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Remote Medical Claims Processor Jobs in Houston, TX

Deloitte

Epic Denials Manager

Houston, TX · 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

Houston, TX · Remote

$17.25 - $23/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

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

As of Sep 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 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 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:

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

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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 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 $38,670 per year, or $18.6 per hour.

Freelance Medical & Billing Coder

Dane Street, LLC

Houston, TX • Remote

$18 - $23.75/hr

Full-time

Re-posted 7 days ago

Job description

Calling all bill review professionals, CPC coders, AAPC, and DRG coders! Dane Street is looking for highly motivated Coders, bill reviewers, and payment integrity reviewers candidates to join our team. Dane Street offers an exciting work environment, competitive compensation, and strong growth potential.

Job Summary:

A new program offering on the group health side of our business enables you to apply your clinical knowledge to review reports accompanying medical records to ensure that medical billing information and coding are correct. You will communicate with other reviewers and their office teams to ensure clarity of information and ensure all questions posed have been addressed, and ensure that reports are returned within client deadlines.

Core Duties & Responsibilities:

  • Evaluates the appropriateness of codes and determine whether they meet all established program standards.
  • Ensures that the medical records are matched appropriately to the codes and if not, obtains them.
  • Read & apply policy guidelines and healthcare terminology and delineate when criteria are/are not met.
  • Evaluates claims for conflict of interest and criteria appropriateness.
  • Works within established timeframes set by program parameters.
  • Provides strong customer service skills and works closely with clients on a case- by-case basis to provide complete, timely, and error-free quality assurance of cases.
  • Provides clinical oversight to cases that are complex and need additional review prior to return to the client.
  • Serves as an additional level of QA and clinical knowledge/review for cases with quality Issues.

Requirements

Required Education & Experience:

Must have a CPC, APCC, CMBS, or DRG coder certification

Payment integrity or professional bill review experience is strongly preferred.

Out-of-network bill review experience is a plus.

Experience working in a remote environment is preferred.

Experience in a medical office or health care background.

Required Skills:

Must work with a sense of urgency and meet deadlines.

Must be self-motivated, with a strong drive for performance excellence.

Excellent written and verbal communication skills are required.

Proficiency in navigating a variety of computer programs (Experience with Google Chrome, Gmail, Docs, Sheets, etc., is a plus).

Attention to detail REQUIRED.

PLEASE BE AWARE: In the interest of the security of both parties, please be aware that

Dane Street will never conduct an interview via text or request checks from candidates

for purchasing equipment.

Benefits

  • Robust opportunity for supplemental income
  • Schedule flexibility and predictable work hours-conduct reviews based on your schedule availability
  • Fully prepped cases, streamlined case flow, transcription services at no cost, and a user-friendly work portal

A fast-paced, Inc. 500 Company with a high-performance culture, Dane Street is seeking

insightful, astute forward-thinking professionals. We process over 200,000 insurance

claims annually for leading national and regional Workers' Compensation, Disability,

Auto and Group Health Carriers, Third-Party Administrators, Managed Care

Organizations, Employers and Pharmacy Benefit Managers. We provide customized

Independent Medical Exam and Peer Review programs that assist our clients in

reaching the appropriate medical determination as part of the claims management

process.

Apply