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Remote Medical Claims Processor Jobs in Decatur, GA

INTEGRO

Ancillary Claims Adjuster

Atlanta, GA · On-site +1

$45K - $55K/yr

... Remote), you'll play a critical role in the claims administration process for automotive extended ... Comprehensive healthcare options, including medical, vision, and dental insurance * 401(k) savings ...

Reserv, Inc.

Claims Director, Rideshare

Atlanta, GA · On-site +1

Partner with Product and Engineering to inform the development of tools, systems, and processes ... Foster a culture of empathy, transparency, and empowerment in a remote-first environment At Reserv ...

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

Remote Medical Claims Processor information

See Decatur, GA salary details

$13

$19

$25

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

As of Aug 21, 2026, the average hourly pay for remote medical claims processor in Decatur, GA is $19.01, according to ZipRecruiter salary data. Most workers in this role earn between $16.88 and $21.11 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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Remote Medical Claims Processor jobs near you
Infographic showing various Remote Medical Claims Processor job openings in Decatur, 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 $39,535 per year, or $19 per hour.

APD Claims Team Lead, Courier Delivery

Reserv, Inc.

Atlanta, GA • On-site, Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 11 days ago

Job description

About Reserv
Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike. We have ambitious (but attainable!) goals and need people who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can't wait to meet you.
Requirements:
  • Minimum 5 years of experience in commercial transportation, with a focus on delivery and/or courier claims
  • Minimum of 3 years of leadership experience with a preference for experience managing in a fully remote environment
  • Active licensure, home state or designated home state
  • Willingness to obtain all relevant licenses within 45 days of hire

About the role
As a Property Damage Liability Team Lead at Reserv, you will be a working leader providing support to a claims manager with leadership and claim technical responsibilities. Leadership responsibilities will include overseeing work done within the Commercial Transportation, Delivery/ Courier Claims adjusting staff. We want your background and experience to deliver operational effectiveness, particularly in leveraging technology and analytics to drive better efficiencies and performance. You will serve a critical role with the team, the customers, and the client. This role will balance management responsibilities and individual contributor responsibilities when volume dictates the need for assistance with a claim.
Who you are
  • Highly motivated and growth-oriented, impactful and influential
  • Claims professional - you are knowledgeable and have a track record of success in commercial transportation (Delivery/ Courier) claims adjudication.
  • Strong leader - through formal management experience or a proven track record of peer and project leadership, you have demonstrated the ability to motivate, support, and teach a team to help them excel in their roles.
  • Tech-oriented - You are excited by the prospect of building a tech-driven claims organization while delivering an excellent service and have proven results leveraging technology and analytics.
  • Passionate - Claims professional who cares about their team, the customer, and their experience
  • Empathetic leader - You exercise empathy and patience towards everyone you interact with
  • Sense of urgency - at all times. That does not mean working at all hours
  • Creative - You challenge existing assumptions and find ways of leveraging technology and the talents of your team to address problems
  • Curious - You want to know the whole story so you can make the right decisions early and be decisive when it counts.
  • Problem solver - You have the ability to take a 'deep dive' into the details of the business while staying focused on the big picture.
  • Anti-status quo - You don't just wish things were done differently; you act on it
  • Communicative - You are comfortable with and understand the importance of phone communications throughout the claims process.
  • And did we mention a sense of humor? Claims are hard enough as it is!

What you'll do
We need you to do all the things typical to the role:
  • Flexibility - you will need to be able to switch from claims handling to coaching and feedback
  • Agility- you must have an agile mindset and the ability to pivot from focus to focus in a moment's notice
  • Be consistently dependable in achieving or exceeding goals and overcoming obstacles
  • Implement and maintain best practices for claims handling, including claim intake, investigation, evaluation, settlement, and recovery
  • Align team with client and customer expectations of the claims process
  • Serve as a resource for escalated claims
  • Foster a positive work environment, promote teamwork, and encourage professional growth and development
  • Attract, hire, retain, and provide a high level of training with the support of the rest of the leadership team
  • Prepare and present comprehensive claims reports, metrics, and analyses to clients and customers; advise clients on claim trends and loss mitigation

Job Duties:
  • Serve as backup/ leader when the Manager/Director is out of office
  • Responsible for initial onboarding tasks/ access and new hire cultural immersion
  • Subject Matter Expert for first-line questions, escalations, roundtable discussions
  • Increased reserve and payment authority with the ability to assist with moderate reviews
  • Identify topics and trends to discuss in team Huddles and Elevated Claims Experience Workshops lead/ co-lead by Team Leads, Managers, and other Reserv employees
  • Customer Obsession Champions- Active advocates who help leadership cultivate a customer-centric mindset

Qualifications
  • Minimum of 5 years of insurance claims experience in the Delivery/ Courier space with bodily injury and property damage experience
  • Minimum of 3 years of leadership experience with a preference for experience managing in a remote environment
  • Comfortable with technology and the ability to evolve the claims systems and processes to drive better efficiencies and outcomes
  • Demonstrated commitment to quality, accuracy, and attention to detail
  • Integrity, ethics, and a strong sense of accountability in handling confidential and sensitive information

Benefits
  • Generous health-insurance package with nationwide coverage, vision, & dental
  • 401(k) retirement plan with employer matching
  • Competitive PTO policy - we want our employees fresh, healthy, happy, and energized!
  • Generous family leave policy
  • Work from anywhere to facilitate your work life balance
  • Apple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder!

Additionally, we will
  • Listen to your feedback to enhance and improve upon the long-standing challenges of an adjuster and the claims role
  • Work toward reducing and eliminating all the administrative work from an adjuster role
  • Foster a culture of empathy, transparency, and empowerment in a remote-first environment

At Reserv, we value diversity and believe that a variety of perspectives leads to innovation and success. We are actively seeking candidates who will bring unique perspectives and experiences to our team. We welcome applicants from all backgrounds and encourage those from underrepresented groups to apply. If you believe you are a good fit for this role, we would love to hear from you!

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