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Remote Medical Claims Processor Jobs in Raleigh, NC

AMM Healthcare

RCM Coder

Cary, NC · Remote

$17.25 - $23.25/hr

Atlantic Medical Management is currently hiring for professional Medical Coding Specialist who is ... This is a remote position and candidates must be located in North Carolina. Essential Functions

ExtensisHR

Coding Denial Specialist

Durham, NC · Remote

$26 - $28/hr

... it comes to medical billing services. Our reputation for submitting clean claims that get ... This full-time remote position is responsible for accurately correcting coding-related denials for ...

Scribe-X

Medical Scribe (Remote)

Raleigh, 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 ...

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All JobsMedical Claims Processor JobsRemote Medical Claims Processor JobsRemote Medical Claims Processor Jobs in Raleigh, NC

Remote Medical Claims Processor information

See Raleigh, NC salary details

$13

$18

$25

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

As of Jun 8, 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 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 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.
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 62% Full Time, 8% Part Time, 2% Temporary, 27% Contract, and 1% Nights. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $39,360 per year, or $18.9 per hour.

Commercial General Liability Claims Representative

KING'S INSURANCE STAFFING LLC

Raleigh, NC • On-site, Remote

$80K - $90K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 23 days ago

Job description

Our client, an A-rated Insurance Carrier, is seeking to add a Commercial General Liability Claims Representative to their Phoenix, AZ team. This person would be responsible for directly handling moderate non-litigated Commercial General Liability claims including Slip and Falls, Premise Liability, Bodily Injury, Garagekeepers, and Inland Marine losses throughout the country. Responsibilities of this position include coverage analysis, investigation, evaluation, negotiation, and settlement of assigned claims. This person would have the ability to work remotely.
  • Handle a pending of 90 – 110 Commercial General Liability files.
  • Analyze coverage as it relates to the facts and allegations of the claim.
  • Prepare Reservation of Rights and Declination of Coverage letters.
  • Possess strong litigation management skills to aggressively manage litigation activities, budgets and claim outcomes while considering the overall impact to the customer and company.
  • Perform coverage, liability, and damage analysis on all claim’s assignments
  • Investigate allegations and determine facts based on evidence and interviews
  • Maintain a high level of communication internally with Claims Management team and externally with Insureds, claimants, attorneys, and brokers.
  • Identify and pursue appropriate cost containment, loss mitigation and subrogation recovery opportunities.
Requirements:
  • 1 - 4+ years of Commercial General Liability and/or Commercial Auto Bodily Injury claims experience.
  • Must have experience working directly for an Insurance Carrier.
  • Must be experienced in reviewing and analyzing coverage.
  • Must hold an active adjuster’s license.
  • Strong verbal and written communication skills, including the capability to write routine reports and correspondence, speak effectively before groups of customers or employees and handle litigations and negotiations.
  • Bachelor's Degree strongly desired but not required.
Salary/Benefits:
  • $80,000 - $95,000+ annual base salary plus 10-20% bonus
  • Ability to work remotely
  • Extremely competitive Medical, Dental, Vision and Life plans
  • Employer matching 401(k) plan
  • Lucrative PTO plan
  • Promotional opportunities very likely