2

Remote Medical Claims Processor Jobs in Raleigh, NC

Certified Coder - Remote

Oxford, NC · On-site +1

$20.75 - $28.25/hr

Responsible for interacting with the Insurance Department for timely processing of claims. Responsible for abstracting diagnoses from the medical records into the hospital health information system ...

Certified Coder - Remote

Oxford, NC · Remote

$20.75 - $28.25/hr

Responsible for interacting with the Insurance Department for timely processing of claims. Responsible for abstracting diagnoses from the medical records into the hospital health information system ...

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 ...

Hospital Billing Operator

Raleigh, NC · Remote

$17.75 - $22.75/hr

As an Epic Hospital Billing Analyst, you will help review and submit hospital claims, resolve billing issues, and work across teams to reduce avoidable denials. This is a primarily remote role ...

Revenue Cycle Representative

Raleigh, NC · On-site +1

$18.12 - $25.51/hr

Process paper correspondence as assigned. Performs all duties in a manner which promotes teamwork ... Research medical records to gather information and substantiate medical justification for ...

New

Revenue Cycle Representative

Chapel Hill, NC · On-site +1

$18.12 - $25.51/hr

Process paper correspondence as assigned. Performs all duties in a manner which promotes teamwork ... Research medical records to gather information and substantiate medical justification for ...

Revenue Cycle Representative

Raleigh, NC · On-site +1

$18.12 - $25.51/hr

Process paper correspondence as assigned. Performs all duties in a manner which promotes teamwork ... Research medical records to gather information and substantiate medical justification for ...

New

Revenue Cycle Representative

Raleigh, NC · On-site +1

$18.12 - $25.51/hr

Process paper correspondence as assigned. Performs all duties in a manner which promotes teamwork ... Research medical records to gather information and substantiate medical justification for ...

New

Revenue Cycle Representative

Raleigh, NC · On-site +1

$18.12 - $25.51/hr

Process paper correspondence as assigned. Performs all duties in a manner which promotes teamwork ... Research medical records to gather information and substantiate medical justification for ...

New

Revenue Cycle Representative

Raleigh, NC · On-site +1

$18.12 - $25.51/hr

Process paper correspondence as assigned. Performs all duties in a manner which promotes teamwork ... Research medical records to gather information and substantiate medical justification for ...

New

Revenue Cycle Representative

Raleigh, NC · On-site +1

$18.12 - $25.51/hr

Process paper correspondence as assigned. Performs all duties in a manner which promotes teamwork ... Research medical records to gather information and substantiate medical justification for ...

New

next page

Showing results 1-20

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 Jul 14, 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.
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 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:
Infographic showing various Remote Medical Claims Processor job openings in Raleigh, NC as of July 2026, with employment types broken down into 66% Full Time, 17% Part Time, and 17% Contract. Highlights an 100% Remote job distribution, with an average salary of $39,360 per year, or $18.9 per hour.
Certified Coder - Remote

Certified Coder - Remote

Granville Health System

Oxford, NC • On-site, Remote

$20.75 - $28.25/hr

Part-time

Posted 8 days ago


Granville Health System rating

8.6

Company rating: 8.6 out of 10

Based on 5 frontline employees who took The Breakroom Quiz


Job description

Responsible for interacting with physicians and other patient care providers in coding admission, principle, and secondary diagnoses and coding principal and secondary procedures to promote appropriate reimbursement for outpatient clinical coding. Responsible for interacting with the Insurance Department for timely processing of claims. Responsible for abstracting diagnoses from the medical records into the hospital health information system for timely billing. Performs within the prescribed limits of the hospital's/ department's Ethics and Compliance program. Will detect, observe and report compliance variances to the Director of Health Information Management, the Compliance Officer, and hospital hotline.
Minimum Qualifications
Must be experienced in ICD-10-CM coding. Completion of a Medical Coding Certificate or CAHIM accredited coding diploma program is preferred or 3 years of IDC-10-CM and CPT coding experience in a healthcare setting with validation of coding performance within the national standard. Must have initiative and judgment required to collect and analyze medical record data. Must be able to work well under pressure and in conditions of continuous interruptions. Must have effective written and oral communications skills. Must have computer skills.

What Granville Health System employees say

Pay

Hours and flexibility

Workplace

Get the full story on Breakroom