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Remote Medical Claims Processor Jobs in Pearl, MS

FCCI Insurance Group

Medical Case Manager

Ridgeland, MS · On-site +1

$62K - $96K/yr

... claims. The selected new hire will provide coordination and evaluation of medical care to assigned ... remote. In exchange for your talents, FCCI offers competitive salaries and an excellent benefits ...

Army National Guard Units

HR ASST

Jackson, MS · On-site +1

$50K - $65K/yr

The position is remote from the Human Resource Office (HRO). The primary function of this position ... Provides assistance and guidance in the processing classification appeals. Assists with ...

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Remote Medical Claims Processor information

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$12

$16

$22

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

As of Aug 27, 2026, the average hourly pay for remote medical claims processor in Pearl, MS is $16.81, according to ZipRecruiter salary data. Most workers in this role earn between $14.95 and $18.65 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 Pearl, MS are hiring for Remote Medical Claims Processor jobs?

Cities near Pearl, MS 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 Pearl, MS as of August 2026, with employment types broken down into 86% Full Time, 7% Part Time, and 7% Contract. Highlights an 100% Remote job distribution, with an average salary of $34,958 per year, or $16.8 per hour.

Collections Specialist

Brandon, MS • Remote

Defining Wellness Centers LLC
Offices of Mental Health Practitioners • 1 - 10 employees
Learn more about Defining Wellness Centers LLCexternal

$50K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 26 days ago

Job description

Position Summary

We are seeking a skilled and driven Collections Specialist with experience in both medical claims billing and AR follow-up. This is a remote position. Accountable for managing the full spectrum of revenue cycle activities — from insurance claim submission, follow-up, and appeals to robust collections on outstanding accounts within a behavioral health setting.

Key Responsibilities

Claims Management
  • Monitor claim status and timely resubmit corrected or appealed claims to maximize reimbursement.
  • Work denials and underpayments — investigate payor responses, correct errors, and reprocess as needed.
  • Maintain detailed claim logs, documentation, and daily status reports.
    • Accounts Receivable & Collections

    Track accounts receivable aging and proactively follow up on unpaid or overdue claims.

    Communicate professionally with insurance carriers to resolve claim issues and negotiate payment when necessary.

    Initiate patient and third-party follow-up for collection of unpaid balances.

    Record and reconcile insurance and patient payments accurately.

    Report on collection activity and account status to leadership.

    Qualifications

    2–3+ years of experience with medical billing, claims follow-up, and collections — preferably in behavioral or mental health settings.

    Proficiency in working with insurance carriers and resolving complex payor issues.

    Strong attention to detail and analytical skills for tracking accounts receivable and denials.

    Excellent communication skills (written and verbal).

    Proficient with Microsoft Excel and billing/EMR systems (experience with Collaborate MD and Sunwave or similar software is a plus).

    Ability to manage multiple workflows and deadlines independently.

    Preferred:

    Knowledge of CPT, ICD-10, and healthcare reimbursement rules.

    Experience with appeals, corrected claims, and payer negotiations.

    Benefits

    Health Insurance

    Dental Insurance

    Vision Insurance

    Paid Time Off

    Work Environment

    Full-time, Remote

    Pay: From $50,000.00 per year

    Benefits:

    Dental insurance

    Health insurance

    Life insurance

    Paid time off

    Vision insurance

    401k

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