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Remote Medical Claims Processor Jobs in Edison, NJ

Sutherland

Medical Billing/AR Specialist - Remote

Clifton, NJ · Remote

$19.25 - $24.75/hr

... process claims * Knowledge of Managed Care contracts, Contract Language and Federal and State ... Medical claims and/or hospital collections experience * Minimum high school education, technical ...

Fetch Pet Insurance

Claims Adjuster

New York, NY · Remote

$20.67 - $26.44/hr

Comprehensive understanding of disease processes and veterinary medical terminology * Ability to ... Work independently in a remote capacity, while also fostering teamwork and collaborating with ...

RightWay ABA

Medical Billing Specialist ABA

Clifton, NJ · Remote

$21 - $28/hr

... claims processing, denial management, and accounts receivable follow-up in a fully remote environment. About the Role The Medical Billing Specialist will manage the full billing cycle, from claim ...

1 point system

QA Engineer - Data

New York, NY · Remote

Excellent analytical skills with ability to troubleshoot problems and find root causes. * HealthCare experience pertaining to Medical Claims processing is preferred. * Ability to think "outside of ...

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All JobsMedical Claims Processor JobsRemote Medical Claims Processor JobsRemote Medical Claims Processor Jobs in Edison, NJ

Remote Medical Claims Processor information

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

As of Aug 16, 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.
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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.

Medical Billing/AR Specialist - Remote

Sutherland

Clifton, NJ • Remote

$19.25 - $24.75/hr

Full-time

Posted 11 days ago

Job description

Company Description

At Sutherland, named a Great Place to Work, we care for our customers' customers and help to strengthen their brands. We do this by improving how they work with their customers to deliver an extraordinary customer experience. In other words, behind every screen, click or command are the people of Sutherland. In business for over 35 years, we are now nearly 40,000 employees strong and work with hundreds of companies in over 100 countries around the globe.

Job Description

In this position, you will be responsible for handling a variety of tasks to ensure payment collection activity is resolved, disputed or sent to Legal. This will include:

  • Conducting collection activity on appealed claims by contacting government agencies, third party payers via phone, email, or online
  • Providing ongoing appropriate collection activity on appeals
  • Requesting additional information from Patients, Medical Records, and others as needed
  • Communicating with insurance plans and researching health plans for benefits and types of coverage
  • Reviewing contracts and identifying billing or coding issues and requesting re-bills, secondary billing, or corrected bills as needed.
  • Handling other duties as assigned
Qualifications
  • Thorough understanding of the revenue cycle process, from patient access (authorization, admissions) through Patient Financial Services (billing, collections) procedures and policies
  • Full understanding of Managed Care collections
  • Familiarity with terms such as MMC, HMO, PPO, IPA and Capitation and how these payers process claims
  • Knowledge of Managed Care contracts, Contract Language and Federal and State requirements
  • Intermediate understanding of Hospital billing form requirements (UB04) and HCFA 1500
  • Medical claims and/or hospital collections experience
  • Minimum high school education, technical training, and/or other related experience

We will supply equipment, but to work from home, you must have:

  • Excellent Internet connectivity:
    • Internet access speeds of at least 5 Mbps upload and 30 Mbps download - the faster the better!
    • In-house network, and a hard-wired Internet connection capable of continuously supporting outstanding call quality and high-speed response rates. (wireless and/or satellite Internet Service Providers are not compatible with our systems)
  • A quiet and distraction-free, secure place to work.
Additional Information

IMPORTANT NOTE: This job is open only to residents of the United States, and you must be authorized to work in the US in order to be considered for employment.

EEOC and Veteran Documentation
During employment, employees are treated without regard to race, color, religion, sex, national origin, age, marital or veteran status, medical condition or handicap, or any other legally protected status.
At times, government agencies require periodic reports from employers on the sex, ethnicity, handicap, veteran and other protected status of employees. The purpose of this Administrative EEO Record is for statistical analysis only and is used to comply with government record keeping, reporting, and other legal requirements. Periodic reports are made to the government on the following information. The completion of the Administrative EEO record is optional. If you choose to volunteer the requested information, please note that all 
Administrative EEO Records are kept in a Confidential File and are not part of your Application for Employment or Personnel file.
Please note: YOUR COOPERATION IS VOLUNTARY. INCLUSION OR EXCLUSION OF ANY DATA WILL NOT AFFECT ANY EMPLOYMENT DECISION.

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