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Remote Medical Claims Processor Jobs in Fort Mill, SC

Work for a company that understands the med school application process and supports your healthcare goals. Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider ...

Claims Specialist

Charlotte, NC ยท Remote

$52K - $85K/yr

This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives Workers' Compensation ... A comprehensive benefits package is available for full-time regular employees and includes Medical ...

Data Engineer

Rock Hill, SC ยท Remote

$117K - $140K/yr

Medical & Pharmacy Claims experience Responsibilities: Create, maintain and execute complex SQL ... processes. Collaborate with cross-functional teams including technical product owners, analysts ...

This is a remote role. Candidate must reside in the Eastern or Central Time zone. Preference for ... A comprehensive benefits package is available for full-time regular employees and includes Medical ...

Requirement - QA Engineer (Data) Location- 100% Remote Contract W2 Rate- $30/hr on W2 we are ... Medical Claims processing is preferred. * Ability to think "outside of the box". * Flexible in ...

Epic Denials Management Operator

Charlotte, NC ยท Remote

$17.50 - $23.50/hr

... Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for ... This is a primarily remote role supporting enterprise Epic support, with minimal travel and ...

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Remote Medical Claims Processor information

See Fort Mill, SC salary details

$12

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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 Fort Mill, SC is $17.11, according to ZipRecruiter salary data. Most workers in this role earn between $15.19 and $18.99 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.

What job categories do people searching Remote Medical Claims Processor jobs in Fort Mill, SC look for?

The top searched job categories for Remote Medical Claims Processor jobs in Fort Mill, SC are:

What cities near Fort Mill, SC are hiring for Remote Medical Claims Processor jobs?

Cities near Fort Mill, SC with the most Remote Medical Claims Processor job openings:

Infographic showing various Remote Medical Claims Processor job openings in Fort Mill, SC as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 12% Part Time, and 6% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $35,583 per year, or $17.1 per hour.

Remote Medical Insurance Follow Up Rep

TRC Talent Solutions

Charlotte, NC โ€ข Remote

$18 - $22/hr

Temporary

Medical, Dental, Vision, Life, PTO

Posted yesterday

New


Job description

Medical Insurance Follow-Up Representative – 100% Remote

$18–22/hour | Full-Time | Permanent Opportunity

We're growing and looking for experienced Medical Insurance Follow-Up Representatives to join our fully remote team! In this role, you will focus on back-end A/R follow-up, denial resolution, and aged account remediation for Hospital and/or Physician Billing accounts. 

Our team partners with healthcare providers and hospital organizations to deliver revenue cycle and accounts receivable support services. If you thrive in a fast-paced environment, enjoy problem solving, and have experience working insurance denials and unpaid claims, we'd love to hear from you. 

Why Join Us? 
  • 100% Remote 

  • Flexible Schedule 

  • Health, Dental, Vision, and Life Insurance 

  • PTO, Paid Sick Leave, and Paid Holidays 

  • Career Growth Opportunities 

What You’ll Do:
  • Perform second-tier insurance account follow-up on outstanding A/R balances 

  • Resolve denied, underpaid, and unresolved insurance claims

  • Resolve aged accounts and payer issues  

  • Work high-dollar accounts and conduct detailed account research 

  • Review UB-04 and/or HCFA 1500 claims for billing accuracy 

  • Investigate eligibility discrepancies, coding issues, payer denials, and reimbursement variances 

  • Communicate professionally with insurance payers, clients, and internal teams

  • Identify payer trends, workflow issues, and barriers to resolution 

  • Submit corrected claims, rebills, secondary billing, and appeals as needed

  • Document account activity and correspondence thoroughly and accurately 

  • Escalate payer errors appropriately for reprocessing 

  • Work with commercial and government payers 

  • Maintain productivity and quality standards

Experience & Education: 
 
  • 1-2 years of Healthcare Revenue Cycle experience required 

  • Experience with Hospital Billing and/or Physician Billing required 

  • Strong knowledge of denials, insurance follow-up, UB-04 and/or HCFA 1500 claims 

  • Experience using systems like Epic, Cerner, Meditech, McKesson, Allscripts, Soarian, etc. 

  • Proficiency in Microsoft Office and other internet-based systems

  • Strong ability to multitask across multiple applications and systems 

  • High School Diploma or equivalent required; Associate's or Bachelor's Degree preferred 

Physical Requirements:
  • Ability to sit for extended periods of time 

  • Frequent use of hands and fingers for typing and computer work

  • Ability to communicate via phone and computer

  • Occasionally lift up to 15 pounds