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Remote Medical Claims Processor Jobs in Raleigh, NC

Accenture

Home Equity Loan Processor

Raleigh, NC · Remote

$23.13 - $48.13/hr

This is a remote opportunity; must be located within 100 miles of a local Accenture office. * Must ... Accenture offers a market competitive suite of benefits including medical, dental, vision, life ...

Erie Insurance

Property Adjuster (Trainee)

Cary, NC · On-site +1

$50K - $80K/yr

Low contributions to medical and prescription premiums. We currently pay up to 97% of employees ... Learns and assists in claims handling operations and processes. Duties and Responsibilities

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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 9, 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 June 2026, with employment types broken down into 77% Full Time, 15% Part Time, and 8% Contract. Highlights an 100% Remote job distribution, with an average salary of $39,360 per year, or $18.9 per hour.
Provider Support Line Specialist (Full-time Remote, North Carolina Based)

Provider Support Line Specialist (Full-time Remote, North Carolina Based)

Alliance

Morrisville, NC • On-site, Remote

$22.90 - $29.19/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago

Job description

The Provider Support Line Specialist handles calls from providers and answers questions about joining the network, contracts, enrollment, billing, member information, navigating the EHR, claims submissions, authorization requests, onboarding into our network, troubleshooting various technology platforms, and NCTracks
The Provider Helpdesk is open Monday through Saturday 7AM to 6:30PM, Employee schedules may vary to cover the Helpdesk and will include working holidays.
This position is full-time remote opportunity. The selected candidate must reside in North Carolina.
Responsibilities & Duties
Provide coverage of the Provider Network Helpdesk phone within Department expectations
  • Guide providers through process of initiating credentialing during times of network expansion
  • Assist providers in navigating the EHR and other portal platforms
  • Respond to requests for information in writing and over email
  • Assist providers in navigating the provider handbook, the Alliance website, forms lists, and other resources
  • Assist providers by troubleshooting basic IT issues, including resetting and changing passwords
  • Assist providers in navigating NCTracks
  • Respond to question regarding claims and UM requirements
  • Conduct research across agency procedures, software, and agency contacts to correctly respond to complex provider questions
  • Identify and report trends of requests/communications that come through the Helpdesk and communicate information to Supervisor
  • Contact Providers regarding use of EHR calendar, and maintaining the agency listing

Maintain departmental resources and provide administrative support
  • Assist in maintaining list of provider specialties
  • Maintain departmental Agency Listing to include basic information on physical health, behavioral health, IPRS, Spanish-Speaking, crisis, and enhanced-service providers
  • Maintain Insurance tracking database, current availability, and contract status of providers
  • Document work in supported software to meet expectations of oversight agencies
  • Screen and route materials
  • Provide receptionist and telephone services
  • Proofread documents as requested
  • Monitor and complete tasks related to incoming emails in the department inbox.

Knowledge, Skills, & Abilities
  • Knowledge of computerized record-keeping techniques
  • Knowledge of and experience with records, reports and file maintenance.
  • Proficient with Microsoft Office suite
  • Proficient with grammar, spelling, punctuation and vocabulary
  • Skilled at organizing work to meet schedules and timelines
  • Ability to read, interpret and disseminate information regarding state laws, rules, regulations and policies related to enrollment
  • Ability to communicate effectively both in oral and written form
  • Ability to understand and follow oral and written directions
  • Ability to exercise tact and discretion in working with confidential or sensitive information
  • Ability to work independently with little direction
  • Ability to establish and maintain effective working relationships with others
  • Ability to analyze situations accurately and adopt an effective course of action

Minimum Education & Experience
High School diploma or equivalent and three (3) years of office experience;
or
Bachelor's degree in Business or a closely related field
Preferred:
Healthcare experience preferred.
Salary Range
$22.90 -$29.19/hourly
Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity.
An excellent fringe benefit package accompanies the salary, which includes:
  • Medical, Dental, Vision, Life, Long Term Disability
  • Generous retirement savings plan
  • Flexible work schedules including hybrid/remote options
  • Paid time off including vacation, sick leave, holiday, management leave
  • Dress flexibility

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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