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Remote Medical Claims Processor Jobs in Milton, FL

Baptist Health Care

Coder I- Remote/CPC

Pensacola, FL · Remote

$20 - $26.50/hr

The Coder is responsible for ensuring that claims reflect accurate diagnosis as ordered by the ... The organization includesthree hospitals, four medical parks,Andrews Institute for Orthopaedic ...

Lantern

Strategy Analyst

Pensacola, FL · Remote

... process. Job Overview The Strategy Analyst / Associate is a high-visibility, hands-on, and dynamic ... This is a remote-first role with occasional (~1x month) travel. Responsibilities and Duties:

Quora

iOS Engineer -Remote

Pensacola, FL · Remote

$61.63 - $88.47/hr

Own the entire software development process from timeline estimation to coding, testing and release ... Quora offers a wide range of benefits including medical/dental/vision coverage, equity refreshers ...

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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 Milton, FL is $17.44, according to ZipRecruiter salary data. Most workers in this role earn between $15.53 and $19.38 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

Coder I- Remote/CPC

Baptist Health Care

Pensacola, FL • Remote

$20 - $26.50/hr

Full-time

Re-posted 25 days ago

Job description

Location Requirement: Candidates must reside in one of the following states- Florida, Alabama, or Georgia. If offered the position, will be required to come onsite in Pensacola, FL for orientation. 

The Coder is responsible for ensuring that claims reflect accurate diagnosis as ordered by the health care provider. This position validates that the coding methodology correctly reflects how the tests was performed and meets all state federal local and payer guidance.

Baptist Health Care is a not-for-profit health care system committed to improving the quality of life for people and communities in northwest Florida and south Alabama. The organization includesthree hospitals, four medical parks,Andrews Institute for Orthopaedic & Sports Medicine, and an extensive primary and specialty care provider network. With more than 4,000 team members, Baptist Health Care is one of the largest non-governmental employers in northwest Florida. 

Baptist Health Care, Inc. is an Equal Opportunity Employer. BHC maintains and enforces a policy that prohibits discrimination against any workforce members or applicants for employment because of sex, race, age, color, disability, marital status, national origin, religion, genetic information, or other category protected by federal, state or local law. Certain positions may require a Level 2 Background check through AHCA.  Additional information about this requirement can be found here: Florida Care Provider Background Screening Clearinghouse

Minimum Education

  • High School Diploma or Equivalent Required


Minimum Work Experience

  • 1-3 years coding experience or formal coding education Required


Licenses and Certifications

  • Certified Coding Specialist (CCS_AHIMA) Required or
  • Certified Coding Associate (CCA_AHIMA) Required or
  • Certified Professional Coder (CPC_AAPC) Required or
  • Certified Outpatient Coding (COC_AAPC) Required


 

  • Reviews patient medical records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines.
  • Applies sequencing guidelines to coded data according to official coding rules.
  • Reviews medical records to ensure appropriate documentation.
  • Responsible for being knowledgeable of coding and diagnostic procedures, as well as remaining current about federal legislative changes that affect outcome.
  • Communicate questions or concerns to the Coding Manager, HIM Services Director, or BHC's Revenue Integrity Department to ensure prompt resolution.
  • Works with medical staff to resolve coding issues and associated problems.
  • Reports and communicates any suspected coding inaccuracies in a timely manner.
Baptist Health Care logo

About Baptist Health Care

Sourced by ZipRecruiter

Baptist Health Care is a not-for-profit health care system committed to improving the quality of life for people and communities in northwest Florida and south Alabama. The organization includes three hospitals, four medical parks, Andrews Institute for Orthopaedic & Sports Medicine, and an extensive primary and specialty care provider network. With more than 4,000 team members, Baptist Health Care is one of the largest non-governmental employers in northwest Florida.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Pensacola, FL, US

Year founded

1951

Social media

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