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Remote Medical Claims Processor Jobs in Merced, CA

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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 7, 2026, the average hourly pay for remote medical claims processor in Merced, CA is $20.56, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $22.84 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.

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Remote Medical Claims Processor jobs near you

Territory Sales Manager - Fresno, CA

Air Evac Lifeteam

Merced, CA • On-site, Remote

$75K - $180K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 6 days ago

Job description

More Information about this Job

Membership Sales Manager - Fresno, CA

Location: Hybrid (90% field-based within the market; 10% remote)

Candidate must live within 50 to 75 miles of Fresno, CA

On Target Earnings: $75,785.28 - $180,000

Two fixed base salary options are available - $35,000 or $45,000 (nonnegotiable).

Includes Car Allowance and Uncapped Commission

We are seeking a dynamic and community-oriented e Territory Sales Manager to generate leads and sales for our AirMedCare Network membership via local B2C and B2B channels. Through local community engagement, you will build a robust pipeline of business to support the territory's budgets while also contributing to your team's total budget. The ideal candidate will have a strong background in sales, particularly in healthcare membership or insurance services, and a passion for community outreach.

AirMedCare Network (AMCN) is part of Global Medical Response (GMR) - the largest medical transportation company in the world. AMCN delivers compassionate, quality medical care, primarily in the areas of emergency and patient relocation services in the United States. We offer unique membership programs including emergent air, Fly-U-Home and ground ambulance.

 Responsibilities: 

  • Drive Local Impact: Spend approximately 90% of your time in the field, engaging with local businesses (70% B2B focus) and individual consumers (30% B2C focus) to promote AMCN membership programs.
  • Develop Relationships: Identify and cultivate new leads through cold calling, referrals, community events, and networking opportunities.
  • Sales Process Management: Navigate the full sales cycle from initial contact to closing, ensuring a consultative approach that addresses the unique needs of each prospect.
  • Champion with Purpose: Participate in local events and establish partnerships with community organizations to enhance brand visibility and trust.

A Day in the Life of a Territory Sales Manager:

  • Planning: Review daily goals, schedule appointments, and strategize outreach efforts.
  • Field Activities: Visit local businesses, attend community events, and meet with potential members to discuss the benefits of AMCN membership.
  • Relationship Building: Foster strong relationships with community leaders and business owners to establish long-term partnerships.

Qualifications: 

  • Education: High school diploma (or equivalent), valid driver's license, and a clean driving record.
  • Sales Expertise: 3 years previous B2C or B2B solutions field sales experience including cold calling and prospecting, preferred.
  • Industry Knowledge: Working knowledge of emergency medical transport, preferred.

Why Choose GMR (GMR) and its family of solutions are dedicated to delivering compassionate, quality medical care, primarily in the areas of emergency and patient relocation services. Here you'll embark in meaningful work that will make an impact on you and the customers we service. View our employees' stories on how we provide care to the world at www.AtaMomentsNotice.com.

Learn how our values are at the core of our services and vital to how we approach care and check out our comprehensive benefit options at GlobalMedicalResponse.com/Careers.

EEO Statement

Global Medical Response and its family of companies are an Equal Opportunity Employer, which includes supporting veterans and providing reasonable accommodations for individuals with a disability.

More Information about this Job

The on-target earning range is $75,785.28 - $180,000.

Check out our careers site benefits page to learn more about our comprehensive benefit options, which include medical, vision, dental, 401k, disability, FSA, HSA, EAP, vacation and paid time off.

Employment Type: FULL_TIME

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