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Remote Medical Claims Processor Jobs in Mauldin, SC

HDVI

Liability Adjuster

Spartanburg, SC · On-site +1

... claims management, including ADR and mediation processes involving Commercial Auto exposures ... Medical, Dental, Vision, Short/Long Term Disability, Basic Life, and AD&D to support you and your ...

HDVI

Liability Adjuster

Greenville, SC · Remote

... claims management, including ADR and mediation processes involving Commercial Auto exposures ... Medical, Dental, Vision, Short/Long Term Disability, Basic Life, and AD&D to support you and your ...

Amerihealth Caritas

Account Executive

Greenville, SC · On-site +1

Remote; Field-Based * Remote, field-based position requiring regular travel throughout assigned ... processes. * Excellent communication, organizational, and customer service skills. * Proficiency ...

Amerihealth Caritas

Account Executive

Greenville, SC · On-site +1

Remote; Field-Based * Remote, field-based position requiring regular travel throughout assigned ... processes. * Excellent communication, organizational, and customer service skills. * Proficiency ...

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All JobsMedical Claims Processor JobsRemote Medical Claims Processor JobsRemote Medical Claims Processor Jobs in Mauldin, SC

Remote Medical Claims Processor information

See Mauldin, SC salary details

$12

$17

$23

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 Mauldin, SC is $17.59, according to ZipRecruiter salary data. Most workers in this role earn between $15.62 and $19.57 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 cities near Mauldin, SC are hiring for Remote Medical Claims Processor jobs?

Cities near Mauldin, SC with the most Remote Medical Claims Processor job openings:

Remote Medical Claims Processor jobs near you

Litigation Associate - Of Counsel (Remote)

Jackson Lewis

Greenville, SC • Remote

$120K - $216K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 18 days ago

Jackson Lewis rating

8.5

Company rating: 8.5 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

13th of 34 rated law firms

Job description

Focused on employment and labor law since 1958, Jackson Lewis P.C.'s 1,000+ attorneys located in major cities nationwide consistently identify and respond to new ways workplace law intersects business. We help employers develop proactive strategies, strong policies and business-oriented solutions to cultivate high-functioning workforces that are engaged and stable, and share our clients' goals to emphasize belonging and respect for the contributions of every employee.

The Firm is ranked in the First Tier nationally in the category of Labor and Employment Litigation, as well as in both Employment Law and Labor Law on behalf of Management, in the U.S. News - Best Lawyers "Best Law Firms".

This position is a remote Associate - Of Counsel attorney and is available nationwide in any state in which Jackson Lewis maintains an office. Applicants must be licensed to practice in California.

Summary of Position

Litigation Associate- Of Counsel (Remote) at Jackson Lewis, P.C. are an exempt attorney non-Principal track position encompassing litigation, charges, and demand letters. This role is available nationwide in any state in which Jackson Lewis maintains an office. The hours requirement for this role will be 1850.

Duties and Responsibilities:

  • Defend and litigate lawsuits involving a broad range of employment-related claims and agency charges

  • Advise, counsel, and train employers on various employment and labor law issues

  • Class Action/PAGA experience preferred but not required

  • Represent employers in court or arbitration, before administrative agencies, and at mediations in employment matters, including class/collective actions and discrimination, harassment, retaliation, wage and hour, contract, employment tort, and non-compete cases

Skills and Educational Requirements:

  • JD from ABA accredited law school, with excellent academic credentials

  • 4+ years of experience (to be considered for an Associate role) handling California employment litigation

  • To be eligible for consideration for an Of Counsel level remote role, you must generally have at least 9+ of relevant California experience and a demonstrated ability to operate in a first chair capacity

  • Must be admitted to the CA state bar and comply with all ethical requirements in the resident state, including being barred if required.

  • Understanding of current agency (state and federal) procedures

  • Excellent written and oral communication skills

  • Attention to detail and commitment to excellence

  • Ability to multitask in a fast-paced environment

  • Strong organizational, time management, and project management skills

  • Commitment to professionalism, collegiality, and teamwork

For California, Colorado, Connecticut, DC Region, Illinois, Maine, Maryland, Massachusetts, Minnesota, Nevada, New Jersey, New York, Ohio, Virginia, and Washington State, the expected salary range for this position is between $120,000 and $216,000. The actual compensation will be determined based on experience and other factors permitted by law.

This position is also eligible for annual bonuses.

Jackson Lewis offers a competitive benefits package that includes:

  • Medical, dental, vision, life and disability insurance
  • 401(k) Retirement Plan
  • Flexible Spending and Health Savings Account
  • 12 firm-paid holidays, paid vacation, and 1 hour of sick time for every 30 hours worked
  • Employee assistance program and other firm benefits

This job will be posted on July 6th, 2026, and we anticipate it will remain open for at least 30 days.

#LI-Remote

We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, national origin, gender, age, religion, disability, sexual orientation, veteran status, marital status or any other characteristics protected by law. For those applying for a position in the city of Los Angeles, the firm will consider for employment qualified applicants with a criminal history in a manner consistent with applicable federal, state and local law.

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