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Remote Medical Claims Processor Jobs in Covington, GA

DA Carter Services

IT Helpdesk Technician

Conyers, GA · Remote

$70K - $85K/yr

This is a remote position. You are an enthusiastic problem solver with a customer-first mindset ... You thrive in a collaborative setting and take initiative to improve systems and processes. Key ...

TEKsystems

Customer Service Representative

Covington, GA · Remote

$18.50/hr

This is a remote, contract position that will support the team during their busiest season. Skills ... If eligible, the benefits available for this temporary role may include the following: • Medical ...

WOW World Media LLC

Be Seen First

Executive Support & Operations Specialist

Watkinsville, GA · Remote

$48K - $60K/yr

This is a fully remote job. However, onboarding would take place at the office location in ... · Medical, dental, and vision insurance · Paid vacation To Apply Please send your resume along ...

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Remote Medical Claims Processor information

See Covington, GA salary details

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

As of Jul 29, 2026, the average hourly pay for remote medical claims processor in Covington, GA is $16.52, according to ZipRecruiter salary data. Most workers in this role earn between $14.66 and $18.37 per hour, depending on experience, location, and employer.

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 Is the Job of 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 are the key skills and qualifications needed to thrive as a Remote Medical Claims Processor, and why are they important?

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 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.
More about Remote Medical Claims Processor jobs
What are the most commonly searched types of Medical Claims Processor jobs in Covington, GA? The most popular types of Medical Claims Processor jobs in Covington, GA are:
What are popular job titles related to Remote Medical Claims Processor jobs in Covington, GA? For Remote Medical Claims Processor jobs in Covington, GA, the most frequently searched job titles are:
What cities near Covington, GA are hiring for Remote Medical Claims Processor jobs? Cities near Covington, GA 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 Covington, GA as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $34,357 per year, or $16.5 per hour.

Senior Property Field Claims Adjuster (McDonough, GA)

American Family Mutual Insurance Company

Mcdonough, GA • On-site, Remote

$69K - $115K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 11 days ago

Job description

You will work in the field and report to the Property Claim Manager and handle homeowner property field claims typically within the McDonough area. You must be located within this area. A company fleet vehicle is provided with the position and there's an option to use the vehicle for personal use.
Location:
In this primarily field-based role, you will spend 80% of your time (4+ days per week) working in the field, directly interacting with customers. On occasion you may be asked to travel to an office location for in person engagement activities such as team meetings, trainings, and culture events.
Position Compensation Range:
$69,000.00 - $115,000.00
Pay Rate Type:
Salary
Compensation may vary based on the job level and your geographic work location. Relocation support is offered for eligible candidates.
Primary Accountabilities
  • Investigates origin and cause of claims by contacting the appropriate parties including insureds, claimants, agents, attorneys, contractors, experts, special investigation unit, other adjusters, public personnel, etc.
  • Identifies complex issues and seeks assistance as needed. Handles claims on a good faith basis.
  • Handles both 1st party and 3rd party claims under multiple policy types and numerous endorsements.
  • Conducts on-site inspections when needed, evaluates damages and handles claim negotiations with insureds, claimants, attorneys, public adjusters.
  • Responds to customer inquiries, makes appropriate decisions, and closes file as needed.
  • Interprets and determines policies, leases, by-laws, declarations, articles, and contract coverages and applies to all parties for assigned losses.
  • Makes independent decisions and self-supervises most files and recognizes when assistance is needed.
  • Proactively provides all parties with claim process and status as appropriate; answers questions or redirects to other areas.
  • Serves as a mentor and subject matter expert for less experienced adjusters.
  • May be required to complete other assignments, job duties, or participate in projects based upon skills, achievements, or experience

Specialized Knowledge & Skills Requirements
  • Demonstrated experience providing customer-driven solutions, support or service.
  • Demonstrated experience handling 1st and 3rd party, multi-line claims.
  • Demonstrated experience handling simple to moderately complex.
  • Extensive knowledge and understanding of policies and endorsements.
  • Extensive knowledge of each phase of the claim handling process.
  • Xactimate estimate writing experience is required.
  • Field property claims adjusting experience is required.

Licenses
  • Valid driver's license required plus an acceptable driving record.
  • Obtain state specific property casualty claims licensing as required.

Travel Requirements
  • Up to 50%.
  • Catastrophe travel up to 75% as applicable.

Physical Requirements
  • Ascending or descending ladders, stairs, scaffolding, ramps, poles and the like. This position may require employees to visit areas that have a higher hazard than a typical office such as customer homes, body shops, or other locations.
  • Moving self in different positions to accomplish tasks in various environments including tight and confined spaces.
  • Adjusting or moving objects up to 50 pounds in all directions.

Working Conditions
  • Low temperatures.
  • High temperatures.
  • Outdoor elements such as precipitation and wind.
  • Noisy environments.
  • Hazardous conditions.
  • Poor ventilation.
  • Small and/or enclosed spaces.

Additional Information
  • Offer to selected candidate will be made contingent on the results of applicable background checks
  • Offer to selected candidate is contingent on signing a non-disclosure agreement for proprietary information, trade secrets, and inventions
  • Sponsorship will not be considered for this position unless specified in the posting

Candidates may be considered for various levels within this job profile based on their qualifications and experience.
#LI-JA2
We provide benefits that support your physical, emotional, and financial wellbeing. You will have access to comprehensive medical, dental, vision and wellbeing benefits that enable you to take care of your health. We also offer a competitive 401(k) contribution, a pension plan, an annual incentive, 9 paid holidays and a paid time off program (23 days accrued annually for full-time employees). In addition, our student loan repayment program and paid-family leave are available to support our employees and their families. Interns and contingent workers are not eligible for American Family Insurance Group benefits.
We are an equal opportunity employer. It is our policy to comply with all applicable federal, state and local laws pertaining to non-discrimination, non-harassment and equal opportunity. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law.
American Family Insurance is committed to the full inclusion of all qualified individuals. If a reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please email AskHR@AmFam.com to request a reasonable accommodation.
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