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Remote Medical Claims Processor Jobs in Spring, TX

Ccfs

Risk Claims Manager

Houston, TX · Remote

$85K - $95K/yr

This position has the potential to be remote. ESSENTIAL JOB DUTIES * Personally investigate and ... Knowledge of statistical process control desirable.

Next Insurance

Express Claims Advocate

Houston, TX · On-site +1

$55K - $72K/yr

Remote ERGO NEXT's mission is to help entrepreneurs thrive. We're doing that by building the only ... subsidized medical plan, fully subsidized vision/dental options, life insurance, disability ...

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 ...

Next Insurance

Sr. Claims Advocate

Houston, TX · On-site +1

$80K - $110K/yr

Remote NEXT's mission is to help entrepreneurs thrive. We're doing that by building the only ... process. * Identify and refer potentially fraudulent claims to SIU and pursue third-party ...

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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 Sep 7, 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.

More about Remote Medical Claims Processor jobs

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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.

Healthcare Customer Service Specialist (REMOTE)

GetixHealth

Houston, TX • On-site, Remote

$17/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 13 days ago

GetixHealth rating

6.2

Company rating: 6.2 out of 10

Based on 12 frontline employees who took The Breakroom Quiz

370th of 500 rated business services

Job description

Are you the type of person who loves solving problems, bringing smiles to people's faces, and making a positive impact every day?
If so, GetixHealth wants YOU! We're looking for Customer Service Representatives who take pride in their work, show initiative even when no one is watching, and understand that the quality of their work reflects who they are.
Successful candidates are thoughtful, detail-oriented, and communicative. They are proactive, professional, well-spoken, polite, and accountable-both to themselves and to others. If you enjoy helping people and thrive in a fast-paced environment, this role is for you.
Position Overview:
As aCustomer Service Representative at GetixHealth, you will be on the front lines of delivering exceptional service and support to patients and clients. Your primary responsibility is handling high-volume inbound and outbound calls related to billing, payments, medical claims, benefits, and coverage.
You'll use established procedures and tools to resolve inquiries efficiently and with empathy-ensuring compliance, accuracy, and customer satisfaction in every interaction. This is a high-impact, fast-paced role ideal for someone who thrives in a collaborative team environment.
Location: Remote (Need to pass internet speed test- we provide equipment)
Department: Healthcare Operations / Call Center
Reports To: Operations Supervisor
Compensation: $17.00 per hour (based on experience) + quarterly bonus eligibility
Shifts: Full-time, Monday-Friday 8:00am -4:30pm, 9:00am -5:30pm, 10:00am -6:30pm (CST)
Key Responsibilities:
  • Handle 60+ inbound and outbound calls per day related to billing, payments, medical claims, and coverage questions.
  • Respond to telephone inquiries using standard procedures and scripts.
  • Gather required information, research account details, and resolve customer concerns accurately and promptly.
  • Clearly explain billing information, insurance benefits, and available services to patients.
  • Assess patient needs and provide appropriate solutions or escalate issues when necessary.
  • Schedule work to ensure optimal call coverage and maintain daily productivity.
  • Collaborate with leadership and peers using screen-sharing tools to support real-time problem-solving and performance goals.
  • Support department initiatives and contribute to continuous improvement efforts.
  • Maintain strict adherence to HIPAA regulations and confidentiality policies.
  • Assist with department goals and recommend improvements to enhance efficiency.
  • Perform other duties as assigned to support the team and organizational success.

Education & Experience:
  • Bilingual (Spanish) preferred (not required)
  • High School Diploma or GED required; additional education is a plus.
  • 1-2 years of customer service experience required.
  • Healthcare, insurance, or medical collections experience preferred.
  • Familiarity with Medicaid, Medicare, Workers' Compensation, and liability claims preferred.
  • Basic understanding of medical terminology and the healthcare revenue cycle.
  • Proven experience working with multiple systems and databases in a fast-paced environment.

Skills & Qualities:
  • Strong verbal, written, and interpersonal communication skills.
  • Excellent problem-solving abilities with a calm, empathetic approach.
  • High attention to detail and accuracy.
  • Ability to work independently and collaboratively to meet and exceed performance goals.
  • Comfort using Microsoft Office Suite and adapting to new technologies.
  • Bilingual abilities are a plus.
  • Strong attendance and reliability.

Benefits & Incentives:
    • Comprehensive Health Coverage: Group medical, dental, and vision plans available from the first day of the month following 90 days of full-time employment.
    • Life and Disability Insurance: Basic life/AD&D, short-term, and long-term disability coverage provided, with options for voluntary life/AD&D.
    • 401(k) Retirement Savings Plan: Eligible to participate in the company's 401(k) plan at the beginning of the first calendar quarter following three (3) months of continuous service.
    • Paid Time Off (PTO): Accrue Paid Time Off starting on your first day of employment.
    • Flexibility in Benefits: The company reserves the right to amend, modify, or terminate any benefits programs as needed.

Note: This job description outlines the primary duties and qualifications of the role and is not intended to be an exhaustive list of responsibilities.
GetixHealth is an Equal Opportunity and E-Verify Employer.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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