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Remote Medical Claims Processor Jobs in Darlington, SC

Planright

Sales Agent (Insurance)

Florence, SC · On-site +1

$70K - $100K/yr

... insurance process in alignment with company policies and underwriting guidelines. Key ... Conduct client interviews to gather personal, financial, and medical information for insurance ...

System One

Mid-Senior Mechanical Engineers

Hartsville, SC · Remote

$107K - $141K/yr

Remote Position Type: Long-Term Contract Position Overview System One is seeking a Senior or ... Support engineering change processes and ensure compliance with nuclear standards * Participate in ...

System One

Mid-Senior Mechanical Engineers

Hartsville, SC · Remote

$107K - $141K/yr

Remote or Onsite (Naperville, IL | Atlanta, GA | Ridgeland, MS) Position Type: Long-Term Contract ... Support engineering change processes and ensure compliance with nuclear standards * Participate in ...

System One

Mid-Senior Mechanical Engineers

Hartsville, SC · Remote

$107K - $141K/yr

Remote Position Type: Long-Term Contract Position Overview System One is seeking a Senior or ... Support engineering change processes and ensure compliance with nuclear standards * Participate in ...

System One

Mid-Senior Mechanical Engineers

Hartsville, SC · Remote

$107K - $141K/yr

Remote Position Type: Long-Term Contract Position Overview System One is seeking a Senior or ... Support engineering change processes and ensure compliance with nuclear standards * Participate in ...

System One

Mid-Senior Mechanical Engineers

Hartsville, SC · Remote

$107K - $141K/yr

Remote or Onsite (Naperville, IL | Atlanta, GA | Ridgeland, MS) Position Type: Long-Term Contract ... Support engineering change processes and ensure compliance with nuclear standards * Participate in ...

System One

Mid-Senior Mechanical Engineers

Hartsville, SC · Remote

$107K - $141K/yr

Remote Position Type: Long-Term Contract Position Overview System One is seeking a Senior or ... Support engineering change processes and ensure compliance with nuclear standards * Participate in ...

ABB

Group Account Manager

Bennettsville, SC · Remote

$163K - $261K/yr

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 ...

ABB

Group Account Manager

Florence, SC · Remote

$163K - $261K/yr

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 ...

All JobsMedical Claims Processor JobsRemote Medical Claims Processor JobsRemote Medical Claims Processor Jobs in Darlington, SC

Remote Medical Claims Processor information

See Darlington, SC salary details

$12

$17

$23

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

As of Aug 28, 2026, the average hourly pay for remote medical claims processor in Darlington, SC is $17.77, according to ZipRecruiter salary data. Most workers in this role earn between $15.82 and $19.76 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.

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What job categories do people searching Remote Medical Claims Processor jobs in Darlington, SC look for?

The top searched job categories for Remote Medical Claims Processor jobs in Darlington, SC are:

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

Cities near Darlington, SC with the most Remote Medical Claims Processor job openings:

Remote Medical Claims Processor jobs near you

Care Management Processor (REMOTE) - SC ONLY

Florence, SC • Remote

Molina Healthcare
Health Care and Social Assistance • 10K+ employees

8.0

Company rating: 8.0 out of 10

Based on 199 frontline employees who took The Breakroom Quiz

169th of 314 rated insurance

People enjoy working here

Good employer

Recommended by students

Learn more about Molina Healthcareexternal

$14.16 - $29.06/hr

Full-time

Posted 2 days ago

New

Job description

JOB DESCRIPTION Job SummaryProvides non-clinical administrative support to the care management function, and contributes to interdisciplinary team efforts supporting provision of integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
Facilitates administrative support including case assignment, member screening and scheduling, correspondence processing, data entry and telephone and clerical support for team facilitating care management related services for members.
Facilitates initial review of assigned case levels and assists in case management assignment to care managers.
Reviews data to identify principle member needs and works under the direction of the care manager to implement care plan.
Schedules member visits with care managers as needed.
Screens members according to Molina policies and processes and assists care management staff during process of identifying appropriate member services.
Coordinates required member services in accordance with member benefit plan.
Promotes communication both internally and externally to enhance effectiveness of care management services.
Processes member and provider correspondence.
Required Qualifications At least 1 year of experience in an administrative support role in health care, or equivalent combination of relevant education and experience.
Strong attention to detail.
Problem-solving skills.
Working knowledge of Microsoft Office (Outlook, Word, Excel) or other comparable software.  Excellent customer service skills.  Time-management and organizational skills.
Strong verbal and written communication skills.
Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
Certified Medical Assistant (CMA).
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $14.16 - $29.06 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Employment Type: Full Time
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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

Social media

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What Molina Healthcare employees say

Pay

Benefits

Hours and flexibility

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