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Remote Medical Claims Processor Jobs in Raleigh, NC

Scribe-X

Remote Medical Scribe

Durham, NC · Remote

$14 - $17/hr

Work for a company that understands the med school application process and supports your healthcare goals. Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider ...

Erie Insurance

Inside Claims Representative I

Cary, NC · On-site +1

$44.94K - $71.78K/yr

Raleigh Office- Remote Salary Range: $44,936.00 - $71,781.00 * salary range is for this level and ... Low contributions to medical and prescription premiums. We currently pay up to 97% of employees ...

Erie Insurance

Inside Claims Representative I

Raleigh, NC · On-site +1

$44.94K - $71.78K/yr

Remote Salary Range: $44,936.00 - $71,781.00 * salary range is for this level and may vary based on ... Low contributions to medical and prescription premiums. We currently pay up to 97% of employees ...

Erie Insurance

Inside Claims Representative I

Raleigh, NC · On-site +1

$44.94K - $71.78K/yr

Remote Salary Range: $44,936.00 - $71,781.00 * salary range is for this level and may vary based on ... Low contributions to medical and prescription premiums. We currently pay up to 97% of employees ...

On Call Counsel

Remote Litigation Attorney

Raleigh, NC · Remote

$41.75 - $43.75/hr

... claims and improvements in special education services and payment processes. This initiative ... Remote Work Skills : Dedicated workspace, reliable Wi‐Fi, and comfort with virtual tools like ...

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Remote Medical Claims Processor information

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$13

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

As of Jun 1, 2026, the average hourly pay for remote medical claims processor in Raleigh, NC is $18.92, according to ZipRecruiter salary data. Most workers in this role earn between $16.83 and $21.01 per hour, depending on experience, location, and employer.

What Is the Job of 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, and why are they important?

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.

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 the most commonly searched types of Medical Claims Processor jobs in Raleigh, NC? The most popular types of Medical Claims Processor jobs in Raleigh, NC are:
What are popular job titles related to Remote Medical Claims Processor jobs in Raleigh, NC? For Remote Medical Claims Processor jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Remote Medical Claims Processor jobs in Raleigh, NC look for? The top searched job categories for Remote Medical Claims Processor jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Remote Medical Claims Processor jobs? Cities near Raleigh, NC 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 Raleigh, NC as of May 2026, with employment types broken down into 99% Full Time, and 1% Part Time. Highlights an 33% Physical, 34% Hybrid, and 33% Remote job distribution, with an average salary of $39,360 per year, or $18.9 per hour.
Remote Medical Support Assistant (Medical Receptionist)

Remote Medical Support Assistant (Medical Receptionist)

Ansible Government Solutions

Durham, NC • On-site, Remote

$15.75 - $19.25/hr

Full-time

Posted 8 days ago

Job description

Overview
Ansible Government Solutions, LLC (Ansible) is currently recruiting Remote Medical Support Assistants (MSA) to support the Durham VA Medical Center located at 508 Fulton St. Durham, NC 27705. Working hours are Mon-Fri, 8:00am-4:30pm. Weekend coverage may be required on a rotational basis. Competitive packages are available for qualified candidates.
Ansible Government Solutions, LLC (Ansible) is a Service-Disabled Veteran-Owned Small Business (SDVOSB) providing Federal customers with solutions in many arenas. Our customers face wide-ranging challenges in the fields of national security, health care, and information technology. To address these challenges, we employ intelligent and committed staff who take care of our customers' success as if it is their own.
Responsibilities
  • Schedule, cancel, and re-schedule patient appointments and/or consults; enter no-show information; prepare for clinic visits; and monitor appointments and consults.
  • Provide general reception support in the Release of Information (ROI) offices at various medical centers.
  • Scan insurance cards, protect secure information, and complete all insurance buffer (ICB) encounters required by ICB.
  • Scanning of records and documents into an Electronic Medical Record (EMR) to support HIM functions at medical centers.
  • Make outgoing and receive incoming phone calls.
  • Review requests for reimbursement of travel costs and reconcile claims/vouchers for payments using electronic systems.
  • Review ambulance claims for eligibility and payment.
  • Assist in arranging transportation for eligible patients and work with clinical teams to request appropriate mode of transportation.
Qualifications
  • Citizen of the United States of America.
  • Ability to speak clearly, hear and write English.
  • Utilize computer programs appropriately, usually involving spreadsheets, word processing, etc.; log in; type 40-50 wpm with minimum errors.
  • Heavy phone and computer usage, often simultaneously.
  • Familiarity with medical terminology, hospital terminology and/or clinics.
  • Technically proficient in the skills necessary to fulfill the government's requirements; will be provided training by the SFVAHS on appointment management, VA policy and procedures.
  • Have the following experience or education (or combination of both) to meet minimum qualifications for employment:
    • Six months experience of clerical, office, customer service, or other administrative work that indicates the ability to acquire the knowledge and skills needed to perform the duties of the position. Applicants can substitute one year of education above high school to qualify.
    • One year of education above high school or one to two years of related job experience.
    • Experience/Education combination: Equivalent combination of experience and education qualify for an entry level position for which both education and experience are acceptable.
  • Ability to pass a required level of security clearance (NACI-level background check).
  • No sponsorship available

All candidates must be able to:
  • Sit, stand, walk, lift, squat, bend, twist, and reach above shoulders during the work shift
  • Lift up to 50 lbs from floor to waist
  • Lift up to 20 lbs
  • Carry up to 40 lbs a reasonable distance
  • Push/pull with 30 lbs of force

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

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