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Remote Medical Claims Processor Jobs in Remote, OR

Team8

Bluespine-Sr. FWA Analyst

OR · On-site +1

... medical coding, DRG methodologies, CPT/HCPCS coding guidelines, physician specialty guidelines, reimbursement programs, claims adjudication processes, member contract benefits, regulatory agency ...

1st Choice, LLC

Be Seen First

Remote Sr Inpatient Coder - Trauma Experience Required

OR · Remote

$40 - $48/hr

... with medical staff, clinical staff, and clinical documentation specialists * Analyze, code, and ... Monitor assigned workload daily to support timely billing processes * Code and abstract records ...

Bekaert

T&I Project Technician

Myrtle Point, OR · On-site +1

$16.25 - $22/hr

You bring application expertise directly to the field, resolving quality claims, conducting ... Strong understanding of T&I processes, machinery operation, and production technologies. * Problem ...

Sapiens

Sales Executive, L&A

OR · On-site +1

Remote This Sales Executive is responsible for generating new insurance software sales and services ... Utilize sales methodologies, processes, and best practices to increase the probability of success;

Sapiens

Sales Executive, L&A

OR · On-site +1

Remote This Sales Executive is responsible for generating new insurance software sales and services ... Utilize sales methodologies, processes, and best practices to increase the probability of success;

Sapiens

Pre-Sales Engineer, Workers' Comp

OR · On-site +1

Remote (US) Sapiens is on the lookout for a Pre-Sales Engineer, WC to become a key player in our ... Leading the benefits assessment process and developing customized ROI/ROR analysis * Architecting ...

Project Sapiens

Sales Executive, L&A

OR · Remote

Remote This Sales Executive is responsible for generating new insurance software sales and services ... Utilize sales methodologies, processes, and best practices to increase the probability of success;

Project Sapiens

Sales Executive, L&A

OR · Remote

Remote This Sales Executive is responsible for generating new insurance software sales and services ... Utilize sales methodologies, processes, and best practices to increase the probability of success;

Sapiens

Manager, channel enablement and certification

OR · On-site +1

$142K - $143K/yr

Remote Position Summary: The Manager, Channel Enablement & Certification is responsible for ... Each country has a local flavor, but here's what you can expect during our recruitment process:

Sapiens

Value Engineer

OR · On-site +1

Remote The Value Engineer plays a critical role at the intersection of sales , product , and ... Lead discovery sessions with customer executives to understand business processes, KPI gaps, and ...

Sapiens

Renewal Operations Manager

OR · On-site +1

Remote - North America Position Summary: Sapiens is building a dedicated renewal function - and you ... You will own a defined segment of the NA renewal book, managing the commercial renewal process end ...

Sapiens

Senior Project Manager

OR · On-site +1

Remote Sapiens is on the lookout for a Sr. Project Manager (SNAP) to become a key player in our ... Each country has a local flavor, but here's what you can expect during our recruitment process:

Sapiens

Sales Executive, P&C

OR · On-site +1

Remote This Sales Executive is responsible for generating new insurance software sales and services ... Utilize sales methodologies, processes, and best practices to increase the probability of success;

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Showing results 1-20

All JobsRemote Medical Claims Processor JobsRemote Medical Claims Processor Jobs in Remote, OR

Remote Medical Claims Processor information

See Remote, OR salary details

$13

$19

$25

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

As of Jun 29, 2026, the average hourly pay for remote medical claims processor in Remote, OR is $19.45, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $21.63 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.

How much do remote medical billers make in the US?

Remote medical billers in the US typically earn between $15 and $25 per hour, with annual salaries ranging from approximately $30,000 to $52,000. Compensation varies based on experience, certifications, and the complexity of claims processed.

How can I make $70,000 a year working from home?

A remote medical claims processor can earn $70,000 annually by gaining experience, developing strong attention to detail, and working efficiently within insurance or healthcare companies. Advancing to senior or specialized roles, obtaining relevant certifications, and working full-time or overtime can help reach this income level.

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.

Do claims adjusters work remotely?

Many claims adjusters, including those working in medical claims processing, have the option to work remotely. Remote work is common in the industry, especially for roles that involve reviewing documentation, communicating with clients, and using specialized claims management software. However, some employers may require in-office presence for certain tasks or training.

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.

How to become a medical claim processor?

To become a medical claims processor, typically one needs a high school diploma or equivalent, along with training in medical billing and coding. Many employers prefer candidates with certification in medical billing or coding, and familiarity with claims processing software is beneficial. On-the-job training is common, and attention to detail and knowledge of healthcare regulations are important for success.

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 Remote, OR? The most popular types of Medical Claims Processor jobs in Remote, OR are:
What are popular job titles related to Remote Medical Claims Processor jobs in Remote, OR? For Remote Medical Claims Processor jobs in Remote, OR, the most frequently searched job titles are:
What job categories do people searching Remote Medical Claims Processor jobs in Remote, OR look for? The top searched job categories for Remote Medical Claims Processor jobs in Remote, OR are:
What cities near Remote, OR are hiring for Remote Medical Claims Processor jobs? Cities near Remote, OR with the most Remote Medical Claims Processor job openings:
Remote Medical Claims Processor jobs near you

Bluespine-Sr. FWA Analyst

Team8

OR • On-site, Remote

Full-time

Posted 8 days ago

Key responsibilities

  • Proactively identify potential instances of fraud, waste, and abuse through data analysis using company systems and tools.

  • Support engineering and data science teams with audit and FWA concepts, data mapping, and defining data requirements.

  • Validate and help to tune anomaly detection algorithms.

Job description

Description
Bluespine is an innovative new startup in the health-IT domain. By employing cutting-edge technologies, Bluespine is developing an engine that detects errors in medical billing, which causes billions of dollars in losses across the entire industry. Bluespine can offer personalized precision by tailoring assessments to each unique medical claim, considering the relevant provider, payer, and plan, and ensuring unparalleled accuracy.
We are looking for a Sr. FWA Analyst experienced in discovering medical billing errors and fraudulent billing patterns of medical claims for commercial payers.
Responsibilities
  • Proactively identify potential instances of fraud, waste, and abuse through data analysis using company systems and tools
  • Support engineering and data science teams with audit and FWA concepts, data mapping, and defining data requirements
  • Determine the likelihood of cases being true error/fraud, based on real-life experience.
  • Validate and help to tune anomaly detection algorithms.

Requirements
  • Hands-on experience exploring and investigating potential medical billing errors/fraud using analytic and SQL/graph-based tools.
  • Extensive knowledge of medical terminology, medical records, health information management, medical coding, DRG methodologies, CPT/HCPCS coding guidelines, physician specialty guidelines, reimbursement programs, claims adjudication processes, member contract benefits, regulatory agency policies (CMS/HCFA, DOI, state regulations), and provider billing systems and practices.
  • Strong analytical skills and ability to approach tasks in a scientific manner.
  • Background in SIU or Payment Integrity.
  • Independent, Organized, and with excellent communication skills.

Advantages
  • Medical/clinical background.
  • Experience with Pharma claims.
  • Billing/coding experience.

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