ZipRecruiter

Log In

2

Remote Medical Claims Processor Jobs in San Rafael, CA

Johnson Service Group

Be Seen First

Healthcare Claims Examiner II - Must Live in California- Remote

South San Francisco, CA · Remote

$24 - $30/hr

  • Medical

  • Dental

  • Vision

Must Live in California- Remote Work Schedule: Monday- Friday 8 am-5 pm Pay rate range: $24-$30 per ... Two (2) years of experience processing medical and/ or dental claims. Knowledge of: * Personal ...

Maven Clinic

Product Manager - Claims & Payments

San Francisco, CA · On-site +1

$160K - $185K/yr

  • Medical

  • Dental

  • Retirement

... processing workflows * Instrument and monitor claims and payments data - identify where errors ... This role is open to candidates in remote locations with a strong preference for San Francisco, CA ...

next page

Showing results 1-20

All JobsMedical Claims Processor JobsRemote Medical Claims Processor JobsRemote Medical Claims Processor Jobs in San Rafael, CA

Remote Medical Claims Processor information

See San Rafael, CA salary details

$15

$21

$28

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

As of Aug 19, 2026, the average hourly pay for remote medical claims processor in San Rafael, CA is $21.70, according to ZipRecruiter salary data. Most workers in this role earn between $19.28 and $24.13 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.

More about Remote Medical Claims Processor jobs

What cities near San Rafael, CA are hiring for Remote Medical Claims Processor jobs?

Cities near San Rafael, CA 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 San Rafael, CA as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 20% Part Time, and 6% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $45,138 per year, or $21.7 per hour.

Claims Processing Expert - Fully Remote | Upto $80/hr

Mercor

San Francisco, CA • Remote

$80/hr

Full-time

Re-posted 18 days ago

Job description

About the job

Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.

Position: Medical Billing Manager
Type: Contract
Compensation: $80/hour
Location: Remote

Role Responsibilities

  • Oversee end-to-end medical billing and claims submission operations across professional fee and/or facility billing environments.
  • Evaluate AI-generated billing outputs, claim edits, and coding validations for accuracy and payer compliance.
  • Manage claims submission workflows including electronic claim generation, clearinghouse edits, and payer-specific billing requirements.
  • Monitor clean claim rates, rejection rates, and first-pass acceptance rates. Develop improvement strategies.
  • Coordinate with coding, CDI, and collections teams to resolve billing edits and claim rejections.
  • Ensure compliance with CMS billing guidelines, HIPAA 837 transaction standards, and payer-specific billing rules.
  • Annotate AI outputs and provide structured feedback to support AI training datasets.

Qualifications

Must-Have

  • 5+ years of experience in medical billing and claims management, with at least 2 years in a management role.
  • Deep knowledge of professional fee (CMS-1500/837P) and/or facility (UB-04/837I) billing requirements.
  • Expertise in HIPAA 837 transaction standards, clearinghouse operations, and payer-specific billing rules.
  • Strong understanding of Medicare, Medicaid, and commercial payer billing requirements.
  • Proficiency with billing platforms (Epic, Athenahealth, AdvancedMD, or equivalent) and clearinghouse tools.
  • Exceptional written and verbal English communication skills.
  • High attention to detail with the ability to identify billing errors and compliance issues in AI-generated outputs.

Preferred

  • CPC, CCS, CHFP, or CRCR certification.
  • Experience with automated billing platforms and RCM technology implementations.
  • Background in multi-specialty physician group, hospital, or health system billing operations.
  • Familiarity with AI tools and comfort evaluating AI-generated billing content.
  • Experience with payer contract interpretation and billing compliance program management.

Application Process (Takes 20–30 mins to complete)

  • Upload resume
  • AI interview based on your resume
  • Submit form

Resources & Support

  • For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome
  • For any help or support, reach out to: support@mercor.com

PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.