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Remote Medical Claims Processor Jobs in Fort Mill, SC

micro1 AI

Medical Writing Manager

Charlotte, NC · Remote

$50 - $80/hr

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Trace narrative claims to source records--tables, figures, listings, and protocols--to verify that ...

micro1 AI

Medical Billing Specialist

Charlotte, NC · Remote

$50 - $80/hr

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Trace narrative claims to source records--tables, figures, listings, and protocols--to verify that ...

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All JobsMedical Claims Processor JobsRemote Medical Claims Processor JobsRemote Medical Claims Processor Jobs in Fort Mill, SC

Remote Medical Claims Processor information

See Fort Mill, SC salary details

$12

$17

$22

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

As of Aug 22, 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.

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Remote Medical Claims Processor jobs near you
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.

Mirth QA / Validation Engineer (Remote)

Total Success

Charlotte, NC • Remote

$56 - $61/hr

Full-time

Posted 2 days ago

New

Job description

Location: Remote, U.S.-based
Employment Type: Full-Time Contract
Contract Duration: 12-week minimum, with potential extension
Start Timing: Early to mid-September 2026
Openings: Multiple openings

About the Opportunity

We are looking for QA / Validation Engineers to support testing and validation for a large-scale healthcare interface migration to Mirth Connect / NextGen Connect.

This role is focused on confirming that converted healthcare interfaces function correctly before cutover. The QA / Validation Engineer will develop and execute test plans, compare message output between legacy and converted interfaces, track defects, support UAT readiness, and maintain validation documentation.

This is a remote, U.S.-based contract opportunity expected to begin in early to mid-September 2026.

What You'll Do
  • Develop and execute test plans for converted healthcare interfaces
  • Validate HL7 message accuracy, structure, field-level output, routing, and transformation results
  • Compare legacy interface output against converted Mirth Connect output to confirm expected behavior
  • Identify, document, and track defects through resolution with engineering resources
  • Support UAT coordination, readiness validation, and cutover preparation
  • Validate X12 EDI transaction accuracy where applicable
  • Maintain testing documentation, validation logs, defect notes, and audit-ready records
  • Communicate testing status, open risks, blockers, and readiness concerns to delivery stakeholders
  • Partner with engineers to clarify expected interface behavior and retest resolved issues
  • Support regression testing and final validation activities prior to go-live
  • Work in a fast-paced migration environment with multiple interfaces, deadlines, and testing priorities
What We're Looking For
  • 3 or more years of QA, validation, or testing experience in healthcare IT, systems integration, or interface environments
  • Familiarity with HL7 v2.x message structure and interface testing
  • Experience validating interface engine output from tools such as Mirth Connect, Iguana, Rhapsody, Cloverleaf, or similar platforms
  • Strong attention to detail and documentation discipline
  • Ability to identify discrepancies in message output, mappings, transformations, and expected behavior
  • Comfortable working in a migration, cutover, or go-live readiness environment
  • Strong communication skills with the ability to report testing status and risks clearly
  • Ability to work independently in a remote, fast-paced contract environment
Preferred Background
  • Experience with Mirth Connect / NextGen Connect
  • Experience with X12 EDI validation, including 837, 835, 270, and 271
  • Background in healthcare revenue cycle, claims processing, payer systems, hospital systems, or healthcare IT
  • Experience supporting large-scale interface migrations, UAT coordination, or production cutover validation
Contract Details
  • Full-time contract role
  • Remote, U.S.-based
  • 12-week minimum engagement, with extension likely
  • Anticipated start in early to mid-September 2026
  • Multiple openings available
Why This Role Stands Out

This is a strong opportunity for a QA / Validation Engineer who understands healthcare interfaces and enjoys detailed testing work. The role offers exposure to a high-priority migration, HL7 validation, defect tracking, UAT support, and cutover readiness for a large healthcare integration environment.

Qualified candidates are encouraged to apply.