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Remote Medical Claims Processor Jobs in Rio Rancho, NM

Workit Health

RCM Specialist

Albuquerque, NM · On-site +1

$18.75 - $25.75/hr

Identify and resolve claims processing issues, including pre-submission errors, and generate ... Submit medical records to insurance when needed * Review and audit patient accounts for accuracy

Scribe-X

Medical Scribe (Remote)

Albuquerque, NM · 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 Rio Rancho, NM

Remote Medical Claims Processor information

See Rio Rancho, NM salary details

$13

$18

$24

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

As of Jul 17, 2026, the average hourly pay for remote medical claims processor in Rio Rancho, NM is $18.31, according to ZipRecruiter salary data. Most workers in this role earn between $16.30 and $20.34 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 popular job titles related to Remote Medical Claims Processor jobs in Rio Rancho, NM? For Remote Medical Claims Processor jobs in Rio Rancho, NM, the most frequently searched job titles are:
What job categories do people searching Remote Medical Claims Processor jobs in Rio Rancho, NM look for? The top searched job categories for Remote Medical Claims Processor jobs in Rio Rancho, NM are:
What cities near Rio Rancho, NM are hiring for Remote Medical Claims Processor jobs? Cities near Rio Rancho, NM 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 Rio Rancho, NM as of July 2026, with employment types broken down into 83% Full Time, 13% Part Time, and 4% Contract. Highlights an 100% Remote job distribution, with an average salary of $38,088 per year, or $18.3 per hour.
Senior Workers Compensation Claims Adjuster

Senior Workers Compensation Claims Adjuster

Gallagher

Albuquerque, NM • Remote

$60K - $78K/yr

Full-time

Re-posted 21 days ago

Arthur J. Gallagher & Co. rating

7.8

Company rating: 7.8 out of 10

Based on 91 frontline employees who took The Breakroom Quiz

168th of 281 rated insurance

Job description

Introduction
At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it’s our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives. It takes empathy, precision, and a strong sense of partnership—and that’s exactly what you’ll find here. We’re a team of fast-paced fixers, empathetic experts, and outcomes drivers — people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence. Here, you’ll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you’re here, you’re part of something bigger. You’re part of a team that shows up, stands together, and leads with purpose.

Overview

• Jurisdictions: NM

• Licenses:  NM

• This role is eligible for fully remote work


How you'll make an impact

• Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims. 
• Interact extensively with various parties involved in the claim process to ensure effective communication and resolution. 
• Provide exceptional customer service to our claimants on behalf of our clients exhibiting empathy through each step of the claims process 
• Handle claims consistent with clients' and corporate policies, procedures, and standard methodologies in accordance with statutory, regulatory, and ethics requirements. 
• Document and communicate claim activity timely and efficiently, supporting the outcome of the claim file. 


About You

Ideal candidates for this position will have:  
• Claims Background: A minimum of 3-5 years experience handling lost time/indemnity claims and have extensive experience with litigated files
• Jurisdictional Experience: NM
• Active Adjusters' licenses: NM
As a key member of our experienced Claims Adjuster team, you will: 

• Investigate, evaluate, and resolve complex workers compensation claims applying your analytical skills to make informed decisions and bring claims to resolution.

• Work in partnership with our clients to deliver innovative solutions and enhance the claims management process

• Think critically, solve problems, plan, and prioritize tasks to optimally serve clients and claimants

Required Qualifications: 
• High School Diploma. 
• Minimum of 5 years related claims experience. 
• Appropriately licensed and/or certified in all states in which claims are being handled. 
• Knowledge of accepted industry standards and practices. 
• Computer experience with related claims and business software. 

 
Desired: 
• Bachelor's Degree 

#LI-KD1

#LI-Remote

#WorkersComp


Compensation and benefits

At Gallagher, we believe supporting our colleagues goes far beyond the role itself. For more information, visit our Benefits page.

  • Competitive compensation
  • Comprehensive benefits programs designed to support your well-being 
  • Career development opportunities and ongoing learning 
  • A collaborative, people-first culture with accessible leadership 
  • The opportunity to do meaningful work with global reach and local impact 

At Gallagher, we are dedicated to building an inclusive and authentic workplace. If your past experience doesn’t align perfectly, we encourage you to join our Talent Community to stay connected to additional career opportunities. At times, we will consider transferable skills from previous roles.

Gallagher is an affirmative action/equal opportunity employer (Minorities/Females/Veterans/Disabled)

Qualifications:

Ideal candidates for this position will have:  
• Claims Background: A minimum of 3-5 years experience handling lost time/indemnity claims and have extensive experience with litigated files
• Jurisdictional Experience: NM
• Active Adjusters' licenses: NM
As a key member of our experienced Claims Adjuster team, you will: 

• Investigate, evaluate, and resolve complex workers compensation claims applying your analytical skills to make informed decisions and bring claims to resolution.

• Work in partnership with our clients to deliver innovative solutions and enhance the claims management process

• Think critically, solve problems, plan, and prioritize tasks to optimally serve clients and claimants

Required Qualifications: 
• High School Diploma. 
• Minimum of 5 years related claims experience. 
• Appropriately licensed and/or certified in all states in which claims are being handled. 
• Knowledge of accepted industry standards and practices. 
• Computer experience with related claims and business software. 

 
Desired: 
• Bachelor's Degree 

#LI-KD1

#LI-Remote

#WorkersComp

Education:UNAVAILABLEEmployment Type: FULL_TIME

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