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Remote Medical Claims Processor Jobs in Covington, GA

ABB

Group Account Manager

Lilburn, GA · Remote

$163K - $261K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Remote {#LI-Remote} Your role and responsibilities: * Drives strategic account planning, sales ... Choice between two medical plan options: A PPO plan called the Copay Plan OR a High Deductible ...

WOW World Media LLC

Be Seen First

Executive Support & Operations Specialist

Watkinsville, GA · Remote

$48K - $60K/yr

  • Medical

  • Dental

  • Vision

  • PTO

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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All JobsMedical Claims Processor JobsRemote Medical Claims Processor JobsRemote Medical Claims Processor Jobs in Covington, GA

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 Aug 19, 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 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

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Remote Medical Claims Processor jobs near you
Infographic showing various Remote Medical Claims Processor job openings in Covington, GA as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 16% Part Time, and 7% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $34,357 per year, or $16.5 per hour.

Remote Licensed Clinical Social Worker (LCSW) - Telehealth Opportunity

Company Confidential

Winder, GA • Remote

Full-time

Medical, Dental, Vision, Life

Posted yesterday

New

Job description

Position Overview

Gotham Enterprises Ltd is seeking compassionate and dedicated Licensed Clinical Social Workers (LCSWs) to join our innovative Telehealth rehabilitation team. This is a full-time opportunity that allows you to make a meaningful impact in the lives of individuals dealing with mental health challenges, while working from the comfort of your home. Our program is designed not only to provide care but also to foster personal and professional growth in our staff.

About the Organization

Gotham Enterprises Ltd is a forward-thinking rehabilitation center located in Winder, Georgia, specializing in a holistic approach to mental health care. We are deeply committed to creating an inclusive environment that nurtures both our clients and our employees. Through our remote Telehealth facility, we aim to break down barriers to accessing mental health support, enabling our staff to provide care to clients who require assistance across diverse settings.

Work Environment

Our remote work setting allows you to maintain balance in your personal life while engaging in fulfilling work. You will be part of a collaborative, tech-savvy team that utilizes state-of-the-art telehealth platforms to provide therapy sessions. Your home office will transform into a therapeutic space where you can conduct private consultations in a comfortable environment, ensuring client confidentiality and comfort.

Key Responsibilities

As an LCSW, your role includes a variety of responsibilities aimed at enhancing the mental well-being of your clients. You will:

  • Conduct comprehensive mental health assessments to identify client needs and develop tailored treatment plans that address those needs.
  • Implement solution-focused therapies for issues such as trauma, anxiety, and depression, using techniques like Cognitive Behavioral Therapy (CBT) or Dialectical Behavioral Therapy (DBT).
  • Collaborate closely with a dedicated treatment team, including psychiatrists and psychologists, to ensure a seamless continuum of care.
  • Maintain accurate and confidential documentation of client progress and sessions, while adhering to HIPAA regulations.
  • Engage in continuous professional development by staying updated with the latest research and incorporating evidence-based practices into your therapeutic approach.
Patient Population / Client Focus

Our clients span a wide range of demographics, each possessing unique life experiences and psychological needs. Most notably, we focus on individuals experiencing trauma, anxiety, depression, and other mental health concerns. Your experience and sensitivity to diverse backgrounds will empower you to connect with clients effectively, enhancing their therapeutic outcomes.

Qualifications

To be a successful candidate for this remote position, you must possess:

  • A Master’s degree in Social Work from an accredited institution.
  • An active LCSW license in Georgia.
  • Strong communication skills to effectively convey empathy and understanding during client interactions.
  • A proven ability to work in a collaborative environment, contributing positively to the team dynamic.
Preferred Experience

We welcome candidates who have:

  • Experience working in a Telehealth setting, providing psychotherapy services remotely.
  • Expertise in addressing a wide spectrum of mental health diagnoses, particularly in a rehabilitation context.
  • Knowledge of various therapeutic modalities and their applications based on individual client needs.
Compensation and Benefits

At Gotham Enterprises Ltd, we value our employees and strive to offer a comprehensive compensation package. Your annual salary will range from USD 80,000 to 100,000, with opportunities for performance-based bonuses. Additionally, you will have access to:

  • High-quality medical, dental, and vision insurance to keep you and your family healthy.
  • Life and disability insurance for peace of mind.
  • Malpractice insurance coverage to protect your practice.
  • An employee assistance program to support your own mental health.
  • Access to unlimited client referrals, minimizing your need for marketing.
  • A streamlined administrative process to reduce paperwork so you can focus on client care.
Career Growth Opportunities

We are committed to the professional development of our employees. By joining our team, you will have access to various training and development resources, mentorship programs, and the opportunity to expand your practice within our organization. We encourage you to set and reach ambitious career goals while enjoying your work in a supportive environment that recognizes and rewards your contributions.

Why Join Our Team

Joining Gotham Enterprises Ltd means becoming part of a dedicated team that is making a real difference in the community. You will not only have the chance to support clients through their recovery journeys, but you will also work with like-minded professionals who share your commitment to mental health and wellness. With flexible work options and a positive organizational culture, you will find fulfillment in your role while balancing personal and professional responsibilities.

Application Information

If you are a driven and compassionate LCSW looking to expand your career in a rewarding environment, we invite you to apply today. Please submit your resume along with a cover letter detailing your qualifications and motivation for joining our team. Take the first step towards a fulfilling career with Gotham Enterprises Ltd.

Apply