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Remote Medical Claims Processor Jobs in Gresham, OR

Deloitte

Epic Denials Manager

Portland, OR · Remote

... process accounts and claims. Regularly monitors work queues and workflows in Epic, claims ... This is a remote role with minimal travel requirements. A successful candidate would possess these ...

Deloitte

Epic Denials Management Operator

Portland, OR · Remote

$19 - $25.50/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 ...

Moda Health

Medical CS Rep I (***)

Portland, OR · Remote

$18.39 - $20.23/hr

These can include explaining benefits, claims processing and other details of the plan. This is a ... A reliable, high-speed, hard-wired internet connection required to support remote or hybrid work.

micro1 AI

Medical Billing Specialist

Hillsboro, OR · 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

Beaverton, OR · 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

Vancouver, WA · 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 Writing Manager

Beaverton, OR · 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 Writing Manager

Vancouver, WA · 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

Gresham, OR · 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 Writing Manager

Hillsboro, OR · 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

Portland, OR · 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 Gresham, OR

Remote Medical Claims Processor information

See Gresham, OR salary details

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

As of Sep 5, 2026, the average hourly pay for remote medical claims processor in Gresham, OR is $20.62, according to ZipRecruiter salary data. Most workers in this role earn between $18.32 and $22.93 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.

More about Remote Medical Claims Processor jobs

What are popular job titles related to Remote Medical Claims Processor jobs in Gresham, OR?

For Remote Medical Claims Processor jobs in Gresham, OR, the most frequently searched job titles are:

What cities near Gresham, OR are hiring for Remote Medical Claims Processor jobs?

Cities near Gresham, OR 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 Gresham, OR as of August 2026, with employment types broken down into 78% Full Time, and 22% Contract. Highlights an 100% Remote job distribution, with an average salary of $42,897 per year, or $20.6 per hour.

Claims Analyst I (Analyst I - CPPW)

City of Portland, OR

Portland, OR • On-site, Remote

$40.97 - $58.47/hr

Other

Medical, Dental, Vision, Life, Retirement

Posted 12 days ago

Job description

Salary: $40.97 - $58.47 Hourly
Location : Portland Building, 1120 SW 5th Ave, OR
Job Type: Regular
Remote Employment: Remote Only
Job Number: 2026-00640
Bureau: Office of the Chief Financial Officer
Opening Date: 08/24/2026
Closing Date: 9/7/2026 11:59 PM Pacific
The Position
Job Appointment: Full Time, Regular
Work Schedule: Monday - Friday, 8:00 AM - 5:00 PM. Alternate schedules may be available.
Work Location: Fully Remote. Remote work must be performed within Oregon or Washington. For more information,
Union Representation: City of Portland Professional Workers Union (CPPW). To view current labor agreements,
Starting Pay: The City of Portland follows the Your salary is determined based on the experience listed in your resume that is directly related and equivalent to the position for which you are applying.
Position Summary:
The Claims Analyst is part of the Risk Management Division within the Office of the Chief Financial Officer. Risk Management administers the City's self-insured general liability and workers' compensation programs, procures commercial insurance for property and other risks, and supports City bureaus with employee safety, loss prevention, risk assessment, and third-party subrogation.
The Claims Analyst is responsible for investigating, evaluating, managing, and resolving a variety of claims involving the City and its employees. Claims may include general liability, auto liability, law enforcement liability, employment practices tort claims, and federal claims involving alleged constitutional violations.
The successful candidate will help minimize the City's financial exposure through thorough investigations, thoughtful claim evaluation, effective negotiation, accurate documentation, and sound professional judgment. This position requires the ability to independently manage a caseload while working collaboratively with claimants, attorneys, City employees, bureau leadership, and other stakeholders.
Claims Analysts are expected to exercise initiative, independence, discretion, and sound legal and professional judgment when evaluating claims and determining appropriate courses of action.
What You'll Do:
  • Investigate claims by interviewing involved parties, obtaining statements, reviewing records, conducting research, and gathering information necessary to determine the City's potential liability.
  • Conduct site inspections and document accident or incident scenes when appropriate.
  • Evaluate repair estimates, invoices, medical information, and other documentation supporting claimed damages.
  • Identify and investigate potential third-party liability and opportunities for recovery or subrogation.
  • Determine whether City employees were acting within the course and scope of their employment and coordinate indemnification and defense when appropriate.
  • Evaluate liability and damages by applying applicable laws, defenses, immunities, comparative negligence principles, tort limitations, and other relevant considerations.
  • Establish and maintain appropriate claim reserves within established authority levels and guidelines.
  • Negotiate and resolve claims with claimants, attorneys, insurers, and other representatives, including issuing timely settlements or denials when appropriate.
  • Monitor litigated claims and help forecast and control litigation expenses and potential damage awards throughout the life of the claim.
  • Collect, evaluate, and maintain accurate claims data within the City's Risk Management Information System (RMIS) to support tracking, forecasting, analysis, and reporting.
  • Maintain organized, accurate, complete, and current electronic claim files and documentation.
  • Communicate claim analyses, recommendations, and decisions to City staff, attorneys, management, elected officials, claimants, and other stakeholders.

Ideal Candidate Profile:
The ideal candidate is an experienced claims professional who can independently investigate complex situations, analyze competing information, apply applicable laws and policies, and make well-supported decisions. They are comfortable handling sensitive and sometimes contentious matters while maintaining professionalism, objectivity, confidentiality, and excellent customer service.
To Qualify
Applicants must demonstrate how their education, training, and experience meet each of the minimum qualifications listed below:
  1. Experience investigating, evaluating, and resolving general liability and auto liability claims.
  2. Experience applying laws, regulations, and legal principles affecting potential liability, exposure, or settlement limitations, including comparative negligence, immunities, defenses, Medicare reimbursement requirements, and tort claim limitations.
  3. Experience applying best practices for managing electronic claim files and records, including using online research tools, claims data or risk management information systems, and Microsoft Office applications.
  4. Ability to communicate effectively verbally and in writing regarding sensitive or complex matters and provide clear claim analyses, evaluations, and recommendations to a variety of audiences, such as claimants, attorneys, City management, external partners, and elected officials.
  5. Ability to understand, interpret, explain, and apply complex laws, rules, regulations, policies, and procedures; prepare clear, concise, and accurate reports and correspondence; and represent an organization authoritatively when negotiating claim settlements.
  6. Experience establishing and maintaining effective working relationships with diverse internal and external stakeholders, such as employees, legal counsel, managers, claimants, members of the public, and others encountered in the course of claims administration.
Applicant must also possess:
  • A valid state driver's license and

Preferred Qualifications:
  • Experience investigating and resolving public entity or governmental liability claims.
  • Professional insurance or risk management designations such as Associate in Risk Management (ARM), Associate in Claims (AIC), or Casualty Claim Law Associate (CCLA).
  • Experience using Marsh ClearSight/Riskonnect or a comparable Risk Management Information System (RMIS).

The Recruitment Process
How to Apply:
  • Submit your resume and cover letter by the closing date.
  • (Optional) Submit , if applicable.
    If this is your first time applying with the City of Portland, or if you haven't requested veteran preference before (and would like to now), please attach your DD214-Member 4 and/or VA Benefit Letter to your application. Once we verify your eligibility, we'll record your veteran preference in our system, so it automatically applies to your future applications.

What to Expect:
  1. Application Review - Week of September 7, 2026: We'll review your application materials to ensure you meet the minimum qualifications listed above.
  2. Notice/Feedback - Week of September 14, 2026: You will receive an email when the minimum qualification review is complete. If you disagree with the evaluation results, you may request a review within 14 days of the email notice, per
  3. Selection Process - Late September/Early October: The hiring bureau will review qualified applications, conduct interviews, and check references.
  4. Conditional Job Offer: Final candidates may undergo a background or driving record check, depending on the position.

Additional Information
Learn More About:
We're committed to providing a fair, inclusive, and accessible hiring process. If you need assistance with your application or would like to request a reasonable accommodation due toa disability, pregnancy, or religious belief, please contact the recruiter listed below.
Questions? We're here to help!
If you have questions about this recruitment or need assistance, contact:
Tamela Ressler, Senior Recruiter
Bureau of Human Resources
A Career with the City of Portland offers many Employee Benefits
We offer a comprehensive benefits package, including but not limited to
  • Health Care (Medical, Vision and Dental)
  • Carrot Fertility
  • Wellness Benefits
  • Life Insurance
  • Long-term disability
  • Employee Assistance Plan
  • Flexible Spending Accounts
  • Retirement
  • Oregon Public Employees Retirement System (PERS), including contributions to the PERS IAP plan paid by employer
  • Family Medical Leave
  • City Paid Parental Leave
AND SO MANY MORE!
Benefits may vary depending on bargaining unit and employment status.
01
Thank you for your interest in the City of Portland. We value your time and hope to make your application experience as positive as possible.
Your Cover Letter and Resume are an important step to assist us in the review for minimum qualifications for the posted vacancy.
In your Cover Letter, write specific and unique responses to address each of the minimum qualification listed in the "To Qualify" section. The information you provide must correctly reflect your work history/resume. A lack of information in your application materials to each of the minimum qualifications may result in elimination from the recruitment.
Note: Request for veterans' preference, please add a copy of your DD214 and/or Veteran's Benefit letter. All documents must be uploaded by the closing date and time of this announcement.
Have you read and understood all the information listed above?
  • No - If you have a questions, please contact the recruiter on the announcement.
  • Yes

02
Where did you first learn about this job opportunity? (If on a website or job board, please specify which one)
03
The City of Portland sometimes gets requests for public records. Please choose the response that best fits your preference:
(Your choice will not affect your application process.)
  • I want my application to stay private. I understand that the City of Portland will keep my information confidential unless required to share it by law.
  • I allow my application to be shared. I understand that by choosing this option, my information is no longer private.

Required Question

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