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Remote Medical Claims Processor Jobs in Cheboygan, MI

Sodexo

Outpatient Oncology Dietitian

Petoskey, MI · Remote

$64K - $83K/yr

Up to 50% remote! Health benefits and paid time off, reimbursement for professional fees, and ... Proficiency in applying the Nutrition Care Process to deliver individualized, evidence-based care.

Sodexo

Outpatient Oncology Dietitian

Petoskey, MI · Remote

$64K - $83K/yr

Up to 50% remote! Health benefits and paid time off, reimbursement for professional fees, and ... Proficiency in applying the Nutrition Care Process to deliver individualized, evidence-based care.

Sodexo

Outpatient Oncology Dietitian

Petoskey, MI · Remote

$64K - $83K/yr

Up to 50% remote! Health benefits and paid time off, reimbursement for professional fees, and ... Proficiency in applying the Nutrition Care Process to deliver individualized, evidence-based care.

All JobsMedical Claims Processor JobsRemote Medical Claims Processor JobsRemote Medical Claims Processor Jobs in Cheboygan, MI

Remote Medical Claims Processor information

See Cheboygan, MI salary details

$12

$17

$22

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

As of Aug 27, 2026, the average hourly pay for remote medical claims processor in Cheboygan, MI is $17.02, according to ZipRecruiter salary data. Most workers in this role earn between $15.14 and $18.89 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 Cheboygan, MI are hiring for Remote Medical Claims Processor jobs?

Cities near Cheboygan, MI 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 Cheboygan, MI as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 20% Part Time, and 5% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $35,401 per year, or $17 per hour.

Remote Community Based Clinical Coordinator - Care Manager - Cheboygan County, MI

Upper Peninsula Health Plan

Cheboygan, MI • On-site, Remote

$29.72/hr

Full-time

Medical, Retirement

Posted 14 days ago

Job description

**Recruiting in the County of Cheboygan, Michigan.**
This is a remote employment opportunity, providing services to UPHP members throughout the Eastern Upper Peninsula counties. Frequent travel to meet with members is required, along with periodic travel to UPHP's headquarters in Marquette, Michigan.
Why join UPHP? This full-time remote position offers competitive pay, comprehensive health insurance, a 401(k), Student Loan Repayment Programs, Tuition Reimbursement opportunities, a $5,000 sign-on bonus for eligible new hires, 12 paid holidays, and no mandatory overtime, nights, or weekend hours.
DATE: August 13, 2026
POSITION: Remote Community Based Clinical Coordinator - Care Manager
DEPARTMENT: Clinical Services
RATE: $29.72 per hour, with potential for additional compensation based on qualifications.
POSITION SUMMARY:
Performs assigned clinical functions in accordance with Upper Peninsula Health Plan (UPHP) plans, policies, and procedures, and all state and federal accrediting and regulatory standards. Performs care management duties to assess, plan, and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
1. Follows established UPHP policies and procedures, objectives, safety standards, and sensitivity to confidential information.
2. Performs all assigned tasks in accordance with UPHP plans, policies, and procedures; National Committee for Quality Assurance (NCQA) standards; and all regulatory requirements.
3. Performs required, frequent in-person visits with members in various care settings including member homes and nursing facilities. Serves as a member's single point of contact; gathers vital health history and monitors the member's home environment, access to community-based services, and behavioral and health related social needs.
4. Assesses members' current health status, resource utilization, past and present treatment plan and services, prognosis, short and long-term goals, and treatment and provider options. Develops plans of care based upon assessment with specific objectives, goals, and interventions designed to meet member needs.
5. Monitors delivery of services and referrals made to community-based organizations, medical care, and other services to support the members' overall care management plan.
6. Applies critical thinking skills to address member questions and unmet physical, health related social needs, and behavioral health care needs.
7. Works as a member advocate and collaborates with support teams, medical care offices, medical equipment companies, home health agencies, hospital care teams, and other parties to ensure appropriate discharge plan, care plan, and coordination of acute care and long-term care services.
8. Identifies related risk management and quality concerns and reports these scenarios to the appropriate body.
9. Participates in departmental and interdepartmental process improvements, recommending improvements as opportunities are identified, and assists in the development and maintenance of policies and procedures related to care management in accordance with regulatory requirements and accrediting standards.
10. Demonstrates knowledge of all clinical Michigan Department of Health and Human Services (MDHHS), Centers for Medicare and Medicaid Services (CMS), and Department of Insurance and Financial Services (DIFS) standards; all applicable NCQA Utilization Management (UM), Quality Improvement (QI), Care Management, and Member's Rights and Responsibility (RR) standards; and Healthcare Effectiveness Data and Information Set (HEDIS®) measures as they relate to clinical functions and the care management program; assumes responsibility for specific NCQA standards as assigned.
11. Serves as backup to other team members in their respective areas in demonstrated times of excessive workload and/or benefit time.
12. Attends and participates in organizational, departmental, Interdisciplinary Care Team (ICT) meetings, and other clinical program meetings as required.
13. Maintains confidentiality of client data.
14. Performs other related duties as assigned or requested.
POSITION QUALIFICATIONS:
Education:
Minimum:
Licensed registered nurse
Preferred:
Bachelor of science in nursing, limited licensed bachelor of social work, limited licensed master of social work, fully licensed bachelor of social work, or fully licensed master of social work
Requirement:
Licensed in state of Michigan
Experience:
Minimum:
Two (2) years of clinical or health-related experience as a licensed registered nurse or social worker
Preferred:
Two (2) years of clinical managed care experience or five (5) years of clinical experience as a licensed registered nurse or social worker; experience in care management; experience reviewing statistical data
Other Requirements:
Valid Driver's License with proof of insurance
Working vehicle
Required Skills:
Keyboarding proficiency and working knowledge of MS Office programs Word and Excel
Excellent human relation and oral/written communication
Excellent organizational and prioritization abilities
Desired Skills:
Ability to interpret and analyze data
Working knowledge of MS Office Access and PowerPoint
The qualifications listed above are intended to represent the minimum skills and experience levels associated with performing the duties and responsibilities contained in this job description. The qualifications should not be viewed as expressing absolute employment or promotional standards, but as general guidelines that should be considered along with other job-related selection or promotional criteria.
Physical Requirements:
[This job requires the ability to perform the essential functions contained in the description. These include, but are not limited to, the following requirements. Reasonable accommodations may be made for otherwise qualified applicants unable to fulfill one or more of these requirements]:
Ability to access departmental files
Ability to enter and access information from a computer
Ability to access all areas of the UPHP offices
Moderate physical effort (lift/carry up to 25 pounds)
Occasionally lifts supplies/equipment
Occasional reaching, stooping, bending, kneeling, crouching
Prolonged periods of sitting
Occasional prolonged standing
Manual dexterity and mobility
Working Conditions:
Works in office conditions, but frequent travel is required
Subject to many interruptions
Exposure to situations requiring exceptional interpersonal skills or high productivity
Occasionally subjected to irregular hours
Remote Work Requirements:
Initial on-site/in-person onboarding and training for a minimum of ten (10) consecutive business days at UPHP's headquarters in Marquette, MI (stipend provided)
Periodic travel to UPHP's headquarters for regular training including bi-monthly all staff meetings.
Private home office required; computer and phone hardware provided
Personal vehicle required for travel; mileage reimbursement provided at GSA rate
Localized travel to conduct home visits in residential, community living, and/or nursing home settings

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