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Remote Medical Claims Processor Jobs in Providence, RI

Ourhrconnect

Analyst, Appeals

Carolina, RI · On-site +1

This is a full-time position (40 hours per week), working Monday through Friday in a fully remote ... Experience in medical claims processing, appeals, or coding strongly preferred * Medicare Part B ...

Ourhrconnect

Analyst, Appeals

Carolina, RI · On-site +1

This is a full-time position (40 hours per week), working Monday through Friday in a fully remote ... Experience in medical claims processing, appeals, or coding strongly preferred * Medicare Part B ...

Bcbsri

Director Payment Integrity

Providence, RI · On-site +1

$116K - $187K/yr

... including claims processing, contractual language, and industry standard coding conventions ... Remote: onsite 0-1 days per week. Permitted to reside in the following states, pending approval ...

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All JobsMedical Claims Processor JobsRemote Medical Claims Processor JobsRemote Medical Claims Processor Jobs in Providence, RI

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 3, 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

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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.

Claims Advocate/Paralegal

Chisholm Chisholm & Kilpatrick Ltd.

Providence, RI • On-site, Remote

$43K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 3 days ago

Job description

Job Type
Full-time
Description
Chisholm Chisholm & Kilpatrick (CCK) is a private, public-interest law firm offering rewarding work with a focus on disabled military veterans and their families, as well as a wide range of other individuals who have been denied life, health, and disability benefits. We are committed to building an inclusive team that reflects the diversity of our clients.
The Role:
We are seeking a Claims Advocate / Paralegal to join our growing Veterans Law practice. In this task-oriented and independent role, you will support case development by gathering information, drafting legal documents, conducting research, and preparing assessments. Success is measured by timeline, accurate task completion, and continuous development of knowledge in the practice area.
Responsibilities:
  • Conduct research, review client files, and prepare assessments as directed concerning theories, strategy, and/or arguments in support of Agency clients' cases
  • Draft development, claims, arguments, appeals, and motions for clients' cases
  • Prioritize the completion of case core work and assignments, meet internal deadlines as set by Senior Claims Advocates, Lead Advocates, and management, and ensure that assignments are completed to meet external (i.e., VA) deadline
  • Conduct interviews and promptly draft corresponding declarations with clients and third parties (e.g., client family members, friends, employers) in support of their claims
  • Update CCK's case management program files with all pertinent correspondence and information needed for reporting
  • Develop an understanding of pertinent case law, etc. for application in draft claims, arguments, and appeals
  • Attend training sessions
  • Coordinate with other Claims Advocates, Client Advocates, Senior Claims Advocates, and Lead Advocates as necessary to accomplish workload objectives
  • Complete all additional training as assigned by your supervisor
  • Assist team with the training of new Claims Advocates and Client Advocates as needed

Requirements
  • High School degree required; Bachelor's degree or equivalent experience in a related field preferred
  • 2+ years of working experience or training preferred
  • Fluency in English; Bilingual in Spanish is a plus
  • Demonstrated leadership skills
  • Excellent written and verbal communication skills and the ability to communicate responsibly
  • Detail-oriented with the ability to prioritize tasks and meet deadlines
  • Ability to work well in a team-oriented environment
  • Proficiency with standard office equipment and software• Basic knowledge of Microsoft Office, Outlook and Adobe Acrobat
  • Ability to successfully obtain and maintain a Personal Identity Verification (PIV) card and required VA network access, which includes a government background check, is required for this position.

Compensation & Benefits:
  • Starting Salary: $43,775 per year. Relevant VA law experience (2+ years) may increase starting salary.
  • Opportunities for skills development and commensurate salary advancement.
  • Medical, Dental, and Vision coverage, including employer-paid medical insurance for employees
  • Gym membership reimbursement
  • 15 days of PTO (increasing with tenure) plus 12 paid company holidays in 2026
  • 401k matching
  • Paid Parental Leave

Work Location & Schedule:
  • Work Schedule: This is a full-time position, Monday through Friday. You may choose one of the following shifts: 8:00-4:30 pm ET or 8:30 - 5:00 pm ET with a 30-minute lunch period.
  • This role is available onsite at our Providence, RI Headquarters or remotely in the following states: CO, CT, FL, GA, IL, LA, ME, MA, NJ, NC, OH, RI, SC, TX, UT, VA; Rhode Island employees may choose a hybrid schedule.
  • Remote employees must maintain a professional workspace and reliable internet (minimum 30 Mbps upload speed)
  • Flexible scheduling may be available after six months, based on performance.

Application Materials:
  • Resume
  • Cover Letter
  • Transcript (if graduated in the last 3 years)

Later stages of the interview process include an assessment, internet speed test, and a reference check.
For additional information about the position, check out our blog
CCK provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
#LI-CCK
Salary Description
Starting salary is $43,775

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