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Remote Medical Claims Processor Jobs in Houston, TX

Professional Healthcare Solutions, LLC

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RN/Medical Claims Analyst

Houston, TX · Remote

$32.50 - $34/hr

Responsibilities may include additional research on medical claims data and other sources of information to identify problems and utilize a variety of tools to detect situations of potential fraud ...

Scribe-X

Remote Medical Scribe

Houston, TX · Remote

$14 - $17/hr

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 ...

Scribe-X

Remote Medical Scribe

Houston, TX · Remote

$14 - $17/hr

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 ...

Health Care Service Corporation

Claim Technician

Houston, TX · On-site +1

$17.75 - $26.17/hr

Experience processing medical claims. Preferred Job Qualifications: * Must have trained on the six-eight-week Blue Chip claims processing system or have the ability to fully complete the six-eight ...

Gallagher

Senior Workers Compensation Claims Adjuster

Houston, TX · Remote

$55K - $72K/yr

Whether you're managing claims, supporting clients, or improving processes, you'll play a vital ... Overview • Jurisdictions: TX • Licenses: TX • This role is eligible for fully remote work How ...

Ccfs

Risk Claims Manager

Houston, TX · Remote

$85K - $95K/yr

This position has the potential to be remote. ESSENTIAL JOB DUTIES * Personally investigate and ... Knowledge of statistical process control desirable.

Ccfs

Risk Claims Manager

Houston, TX · Remote

$85K - $95K/yr

This position has the potential to be remote. ESSENTIAL JOB DUTIES * Personally investigate and ... Knowledge of statistical process control desirable.

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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 4, 2026, the average hourly pay for remote medical claims processor in Houston, TX is $18.59, according to ZipRecruiter salary data. Most workers in this role earn between $16.54 and $20.67 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 the most commonly searched types of Medical Claims Processor jobs in Houston, TX? The most popular types of Medical Claims Processor jobs in Houston, TX are:
What are popular job titles related to Remote Medical Claims Processor jobs in Houston, TX? For Remote Medical Claims Processor jobs in Houston, TX, the most frequently searched job titles are:
What job categories do people searching Remote Medical Claims Processor jobs in Houston, TX look for? The top searched job categories for Remote Medical Claims Processor jobs in Houston, TX are:
What cities near Houston, TX are hiring for Remote Medical Claims Processor jobs? Cities near Houston, TX 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 Houston, TX as of July 2026, with employment types broken down into 85% Full Time, 10% Part Time, and 5% Temporary. Highlights an 100% Remote job distribution, with an average salary of $38,670 per year, or $18.6 per hour.

RN/Medical Claims Analyst

Professional Healthcare Solutions, LLC

Houston, TX • Remote

$32.50 - $34/hr

Full-time

Medical, Dental, PTO

Posted 15 days ago

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Job description

The position requires the Registered Nurse to conduct medical record reviews and to apply sound clinical judgment to claim payment decisions. Responsibilities may include additional research on medical claims data and other sources of information to identify problems and utilize a variety of tools to detect situations of potential fraud and to support the ongoing fraud investigations and requests for information. The Registered Nurse will work with PHS leadership, in concert with our clients, to review cases and produce a concise and accurate summary of determinations. The Registered Nurse will comply with the PHS policies related to Conflict of Interest and Compliance and will abide by the PHS Code of Conduct.

Prerequisite:

  • Current Oklahoma Registered Nursing license and not listed on the OIG Excluded Individual database
  • Two years of experience in the medical field as a Registered Nurse. May substitute one year of clinical experience for experience in review of medical claims for coverage and medical necessity
  • Demonstrated history of professional conduct and success in working independently and as a member of a team
  • Strong interpersonal skills
  • Strong critical thinking and investigative skills
  • Strong verbal and written communication and organization skills
  • Strong computer knowledge and skills, including Microsoft Word and Excel programs

Essential Functions:

  • Ability to present issues of concern, citing regulatory violations, alleging schemes or scams to defraud the Government·
  • Ability to gather information systematically in order to establish facts
  • Ability to research regulations and cite violations
  • Ability to conduct self-directed research to uncover problems in Medicare payments made to institutional and non-institutional providers
  • Ability to make claim payment decisions based on clinical knowledge
  • Ability to compose medical review summary reports and correspondence concisely and accurately
  • Ability to communicate effectively, internally and externally
  • Ability to handle PHI and ePHI in a secure and confidential manner
  • Ability to report work activity on a timely basis
  • Ability to work independently and as a member of a team to deliver high quality work
  • Ability to attend meetings and education offerings.
  • Ability to manage time effectively, prioritizing tasks and able to meet deadlines