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Remote Medical Claims Processor Jobs in Spring, TX

Vital Care Infusion Services

Billing Specialist

Houston, TX · On-site +1

$18.92 - $23.46/hr

... to process within the limits of standard Compliance practices. Position is 100% remote. Duties/Responsibilities: * Create and submit medical, pharmacy and third-party vendor claims timely and ...

PFS Group

Remote Insurance Rep

Houston, TX · Remote

$53K - $67K/yr

Strong understanding of insurance policies, coverage, claims processes, and reimbursement, with the ability to research payer billing policies and medical bulletins to accurately troubleshoot denials ...

PFS Group

Remote Senior Insurance Rep

Houston, TX · On-site +1

Key Responsibilities: - Manage and process insurance claims, ensuring accuracy and timeliness in accordance with company policies and industry regulations. - Serve as a primary point of contact for ...

PFS Group

Remote Senior Insurance Rep

Houston, TX · On-site +1

Key Responsibilities: - Manage and process insurance claims, ensuring accuracy and timeliness in accordance with company policies and industry regulations. - Serve as a primary point of contact for ...

Lancesoft - Viren

Be Seen First

Healthcare - Appeals Specialist I

The Woodlands, TX · Remote

$19.92 - $21.92/hr

Remote, CANDIDATES MUST LIVE IN ONE OF THE PREFFERED 15 STATES (AZ, FL, GA, ID, IA, KY, MI, MS, NE ... · Research claims processing guidelines, provider contracts, fee schedules and system ...

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All JobsMedical Claims Processor JobsRemote Medical Claims Processor JobsRemote Medical Claims Processor Jobs in Spring, TX

Remote Medical Claims Processor information

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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 Spring, TX is $17.32, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $19.23 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.

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For Remote Medical Claims Processor jobs in Spring, TX, the most frequently searched job titles are:

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The top searched job categories for Remote Medical Claims Processor jobs in Spring, TX are:

What cities near Spring, TX are hiring for Remote Medical Claims Processor jobs?

Cities near Spring, TX 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 Spring, TX as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 12% Part Time, and 6% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $36,034 per year, or $17.3 per hour.

Billing Specialist

Vital Care Infusion Services

Houston, TX • Remote

$18.92 - $23.46/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 23 hours ago

Job description

Recognized as a “Best Place to Work Modern Healthcare” – Join a team where people come first. At Vital Care, we are committed to creating an inclusive, growth-focused environment where every voice matters.
Vital Care is the premier pharmacy franchise business with franchises serving a wide range of patients, including those with chronic and acute conditions. Since 1986, our passion has been improving the lives of patients and healthcare professionals through locally-owned franchise locations across the United States. We have over 100 franchised Infusion pharmacies and clinics in 35 states, focusing on the underserved and secondary markets. We know infusion services, and we guide owners along the path of launch, growth, and successful business operations.
What we offer:
  • Comprehensive medical, dental, and vision plans, plus flexible spending, and health savings accounts.
  • Paid time off, personal days, and company-paid holidays.
  • Paid Paternal Leave.
  • Volunteerism Days off.
  • Income protection programs include company-sponsored basic life insurance and long-term disability insurance, as well as employee-paid voluntary life, accident, critical illness, and short-term disability insurance.
  • 401(k) matching and tuition reimbursement.
  • Employee assistance programs include mental health, financial and legal.
  • Rewards programs offered by our medical carrier.
  • Professional development and growth opportunities.
  • Employee Referral Program.
Job Summary:
Perform duties to process Home Infusion medical claims with a focus on accuracy, timeliness, and adherence to process, to reduce denial rate, DSO, and bad debt. Performs revenue cycle billing duties to process within the limits of standard Compliance practices.
Position is 100% remote.
Duties/Responsibilities:
  • Create and submit medical, pharmacy and third-party vendor claims timely and accurately. Ensure all revenue opportunities are included, and complete and submit billing to primary and secondary payers.
  • Resolve rejected electronic claims so that current submission is successful and future submissions are not rejected.
  • Maintain ready-to-bill delivery tickets and indicate tickets that cannot be billed with appropriate status for communication purposes within RCM and Franchises
  • Document case activity, communications, and correspondence in CareTend to ensure completeness and accuracy of account activity.
  • Contribute medical billing expertise to the design of training and knowledge transfer programs, materials, policies, and procedures to improve the efficiency and effectiveness of the RCM team.
  • Perform other related duties as assigned.
Required Skills/Abilities:
  • Excellent communications skills; listening, speaking, understanding, and writing English while influencing patients, caregivers, payer representatives, and others, answering questions, and advancing reimbursement and collection efforts.
  • Proven understanding of processes, systems, and techniques to ensure successful billing and collection working with all payer types.
  • Proven ability to identify gaps and problems from a review of documentation, determine lasting solutions, make effective decisions, and take necessary corrective action.
  • Strong organization skills with the ability to track and maintain clear, complete records of activities, cases, and related documentation.
  • Proven knowledge and skill in the utilization of MS Office suite of software and pharmacy applications.
  • Ability to complete job duties in a designated workspace outside the dedicated RCM location.
  • Disciplined work ethic with ability to work remotely with little direct supervision and meet production and collection targets.
Education and Experience:
  • 2-5 years home infusion billing and/or collections experience required.
  • High School Diploma and additional specialized training in intake, pharmacy/medical billing, and/or collections.
  • Experience in an infusion suite setting is a plus.
  • Previous remote work environment is a plus but not required.
  • Detailed oriented with post-billing and post-payment investigative experience preferred.
Physical Requirements:
  • Sitting: Prolonged periods of sitting are typical, often for the majority of the workday.
  • Keyboarding: Frequent use of a keyboard for typing and data entry.
  • Reaching: Occasionally reaching for items such as files, documents, or office supplies.
  • Fine Motor Skills: Precise movements of the fingers and hands for tasks like typing, using a mouse, and handling paperwork
  • Visual Acuity: Good vision for reading documents, computer screens, and other detailed work.
Be part of an organization that invests in you! We are reviewing applications for this role and will contact qualified candidates for interviews.
Vital Care Infusion Services is an equal-opportunity employer and values diversity at our company. We do not discriminate on the basis of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans’ status, or any other basis protected by applicable federal, state, or local law.
Vital Care is a U.S.-based employer and hires only individuals who are authorized to work in the United States and who perform their work from within the United States. Applicants and employees must accurately disclose their current work location and work authorization status during the application and hiring process. Any material misrepresentation or omission regarding identity, location, work authorization, qualifications, or other employment-related information may result in withdrawal of a job offer, immediate termination of employment, and pursuit of any remedies available under applicable law.
Vital Care Infusion Services participates in E-Verify.
This position is remote and full-time. The salary range for this position is $18.92-$23.46.

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