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Remote Medical Claims Processor Jobs in Providence, RI

Ourhrconnect

Reviewer II, Medical

Carolina, RI · On-site +1

Provides support and review of medical claims and utilization practices. Description Logistic ... This role is remote position for South Carolina, Georgia, North Carolina or Alabama. What You'll Do:

Bcbsri

Senior Medical Economics Analyst

Providence, RI · On-site +1

$93K - $140K/yr

... process. At BCBSRI, our greatest resource is our people. We come from varying backgrounds ... It's why we offer flexible work arrangements that include remote and hybrid opportunities and paid ...

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Remote Medical Claims Processor information

See Providence, RI salary details

$14

$19

$25

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

As of Sep 2, 2026, the average hourly pay for remote medical claims processor in Providence, RI is $19.67, according to ZipRecruiter salary data. Most workers in this role earn between $17.50 and $21.88 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 are popular job titles related to Remote Medical Claims Processor jobs in Providence, RI?

For Remote Medical Claims Processor jobs in Providence, RI, the most frequently searched job titles are:

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The top searched job categories for Remote Medical Claims Processor jobs in Providence, RI are:

What cities near Providence, RI are hiring for Remote Medical Claims Processor jobs?

Cities near Providence, RI 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 Providence, RI as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $40,907 per year, or $19.7 per hour.

Remote Medical Customer Service Agent

Transworld Systems Inc.

Carolina, RI • Remote

$15 - $16/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 8 days ago

Transworld Systems Inc. rating

4.8

Company rating: 4.8 out of 10

Based on 21 frontline employees who took The Breakroom Quiz

60th of 72 rated call and contact centers

Job description

Overview
After the submission of your application, you will receive an email with instructions to complete a series of assessments through our online platform, Harver. Completing this AI-powered assessment is required for prompt consideration of your application, as it serves as the initial screening in our employment process. 
 
Candidates hired for work-from-home positions will receive company-issued equipment. Additional details regarding equipment policies and procedures will be provided during the interview and onboarding process.
 

TSI is seeking a customer service agent with medical background to act as a centralized resource to facilitate quality gap closure. Will assist in scheduling and scheduling doctor appointments for patient exams. To be successful in this role, you will need to have at least one to two years of prior experience in a medical setting.

Work Location: This is a remote/work from home position 
Compensation: $15-$16/hour based on experience
 
Build Your Future! Come join our thriving team as a Remote Call Center Representative! We are seeking ambitious, self-motivated and driven people just like you for a rewarding career in the customer service arena.
 
 
Why should you consider TSI ?
  • Work from home
  • Paid training
  • Team-oriented work environment
  • Growth opportunity
  • Generous bonus opportunity
  • Comprehensive benefits package available: including medical, dental and vision, 401k retirement plan with employer matching, paid time off and paid holidays!

Responsibilities
  • Schedule appointments for patient consultations, procedures and follow-up visits with medical personnel via phone calls to patients
  • Updating/ requesting Dr appointments via EPIC client system, including but not limited to: Mammo; Colon; A1C; Neuropathy; WCC; Annual Wellness; Basic Metabolic; Panel; Dexa Bone Density; Hospital TCM; Fit Kit; Cologuard; Eye exam
  • Patient reminder and follow-up calls prior to next visits
  • Enter all patient data accurately in client system for medical reference
  • Coordinate with health care professionals about schedules, patients and any changes
  • Resolve scheduling conflicts as they occur
  • Maintains patient confidence and protects operations by keeping patient care information confidential
  • Serves and protects the physician or health care provider practice by adhering to professional standards, policies and procedures, federal, state, and local requirements, HIPAA, and Joint Commission on Accreditation of Healthcare Organizations (JCAHO) standards
  • Delivering compassionate support, attention, and assistance to patients

Qualifications
  • High School Diploma, GED or equivalent required
  • 1-2 years’ prior experience in a medical office setting
  • Experience with EPIC platform for patient scheduling required
  • Experience with clinical roles for the population health scope of work is a plus
  • Strong work ethic that exhibits high ethical and moral standards
  • Must be able to communicate effectively, with high interpersonal skills to assist patients

For Remote Positions:

  • The minimum internet speed requirements for remote work are as follows:
    • Broadband internet connection (No DSL, or Dial Up)
    • Hard wired connection required (no Wi-Fi, Wi-Fi hotspots)
    • Speed Test Results: 25 mbps download, 20 mbps upload

This job description is not an exclusive or exhaustive list of all job functions that a team member in this position may be asked to perform. Duties and responsibilities can be changed, expanded, reduced, or delegated by management to meet the business needs of the company.

We provide Equal Employment Opportunity for all individuals regardless of race, color, religion, gender, age, national origin, marital status, sexual orientation, status as a protected veteran, genetic information, status as a qualified individual with a disability and any other basis protected by federal, state or local laws.

Qualifications:
  • High School Diploma, GED or equivalent required
  • 1-2 years’ prior experience in a medical office setting
  • Experience with EPIC platform for patient scheduling required
  • Experience with clinical roles for the population health scope of work is a plus
  • Strong work ethic that exhibits high ethical and moral standards
  • Must be able to communicate effectively, with high interpersonal skills to assist patients

For Remote Positions:

  • The minimum internet speed requirements for remote work are as follows:
    • Broadband internet connection (No DSL, or Dial Up)
    • Hard wired connection required (no Wi-Fi, Wi-Fi hotspots)
    • Speed Test Results: 25 mbps download, 20 mbps upload

This job description is not an exclusive or exhaustive list of all job functions that a team member in this position may be asked to perform. Duties and responsibilities can be changed, expanded, reduced, or delegated by management to meet the business needs of the company.

We provide Equal Employment Opportunity for all individuals regardless of race, color, religion, gender, age, national origin, marital status, sexual orientation, status as a protected veteran, genetic information, status as a qualified individual with a disability and any other basis protected by federal, state or local laws.

Education:UNAVAILABLEEmployment Type: FULL_TIME

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