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Remote Medical Claims Processor Jobs in Remote, OR

Subcontracts Manager

OR · On-site +1

$115K - $165K/yr

Remote (US Only) The Description: The Subcontracts Manager is responsible for the management ... Administer subcontract modifications, amendments, claims, disputes, and other subcontract actions ...

... are processes, including appointment confirmations, medical information retrieval, and ... You are disciplined in a remote environment, detail-oriented, and able to manage multiple ...

... SQL), remote connectivity, security and digital medical image processing. * Previous DR installation and x-ray room experiences knowledge of Agfa software or similar industry and a demonstrated ...

... SQL), remote connectivity, security and digital medical image processing. * Previous DR installation and x-ray room experiences knowledge of Agfa software or similar industry and a demonstrated ...

UKG Pro WFM Solution Architect

OR · On-site +1

$59 - $77.75/hr

Seattle, WA Remote JD: * Leading large-scale UKG Pro WFM implementations and providing strategic ... Experience in integrating these modules with other enterprise systems to streamline processes and ...

Gearbox Design SME

OR · Remote

$70 - $90/hr

Remote Job ID: #72283 Pay Range: $70-90 AN HOUR Ongoing Statement of Work Citizenship Requirement ... 401K, medical, dental, and vision, sick time as applicable to state law Butler America Aerospace ...

Area Sales Manager

OR · Remote

$88K - $144K/yr

Strong process orientation for funnel management and selling process for completing reports ... Travel 30-50% plus overnights #LI-Remote This position's anticipated annual salary range is $88,000 ...

Utilization Review Clinician

Roseburg, OR · On-site +1

$80K - $94K/yr

UTILIZATION REVIEW CLINICIAN REMOTE Ability to travel on-site to 3031 NE STEPHENS ST. ROSEBURG, OR ... Evaluate behavioral health and substance use disorder services to determine medical necessity ...

UTILIZATION REVIEW CLINICIAN REMOTE Ability to travel on-site to 3031 NE STEPHENS ST. ROSEBURG, OR ... Evaluate behavioral health and substance use disorder services to determine medical necessity ...

Remote: New York, and New England territory. What You'll Do: * Achieving annual sales plan by ... Adhering to sales process by owning funnel management in the CRM system, driving territory ...

Remote: New York, and New England territory. What You'll Do: * Achieving annual sales plan by ... Adhering to sales process by owning funnel management in the CRM system, driving territory ...

Remote: United States / Canada What You'll Do: * Own and drive the definition of all service ... Operational readiness and deployment processes * Proven ability to work across cross-functional ...

Metrics, Performance & Process Improvement * Deliver KPI's on cost efficiency, manufacturing ... Medical, Dental, and Vision * Employee Stock Purchase Plan (ESPP) * 401(k) with Company Match

Showing results 21-40

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 Aug 17, 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 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 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 key skills and qualifications needed to thrive as a remote medical claims processor?

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 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 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:

Subcontracts Manager

AM Pierce and Associates

Myrtle Point, OR • Remote

$115K - $165K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 4 days ago


Job description

Who We Are: AM Pierce & Associates, Inc. (AM Pierce) and Applied Technologies Group, Inc. (ATG), a wholly owned subsidiary of AM Pierce and Associates, a small business providing Engineering & Research, Cyber, C5ISR, Program & Acquisition Management services and solutions to a diverse government and industry client base. AM Pierce is a woman-owned small business. We are a stable and growing company who offers our employees a rich benefits package, supportive and flexible work environment, and the opportunity to work with experts in their field.The Position: We are seeking a highly experienced Subcontracts Manager to lead Subcontracts.Salary: The estimated salary range for this position is $115,000 - $165,000 annually, based upon an individual's level of experience, skillset, and education. The range that is given is an estimate. At AM Pierce & Associates, it is our goal to provide equitable compensation to all employees.The Location: California, MD (AM Pierce Corporate Headquarters)The Work Environment: Remote (US Only)The Description:The Subcontracts Manager is responsible for the management, administration, and oversight of all subcontracting supporting federal and Department of Defense/War (DoD/W) programs. This position provides leadership throughout the subcontract lifecycle, including solicitation, negotiation, award, administration, performance management, modifications, compliance, and closeout.Duties/responsibilities include: Manage the full lifecycle of subcontracts supporting federal and DoD programs.Develop, negotiate, award, and administer subcontracts in accordance with applicable company policies, FAR, DFARS, and other applicable federal acquisition requirements, regulations, and laws.Lead and support NDAs, TAs, RFIs/RFQs/RFPs, and Kick-offs with subcontractors and collaboratively with other areas of the company.Review subcontractor proposals, terms and conditions, pricing, statements of work, and supporting documentation.Lead subcontract negotiations and establish appropriate contractual terms, deliverables, milestones, payment terms, and performance requirements.Monitor subcontractor performance with the internal technical lead on Program, including, but not limited to cost, schedule, technical performance, deliverables, and subcontract compliance.Administer subcontract modifications, amendments, claims, disputes, and other subcontract actions, including closeouts.Maintain complete and accurate subcontract files and documentation in accordance with company policies and applicable regulatory requirements.Support internal, customer, government, and third-party audits and reviews.Coordinate with internal departments (Finance, Program Management, HR, Security, etc.) to ensure subcontract compliance.Leads and participates in responding to internal and external requests for information, investigations, audits, and contract closeout activities.Leads and participates in the company's Contractor Purchasing System Review (CPSR) readiness and ongoing compliance, to include, but not be limited to CPSR preparation, documentation, corrective actions, purchasing system controls, and internal audits.Evaluate subcontractor compliance with applicable contract requirements.Identify subcontract compliance and business risks and develop mitigation strategies.Provide guidance and mentorship to the company.Establish and maintain effective working relationships with subcontractors and internal stakeholders.Ensure subcontract administration practices are consistent with applicable regulations, laws, Directives, Memorandums, company policies, etc.Required Clearance, Education, and Experience:Clearance: Should have the ability to obtain a DoD Secret Clearance, if needed.Education: Bachelor's degree (four-year degree) in Business Administration, Finance, Accounting, or a related field. Minimum of 10 (ten) years of professional experience in subcontracts management and administration.Minimum of 5 (five) years of experience managing subcontracts.Experience: Demonstrated experience supporting DoD and/or other federal government contracting environments.Demonstrated experience leading and/or supporting Contractor Purchasing System Review (CPSR) activities and maintaining an effective purchasing/subcontract management system.Strong knowledge and familiarity with the law, FAR, DFARS, other Supplements, and federal acquisition processes.Strong knowledge and familiarity with all federal contract types: Fixed Price (FP), Labor-Hour (L-H), Time & Materials (T&M), and Cost-Reimbursable.Familiarity with General Services Administration (GSA), Multiple Award Schedules, and Blanket Purchase Agreements (BPAs).Strong attention to detail and organizational skills.Clear, professional written and verbal communication skills for interacting with Customers, both internal and external.Familiarity with Cost Accounting Standards, cost allowability rules and regulations, Service Contract Labor Standards (SCLS), and Truth in Negotiations Act.Serve as a point of contact for routine subcontract questions from internal and external stakeholders.Coordinate with Program/Project Management and Finance/Accounting to support resolution of subcontractor invoice discrepancies.Other duties as assigned.Required Skillset: Strong ability to manage multiple priorities in a deadline-driven environment.Analytical mindset with problem-solving aptitude.Ability to analyze simple to multifaceted issues, focus on researching relevant information, provide an accurate assessment or conclusion based on researched information.Ability to meet short term needs while attending to long term business issues and needs.Team-oriented with a willingness to learn and take initiative in a proactive manner.High level of integrity, ethics, and discretion when handling sensitive information.Proficient with Deltek CostPoint Procurement Module.Proficiency in Microsoft Office Suite (Excel, Word, Outlook).Preferred Skillset: Strong exposure to or familiarity with Contract/Subcontract Management Lifecycle Software.Familiar with Microsoft SharePoint.Preferred: Certifications:National Contract Management Association (NCMA) Certified Federal Contracts Manager (CFCM), Certified Professional Contracts Manager (CPCM), and/or Subcontracting Fundamentals Certificate.Institute for Supply Management Certified Purchasing Manager (CPM) or similar.Travel:On some occasions, the employee may be required to drive to offices or buildings near the work site. In rare occasions, travel may be required.AM Pierce & Associates, as well as its subsidiaries, invests in its employees beyond just compensation. Elements of the Total Rewards package include competitive base pay and variable compensation opportunities. AM Pierce & Associates, as well as its subsidiaries, also provides eligible employees with an opportunity to enroll in a variety of benefit programs, generally including:Medical, Dental and Vision InsuranceLife and Accidental Death & Disability CoverageTraditional 401(k) and ROTH 401(k) Retirement Plans Paid Time Off and HolidaysProfessional Development OpportunitiesIncentive Programs, Awards and Recognition Employee Assistance ProgramWill PreparationIdentity Theft Protection & Legal SupportReferral ProgramVoluntary Accident, Critical Illness, and Hospital Indemnity Coverage Pet InsuranceNorton Life LockHSA and FSA plansThe specific program and options available to any given employee may vary depending on eligibility factors such as geographic location, date of hire, Full or Part-time status, and the applicability of collective bargaining agreements.For all positions requiring access to technology/software source code that is subject to export control laws, employment with the company is contingent on either verifying U.S.-person status or obtaining any necessary license. The applicant will be required to answer certain questions for export control purposes, and that information will be reviewed by compliance personnel to ensure compliance with federal law. AM Pierce & Associates, as well as its subsidiaries may choose not to apply for a license for such individuals whose access to export-controlled technology or software source code may require authorization and may decline to proceed with an applicant on that basis alone.AM Pierce and Associates, Inc. and Applied Technologies Group, Inc., a wholly owned subsidiary of AM Pierce and Associates, Inc., are Equal Opportunity Employers. It is the policy of AM Pierce & Associates, Inc. and Applied Technologies Group, Inc. not to discriminate or allow the harassment of employees. All applicable laws are followed to ensure all qualified applicants are employed, and employees are treated during employment, without regard to their sex, gender identity, sexual orientation, race, color, religious creed, national origin, physical or mental disability, protected veteran status, or any other characteristic protected by applicable federal, state, local, or international law. If you require reasonable accommodations to apply for a position with AM Pierce & Associates, as well as its subsidiaries, through its online applicant system, please contact AM Pierce & Associates Human Resources Department at (240) 718-3800 or email us at hr@ampierce.com. If your background meets the qualifications of the position, please submit your resume and salary requirements to careers@ampierce.com or submit an application online.AM Pierce & Associates, as well as its subsidiaries, verifies employment eligibility through E-Verify. This is a management position. 
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