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Remote Medical Claims Processor Jobs in Edison, NJ

TailorMed

Copay Claims Processor

New York, NY · On-site +1

$18.50 - $23.50/hr

Ability to work effectively in a remote environment * Experience working within EMRs and Billing ... Premium medical, dental, and vision insurance plans, a wide range of voluntary and supplemental ...

IQVIA

Medical Biller/Claims Processing

Newark, NJ · Remote

$23/hr

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to ...

HEARTS ENTERAL LLC

Be Seen First

Experienced Remote Medical Biller DME Fast Paced

Mountain View, NJ · Remote

$18 - $26/hr

REMOTE 1099 CONTRACTOR POSITION ONLY (NO W-2) ***FAST PACED environment ***A skilled and detail ... In this role, you will be responsible for processing and submitting accurate medical claims to ...

Judi Health

Claims Adjudication Associate

New York, NY · On-site +1

$19.50 - $26.25/hr

Evaluate complex medical claims, coverage issues, and benefit determinations by reviewing claim ... Experience leading cross-functional initiatives, influencing stakeholders, improving processes ...

Harris

Claims Examiner

New York, NY · Remote

Claims Processing and Assessment: * Evaluate incoming claims to determine eligibility, coverage ... Conduct thorough investigations, including reviewing medical records and other relevant ...

Harris

Claims Examiner

New York, NY · Remote

Claims Processing and Assessment: * Evaluate incoming claims to determine eligibility, coverage ... Conduct thorough investigations, including reviewing medical records and other relevant ...

Allcat Claims Service

Claims Examiner

New York, NY · Remote

Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance Primary Duties ... Medical, Dental, Vision, Paid Time Off and Paid Holidays, 401(K), in accordance with Company policy.

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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 10, 2026, the average hourly pay for remote medical claims processor in Edison, NJ is $20.15, according to ZipRecruiter salary data. Most workers in this role earn between $17.93 and $22.40 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 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 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 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 popular job titles related to Remote Medical Claims Processor jobs in Edison, NJ? For Remote Medical Claims Processor jobs in Edison, NJ, the most frequently searched job titles are:
What job categories do people searching Remote Medical Claims Processor jobs in Edison, NJ look for? The top searched job categories for Remote Medical Claims Processor jobs in Edison, NJ are:
What cities near Edison, NJ are hiring for Remote Medical Claims Processor jobs? Cities near Edison, NJ 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 Edison, NJ as of August 2026, with employment types broken down into 75% Full Time, 17% Part Time, and 8% Contract. Highlights an 100% Remote job distribution, with an average salary of $41,920 per year, or $20.2 per hour.

Copay Claims Processor

TailorMed

New York, NY • On-site, Remote

$18.50 - $23.50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 6 days ago

Job description

Description
Join Us at TailorMed - Transforming Healthcare Affordability
At TailorMed, we're on a mission to eliminate barriers across the entire medication journey-from affordability to access and adherence. As a pioneering force in healthcare, we're building a new category that transforms how patients, providers, pharmacies, life sciences, and payers collaborate to ensure every patient receives the treatment they need without delay.
Our enterprise solution streamlines the full lifecycle of patient support programs, reducing the cost of care and driving better outcomes. With the nation's largest Affordability Network-deployed across 800+ hospitals, 1,300 clinics, and 650 pharmacies-we're reshaping healthcare with innovative automation and industry-leading partnerships.
If you're passionate about making healthcare more accessible and impactful, we'd love to have you on our team. Join us and help redefine what's possible. Learn more at tailormed.co.
The Copay Claims Processor is a member of the TailorMed Complete team and serves as an extension of our customer's internal teams. In this role, you'll help improve financial outcomes for patients by using our platform to submit claims on the patient's and provider's behalf to the approved manufacturer or foundation copay program, and for our customers by helping them improve their financial performance as an organization.
Responsibilities:
  • Ability to review pending claims thoroughly in detail to ensure accuracy
  • Submit copay claims through appropriate channels, including follow through to payment posting
  • Conduct timely follow up to check for claims status
  • Work closely with the Financial Navigation team to ensure accurate and timely processing of claims
  • Claim denial review and understanding in how to evaluate for next steps
  • Conduct outbound calls with manufacturer copay programs and foundation copay programs to resolve any issues or discrepancies
  • Conduct outbound calls effectively with customer's revenue cycle department to resolve any issues or discrepancies
  • Post claim payments accurately and appropriately as received
  • Maintain accurate records of all claims processed
  • Meet productivity and quality standards

Requirements:
  • 2+ years of experience in medical billing and coding, or financial navigation experience
  • Ability to work effectively in a remote environment
  • Experience working within EMRs and Billing Systems
  • Experience working with insurance providers and healthcare organizations
  • Knowledge of all insurance types
  • Excellent communication and organizational skills
  • Ability to work well in a fast-paced environment
  • Willingness to adhere to and work during customer's business hours
  • High school diploma or equivalent required
  • Workspace clear of noise and ability to work with PHI in a secure setting

What we offer:
  • Competitive salary + equity
  • Premium medical, dental, and vision insurance plans, a wide range of voluntary and supplemental benefits, and 24/7 benefits access and support
  • 401(k) plan
  • Paid holidays, vacation, and sick leave
  • Six weeks of paid parental leave
  • Company-paid life insurance
  • Company provided equipment and technology you'll need to be successful in your role
  • The opportunity to help shape the future of healthcare

TailorMed is proud to be an equal opportunity employer. TailorMed prohibits discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.
Due to the sensitive nature of the data that TailorMed handles, finalist candidates must complete a successful background and reference check.
At this time, TailorMed is unable to provide sponsorship for employment. In order to be considered for employment, applicants must be currently legally authorized to work in the United States and not require future sponsorship in order to continue working in the United States.

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