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Remote Medical Claims Processor Jobs in Perry Hall, MD

System One

Lead Healthcare Product Owner

Baltimore, MD · Remote

$72/hr

Identify and resolve breakdowns/errors in the PA/claims process--pinpoint fail points and implement ... medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as ...

System One

Lead Healthcare Product Owner

Baltimore, MD · Remote

$72/hr

Identify and resolve breakdowns/errors in the PA/claims process--pinpoint fail points and implement ... medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as ...

CareFirst

Operations Supervisor (Remote)

Baltimore, MD · Remote

Functional areas may include but not limited to: installation, implementation, client support, client services, client administration, customer service, enrollment and eligibility, claims processing ...

USAA

Sr. Auto Appraiser - Field (Maryland)

Baltimore, MD · On-site +1

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Maintains accurate and current claim file documentation throughout the claims process for complex ...

micro1 AI

Medical Billing Specialist

Baltimore, MD · Remote

$50 - $80/hr

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Trace narrative claims to source records--tables, figures, listings, and protocols--to verify that ...

New

micro1 AI

Medical Writing Manager

Baltimore, MD · Remote

$50 - $80/hr

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Trace narrative claims to source records--tables, figures, listings, and protocols--to verify that ...

New

Global Alliant Inc

Clinical Analyst

Baltimore, MD · Remote

Remote JobDuration: Contract / FTE Client: Federal Criteria-Need US citizenshipbecause of federal ... Claims, denials, billing or medical-necessity review * Provider communication / provider calls ...

New

Global Alliant Inc

Clinical Analyst

Baltimore, MD · Remote

Remote JobDuration: Contract / FTE Client: Federal Criteria-Need US citizenshipbecause of federal ... Claims, denials, billing or medical-necessity review * Provider communication / provider calls ...

New

Global Alliant Inc

Clinical Analyst

Baltimore, MD · Remote

Remote Job Duration: Contract / FTE Client: Federal Criteria- Need US citizenship because of ... Claims, denials, billing or medical-necessity review * Provider communication / provider calls ...

New

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All JobsMedical Claims Processor JobsRemote Medical Claims Processor JobsRemote Medical Claims Processor Jobs in Perry Hall, MD

Remote Medical Claims Processor information

See Perry Hall, MD salary details

$13

$18

$24

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

As of Aug 7, 2026, the average hourly pay for remote medical claims processor in Perry Hall, MD is $18.59, according to ZipRecruiter salary data. Most workers in this role earn between $16.54 and $20.67 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 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?

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
What cities near Perry Hall, MD are hiring for Remote Medical Claims Processor jobs? Cities near Perry Hall, MD 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 Perry Hall, MD as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 16% Part Time, and 5% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $38,666 per year, or $18.6 per hour.

Lead Healthcare Product Owner

System One

Baltimore, MD • Remote

$72/hr

Contractor

Medical, Dental, Vision, Life, Retirement

Re-posted 16 days ago

Job description

Lead Product Owner / Business Integration Lead (Prior Authorization) Location/Work model: 100% Remote (must work Eastern Time core hours) Type: Contract (~7 months, Possible extension) Compensation: $72/HR
About the role We’re looking for a Lead Product Owner / Business Integration Lead to stabilize and improve end-to-end Prior Authorization (PA) operations and the supporting technology/process integrations. This is a true hybrid role (Product Owner + Business Integration Lead) focused on fixing real breakdowns in the PA-to-claims flow—identifying failure points, driving corrective action, and delivering improvements that impact accuracy, turnaround time, and provider experience. This role is ideal for someone who has deep payer-side PA domain expertise and can confidently partner across clinical, IT, claims, and operations to drive solutions through to completion. Must-have systems/standards:
  • FACETS (including claims-to-operations “matching”)
  • GuidingCare (especially downstream workflow after the authorization leaves GuidingCare)
  • EDI 278
What you’ll do (Day-to-day)
  • Own end-to-end Prior Authorization (PA) program delivery across clinical, technical, and operational teams.
  • Lead requirements work: gather, document, validate, and manage functional/non-functional requirements, translating them into user stories and acceptance criteria.
  • Drive cross-functional execution across multiple workstreams: stakeholder workshops, design reviews, issue triage, and delivery planning.
  • Identify and resolve breakdowns/errors in the PA/claims process—pinpoint fail points and implement fixes/workarounds with clinical + IT teams.
  • Lead UAT planning and execution: test plans, defect documentation, coordination of fixes, and release readiness.
  • Track and improve PA performance metrics (e.g., turnaround time, denials, provider friction, auto-decision rates).
  • Support change communications/training and provide guidance to other analysts.
Must-Haves (Required) Domain / Experience
  • Deep end-to-end Prior Authorization expertise (not just general “healthcare IT”).
  • 15+ years in payer operations / healthcare delivery / utilization management / PA programs.
  • 8–10+ years operating as a Product Owner (or equivalent end-to-end product delivery lead) in a payer/healthcare environment.
  • Proven ability to lead large, cross-functional, multi-workstream initiatives and drive outcomes to closure.
  • Strong skills in requirements, stakeholder management, process/systems analysis, issue management, and executive-ready communication.
Systems / Workflow Knowledge (must be able to speak to the flow end-to-end)
  • FACETS: working knowledge of claims-to-operations “matching” and how PA/claims flow connects downstream (this is emphasized as critical).
  • GuidingCare: working knowledge, especially what happens after the authorization leaves GuidingCare.
  • EDI 278 experience/knowledge.
Nice-to-Haves (Preferred)
  • MBA (Bachelor’s required or equivalent additional relevant experience).
  • Prior experience helping drive a “task force” / stabilization effort where there are ongoing errors and high-visibility corrective actions.
Education
  • Bachelor’s degree in Business Administration/Management/Finance (or related) or equivalent experience
  • MBA preferred
Quick “Must-Have Keywords” (for screening/search) Prior Authorization (PA) | Utilization Management | Product Owner | Business Integration | FACETS | Claims matching | GuidingCare | EDI 278 | UAT | Requirements | User stories | Acceptance criteria

System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.

#M-1 #LI-AJ1 Ref: #851-Rockville-S1