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Remote Medical Claims Processor Jobs in Dover, DE

Dutch

Virtual Care Veterinarian (Remote)

Dover, DE · Remote

$50 - $80/hr

Review medical history, symptoms, and treatment concerns shared through Dutch's digital platform ... We may use artificial intelligence (AI) tools to support parts of the hiring process, such as ...

Dutch

Virtual Care Veterinarian (Remote)

Dover, DE · Remote

$50 - $80/hr

Review medical history, symptoms, and treatment concerns shared through Dutch's digital platform ... We may use artificial intelligence (AI) tools to support parts of the hiring process, such as ...

Amerihealth Caritas

Case Mgr DSHP LTSS

Dover, DE · On-site +1

For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet ... He or she contributes to the LTSS case management process by performing telephonic and/or face-to ...

Talkiatry

Psychiatrist - Part Time/Full Time

Dover, DE · Remote

$325K - $375K/yr

Minimal administrative burden in a fully remote, outpatient model What your day-to-day practice ... Active, unrestricted medical license (multi-state licensing support available) * Interest in ...

Nouri

Registered Dietitian

Milford, DE · On-site +1

$30.25 - $40.50/hr

Guide patients/residents, families, and facility staff on all aspects of medical nutrition therapy ... Hybrid-Remote schedule available! Opportunity to work across a diverse group of settings, from ...

HHS LLC

Registered Dietitian

Milford, DE · On-site +1

$30.25 - $40.50/hr

Guide patients/residents, families, and facility staff on all aspects of medical nutrition therapy ... Hybrid-Remote schedule available! Opportunity to work across a diverse group of settings, from ...

HHS LLC

Registered Dietitian

Dover, DE · On-site +1

$31.25 - $42/hr

Guide patients/residents, families, and facility staff on all aspects of medical nutrition therapy ... Hybrid-Remote schedule available! Opportunity to work across a diverse group of settings, from ...

Nouri

Registered Dietitian

Dover, DE · On-site +1

$31.25 - $42/hr

Guide patients/residents, families, and facility staff on all aspects of medical nutrition therapy ... Hybrid-Remote schedule available! Opportunity to work across a diverse group of settings, from ...

Breakthru

Demand Planning Analyst

Middletown, DE · On-site +1

$60K - $80K/yr

Time Type: Full time Remote Type: Job Family Group: Summary: The primary role of the Demand ... This is a hands-on role that supports the process of developing demand forecasts and works closely ...

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Remote Medical Claims Processor information

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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 Dover, DE is $19.46, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $21.63 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

Healthcare Data and Analytics Specialist - Remote - USA

Dover, DE • On-site, Remote

FullStack Labs
IT Services • 11 - 50 employees
Learn more about FullStack Labsexternal

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 14 days ago

Job description

About FullStack
FullStack is one of the fastest-growing software consultancy companies in the Americas. We deliver transformational digital solutions to top global companies and Silicon Valley startups. As an employee-first company, we focus on hiring the most talented software designers and developers by creating a positive, respectful, and supportive work environment where they can achieve their greatest potential.
We're most proud of:
  • Offering life-changing career opportunities to talented software professionals across the Americas.
  • Building highly-skilled software development teams for hundreds of the world's greatest companies.
  • Having delivered hundreds of successful custom software solutions, which have positively impacted the lives and careers of millions of users.
  • Our 4.2-star rating on GlassDoor.
  • Our client Net Promoter Score of 68, twice the industry average.

The Position
We're looking to hire a Healthcare Data and Analytics Specialist to join our team. You'll work with our incredible clients in one of two ways:
  • Team Augmentation: You will integrate directly into our client's team and work alongside their existing designers and engineers daily.
  • Design & Build: You will work on a FullStack product team to build and deliver a product to our clients.

What We Are Looking For
  • 5+ years of professional software engineering, data analysis, or data operations experience.
  • Advanced English is required.
  • Successful completion of a four-year college degree is required.
  • Deep experience in working with healthcare data, including medical claims, pharmacy claims, eligibility, enrollment, or payer/TPA/PBM benefits.
  • Expertise in using SQL to join complex datasets, investigate discrepancies, and construct maintainable analytical logic.
  • Solid background in healthcare data validation, reconciliation, data quality monitoring, and data operations workflows.
  • Solid understanding of healthcare claims structures, terminology, utilization, and financial metrics (such as allowed and paid amounts).
  • Track record of creating recurring analytical reporting, data dictionaries, and metric definitions for clients, employers, or executives.
  • Demonstrated experience investigating data issues and tracing discrepancies through different stages of a data ecosystem.
  • Comfortable working with relational databases (such as PostgreSQL) and familiar with file transmissions like SFTP, flat files, or APIs.
  • Knowledgeable in HIPAA compliance, protected health information (PHI) regulations, and healthcare data security controls.
  • Ability to work through new and difficult issues and contribute to libraries as needed.
  • Ability to create and maintain continuous integration and delivery of applications.
  • Forensic attention to detail.
  • A positive mindset and a can-do attitude.
  • Experience working on Agile/Scrum teams.
  • Meaningful experience working on large, complex systems.
  • Ability to take extreme ownership over your work. Every day is a challenge to ensure you are performing to the expectations you and your team have agreed upon.
  • Ability to identify with the goals of FullStack's clients and dedicate yourself to delivering on the commitments you and your team make to them.

What We Offer
  • Competitive Salary.
  • Paid Time Off (vacation, sick leave. parental leave, and holidays).
  • 100% remote work.
  • The ability to work with leading startups and Fortune 500 companies.
  • Health, dental, and vision insurance.
  • 401(k) w/ 4% match.
  • Ample opportunity for career advancement.
  • Continuing education opportunities.

FullStack is proud to be an equal opportunity workplace. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status.
Learn more about our Applicants Privacy Notice .
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About FullStack Labs

Sourced by ZipRecruiter

FullStack Labs is the fastest-growing software consultancy in the Americas. We help organizations like Uber, GoDaddy, MGM, Siemens, Stanford University, and the State of California, build distributed software development teams, and deliver transformational digital solutions. As an employee-first company, we focus on hiring the most talented software designers and developers in the western hemisphere, by creating a positive, respectful, and supportive work environment where they can achieve their greatest potential.

Industry

It services

Company size

11 - 50 Employees

Headquarters location

Sacramento, CA, US

Year founded

2013

Social media

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