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Remote Medical Claims Processor Jobs in Decatur, GA

North American Risk Services, Inc. (NARS)

Be Seen First

Senior Claims Advocate

Atlanta, GA · Remote

$73K - $87K/yr

... Medical, Dental & Vision Insurance - effective on start date o 401k o Paid Time Off Program o ... development, process improvement, and special projects. Defines and maintains Best Practices ...

Elevance Health

Research Scientist Senior

Atlanta, GA · On-site +1

$94K - $120K/yr

Leads the proposal development process, project pricing, and project milestone forecasting ... medical claims. * Designs and develops machine learning, predictive modeling, and reinforcement ...

Reserv, Inc.

PIP-Team Lead, Rideshare

Atlanta, GA · On-site +1

$17.25 - $23/hr

... and medical payment claims is highly preferred * Comfortable with technology and the ability to evolve the claims systems and processes to drive better efficiencies and outcomes * Demonstrated ...

Elevance Health

Research Scientist Senior

Atlanta, GA · On-site +1

$94K - $120K/yr

Leads the proposal development process, project pricing, and project milestone forecasting ... medical claims. * Designs and develops machine learning, predictive modeling, and reinforcement ...

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All 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 Jun 19, 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 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.

How much do remote medical billers make in the US?

Remote medical billers in the US typically earn between $15 and $25 per hour, with annual salaries ranging from approximately $30,000 to $52,000. Compensation varies based on experience, certifications, and the complexity of claims processed.

How can I make $70,000 a year working from home?

A remote medical claims processor can earn $70,000 annually by gaining experience, developing strong attention to detail, and working efficiently within insurance or healthcare companies. Advancing to senior or specialized roles, obtaining relevant certifications, and working full-time or overtime can help reach this income level.

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.

Do claims adjusters work remotely?

Many claims adjusters, including those working in medical claims processing, have the option to work remotely. Remote work is common in the industry, especially for roles that involve reviewing documentation, communicating with clients, and using specialized claims management software. However, some employers may require in-office presence for certain tasks or training.

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.

How to become a medical claim processor?

To become a medical claims processor, typically one needs a high school diploma or equivalent, along with training in medical billing and coding. Many employers prefer candidates with certification in medical billing or coding, and familiarity with claims processing software is beneficial. On-the-job training is common, and attention to detail and knowledge of healthcare regulations are important for success.

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 Decatur, GA? The most popular types of Medical Claims Processor jobs in Decatur, GA are:
What are popular job titles related to Remote Medical Claims Processor jobs in Decatur, GA? For Remote Medical Claims Processor jobs in Decatur, GA, the most frequently searched job titles are:
What job categories do people searching Remote Medical Claims Processor jobs in Decatur, GA look for? The top searched job categories for Remote Medical Claims Processor jobs in Decatur, GA are:
What cities near Decatur, GA are hiring for Remote Medical Claims Processor jobs? Cities near Decatur, 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 Decatur, GA as of June 2026, with employment types broken down into 97% Full Time, and 3% Temporary. Highlights an 4% Hybrid, and 96% Remote job distribution, with an average salary of $39,535 per year, or $19 per hour.
Major Case Unit Claims Adjuster, Rideshare

Major Case Unit Claims Adjuster, Rideshare

Reserv, Inc.

Atlanta, GA • On-site, Remote

$63K - $82K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 20 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.
About the role
We are seeking an experienced and proactive Rideshare Major Case Claims Resolution Specialist to oversee high-exposure, complex, and litigated claims involving serious injuries, particularly those involving rideshare operators. In this role, you will take ownership of the full claims lifecycle-from initial investigation through resolution-while managing litigation strategy and collaborating with defense counsel.
You'll be a key point of contact for all stakeholders, including claimants, legal counsel, medical professionals, and internal teams. These files often involve layered policies, multi-party litigation, and sensitive negotiation. You will be empowered to shape case strategy, resolve complex coverage issues, and maintain a strong focus on timely, thoughtful outcomes.
This role also includes the opportunity to influence how we streamline and improve our processes by working closely with our product and engineering teams to deliver feedback from the frontlines of complex claim handling.
What you'll do
  • Managing all aspects of litigated cases, including evaluation of the resolution process
  • Analyze auto claims to identify areas of dispute, investigating and gathering all necessary information and documentation, evaluating liability and damages and negotiating and resolving claims with opposing parties or their insurance providers
  • Manage litigation cases related to auto claims disputes, communicating regularly with clients, attorneys, vendors and other stakeholders
  • Review legal documents and ensuring compliance with initial suit-handling plan of action.
  • Analyze policy language and reaching appropriate coverage decisions.
  • Direct and control the activities and costs of outside vendors including defense counsel and coverage counsel, experts and independent adjusters
  • Maintain the appropiate adjuster licenses and continuing education requirements

Qualifications
  • Bachelor's degree (lack of one should not stop you from applying if you possess all the other qualifications)
  • 10+ years of claim handling experience, with 5+ of those years handling a pending of >60% in litigation
  • Experience with Ride Share (or TNC/Livery) litigation is required.
  • You are not intimidated by an attorney, even if you are not one! You are the driver of the litigation strategy for any particular claim. You manage the discovery in the order and timing of events and hold attorney accountable
  • Having an understanding of transportation coverages, contractual risk transfers, and additional insured forms
  • You have strong medical causation knowledge
  • You have a sense of urgency and understanding of how to manage time-sensitive demands
  • Ability and willingness to communicate both on the phone and in written form in a prompt, courteous, and professional manner
  • Strong analytical and negotiation skills. You will conduct your own negotiations directly with opposing counsel
  • Knowledge of multiple state statutes, including good faith claim handling practices, regulations, and guidelines
  • Ability to professionally collaborate with all stakeholders in a claim
  • Have an active adjuster license(s) and be willing to obtain all licenses within 60 days, including completing state required testing
  • Attention to detail, time management, and the ability to work independently in a fast-paced, remote environment
  • Curious and motivated by problem solving and questioning the status quo
  • Desire to engage in learning opportunities and continuous professional development
  • Willingness to travel for client and claims needs

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 after 8 months of continuous work
  • 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 in backgrounds, perspectives, and life experiences and believe that diversity in viewpoints and critical thinking drives innovation, first-principles thinking, and success. We welcome applicants from all backgrounds and encourage those from all walks of life to apply. If you believe you are a good fit for this role, we would love to hear from you!

Apply