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Remote Medical Claims Processor Jobs in Maple Grove, MN

Pride Health

Remote Medical Scheduler

Minneapolis, MN · Remote

$18 - $19/hr

Remote- US Pay : $19/hr. Schedule : an 8 hour shift within a time range of 6a-11p EST As a ... If you require a reasonable accommodation to participate in the application or interview process ...

Scribe-X

Remote Medical Scribe

Saint Paul, MN · 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

Minneapolis, MN · 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 ...

Corvel

Indemnity Claims Specialist

Minneapolis, MN · Remote

$51K - $83K/yr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives claims, confirms ... Manages non-complex and non-problematic medical only claims and minor lost-time workers ...

UnitedHealth Group

Senior Medical Coder

Eden Prairie, MN · Remote

$24 - $43/hr

Remote Nationwide You will enjoy the flexibility to telecommute* from anywhere within the U.S. as ... Advanced level of proficiency/knowledge of medical terminology, disease process and anatomy and ...

Park Dental

Claims Specialist

Saint Paul, MN · On-site +1

$22 - $25/hr

... prompt processing • Work aging report to ensure unpaid claims have been received and are in ... Position is remote! Applicants must currently reside in Minnesota, Arizona, or Wisconsin to be ...

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Remote Medical Claims Processor information

See Maple Grove, MN salary details

$14

$19

$26

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

As of Jul 17, 2026, the average hourly pay for remote medical claims processor in Maple Grove, MN is $19.93, according to ZipRecruiter salary data. Most workers in this role earn between $17.74 and $22.16 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 the Job of 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, and why are they important?

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
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What cities near Maple Grove, MN are hiring for Remote Medical Claims Processor jobs? Cities near Maple Grove, MN with the most Remote Medical Claims Processor job openings:
Remote Medical Claims Processor jobs near you
Claims Processor

Claims Processor

Blue Cross and Blue Shield of Minnesota

Eagan, MN • On-site, Remote

$24.59 - $29.51/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted yesterday

New

Blue Cross Blue Shield Of Minnesota rating

5.3

Company rating: 5.3 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

270th of 281 rated insurance

Job description

About Blue Cross and Blue Shield of Minnesota

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us.


The Impact You'll Have As a Claim Processor you will be responsible for accurately and efficiently reviewing, researching, and adjudicating health insurance claims including out-of-state and international cases. This role involves verifying benefit eligibility, analyzing claim history and records, applying pricing and edits, and ensuring all claims are processed with a strong focus on quality and timeliness. What You'll Do
  • Review, research, andadjudicateclaims accurately, following established processesandprocedures witha high levelofattention to detail.
  • Receive and prioritize daily or weekly workload reports, focusing on aging claims and time-sensitive items.
  • Differentiate and processvarious typesof claims, adapting to changing priorities and business needs.

Now Hiring - September 21, 2026 Start Date

Must reside in Minnesota to be eligible for this position.

Hiring approximately 15 Claims Processors

Paid training provided to prepare you for success in the role.

  • Training start date: September 21, 2026

  • Training schedule: Monday-Friday, 8:00 AM -4:30 PM CST

  • Training duration: Approximately 4-6 weeks

  • Schedule after training is flexible and could vary between 6:00 AM - 5:00 PM

100% remote, work-from-home position

  • High-speed, land-based internet service is required

  • Internet connection must be hard-wired from your router to company-provided equipment

Pay range: $22.50-$23.50 per hour, based on experience.

How You'll Do It
  • Exercise critical thinking and problem-solving skills to resolve claim issues independently, with support available when necessary.
  • Ensure thorough documentation of claim decisions and updatesin accordance withcompany standards
  • Collaborate with peers and internal technical specialists for guidance and documentation updates.
  • Communicate viawritten and/orphone whenrequiredto clarify claim details or obtainadditionalinformation.
  • Maintain compliance and accuracy by meeting established performance metrics during monthly audit reviews and incorporating feedback. Undergo monthly audit reviews and implement feedback to ensure accuracy, compliance, and adherence to performance standards.Subject to monthly audits with results measured against accuracy and compliance standards; incorporate feedback to drive ongoing improvement.
  • Develop andmaintainindividual development plans, including goals andobjectives;engage inmonthly check-ins andparticipatein mid-year and year-end performance reviews with supervisors.
  • Provide support during peak business periods and emergency situations, including natural disasters, byassistingwith critical operational needs.
  • Engage with Associate Resource Groups to foster networking and professional development opportunities.
  • Performs additional responsibilities consistent with the scope and level of the role, as assigned.
Required Skills & Experience
  • 1+ years of related work experience
  • High school diploma (or equivalent)
Preferred Skills & Experience
  • Ability to communicate clearly with varied internal contacts, actively listen to clarify needs, and ensure accurate and timely information exchange.
  • Ability to recognize patterns in recurring issues, gather relevant information, and collaborate with others to implement practical solutions.
  • Ability to organize and prioritize tasks across assignments, manage time effectively, and adjust to shifting workloads while maintaining accuracy.
  • Claims processing experience.
  • Knowledge of medical terminology and healthcare regulations.
  • Strong attention to detail and accuracy.
Role Designation Teleworker

Role designation definition:

  • Teleworking is working full time remote.
  • Hybrid is a minimum of 2 days onsite.
  • Onsite is full-time onsite.
Compensation and Benefits $21.50 - $24.59 - $29.51 Hourly

Pay is based on several factors which vary based on position, including skills, ability, and knowledge the selected individual is bringing to the specific job.

We offer a comprehensive benefits package which may include:

  • Medical, dental, and vision insurance

  • Life insurance

  • 401k

  • Paid Time Off (PTO)

  • Volunteer Paid Time Off (VPTO)

  • And more

To discover more about what we have to offer, please review our benefits page.

Equal Employment Opportunity Statement

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. Blue Cross of Minnesota is an Equal Opportunity Employer and maintains an Affirmative Action plan, as required by Minnesota law applicable to state contractors. All qualified applications will receive consideration for employment without regard to, and will not be discriminated against based on any legally protected characteristic.


Individuals with a disability who need a reasonable accommodation in order to apply, please contact us at: talent.acquisition@bluecrossmn.com.


Blue Cross and Blue Shield of Minnesota and Blue Plus are nonprofit independent licensees of the Blue Cross and Blue Shield Association.


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