls, emails, and mail, ensuring proper and timely response.

Record Keeping: Maintain an organized filing system of confidential client records and office documents.

Support: Process policies changes, support account managers, claims filing, answer all billing questions, etc

Requirements

Experience: Previous experience in the insurance industry is preferred. A South Carolina Property/Casualty Insurance license is required.

Organizational Skills: Strong ability to organize, prioritize, and manage tasks efficiently.

Communication: Excellent verbal and written communication skills.

Technology: Proficiency in Microsoft Office Suite (Word, Excel, Outlook) and comfortable using other office technology.

Customer Service: Strong customer service skills to interact with clients in a friendly and professional manner.

Attention to Detail: High attention to detail to ensure accuracy in documentation and data entry.

Problem-Solving: Ability to solve problems effectively and maintain a proactive attitude.

Benefits
Paid Time Off (PTO)###Health Insurance###Dental Insurance###Vision Insurance###Hands on Training###Retirement Plan###Life Insurance###Disability Insurance###Parental Leave###Tuition Reimbursement###Career Growth Opportunities###