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Remote Medical Claims Processor Jobs in Spring Hill, TN

Medical Data Systems

Appeals Specialist

Nashville, TN · Remote

Medical Data Systems Inc. is seeking a detail-oriented and motivated Insurance Appeals Specialist ... denied claims. * Process a high volume of detailed account information accurately and within ...

Surgery Partners

Biller - Remote

Brentwood, TN · On-site +1

$17.75 - $22.75/hr

ESSENTIAL FUNCTIONS: • Resolves disputed claims by gathering, verifying, providing additional ... medical staff and external agencies. • Ability to identify, analyze, and solve claim issues. • ...

Deloitte

Epic Denials Management Operator

Nashville, TN · Remote

$17.50 - $23.25/hr

... Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for ... This is a primarily remote role supporting enterprise Epic support, with minimal travel and ...

UnitedHealth Group

Sr Data Analyst

Brentwood, TN · Remote

$91K - $163K/yr

... processing, enhance decision-making, and deliver strategic insights across healthcare and claims ... are or medical claims data * 1 years of experience designing data models, mappings, and ...

micro1 AI

Medical Billing Specialist

Murfreesboro, TN · Remote

$50 - $80/hr

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Trace narrative claims to source records--tables, figures, listings, and protocols--to verify that ...

micro1 AI

Medical Writing Manager

Nashville, TN · Remote

$50 - $80/hr

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Trace narrative claims to source records--tables, figures, listings, and protocols--to verify that ...

micro1 AI

Medical Writing Manager

Murfreesboro, TN · Remote

$50 - $80/hr

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Trace narrative claims to source records--tables, figures, listings, and protocols--to verify that ...

micro1 AI

Medical Billing Specialist

Nashville, TN · Remote

$50 - $80/hr

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Trace narrative claims to source records--tables, figures, listings, and protocols--to verify that ...

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All JobsMedical Claims Processor JobsRemote Medical Claims Processor JobsRemote Medical Claims Processor Jobs in Spring Hill, TN

Remote Medical Claims Processor information

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

As of Sep 8, 2026, the average hourly pay for remote medical claims processor in Spring Hill, TN is $18.31, according to ZipRecruiter salary data. Most workers in this role earn between $16.25 and $20.34 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 are popular job titles related to Remote Medical Claims Processor jobs in Spring Hill, TN?

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

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

Cities near Spring Hill, TN 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 Hill, TN as of August 2026, with employment types broken down into 79% Full Time, and 21% Contract. Highlights an 100% Remote job distribution, with an average salary of $38,075 per year, or $18.3 per hour.

Appeals Specialist

Medical Data Systems

Nashville, TN • Remote

Full-time

Re-posted 22 days ago

Job description

Medical Data Systems Inc. is seeking a detail-oriented and motivated Insurance Appeals Specialist to join our insurance support and billing team. The ideal candidate will demonstrate professionalism, independence, and a strong understanding of insurance processes while thriving in a fast-paced environment.
Key Responsibilities
  • Perform insurance follow-up activities, including claim submission, claim status inquiries, and filing appeals for denied claims.
  • Process a high volume of detailed account information accurately and within established performance guidelines.
  • Navigate multiple systems to obtain insurance, contact, and attorney information as needed.
  • Support the prioritization of collections efforts by accurately updating account data and identifying next steps.
  • Maintain the highest level of confidentiality and adhere to all HIPAA regulations.
  • Apply hospital billing knowledge to carry out assigned duties efficiently.
Essential Duties
  • Complete insurance-related tasks such as correcting and resubmitting claims, filing appeals, and contacting insurance companies, attorneys, or patients regarding outstanding balances.
  • Work assigned facility-specific queues, ensuring all accounts are updated with correct and complete information.
  • Participate in special projects or assignments as directed.
  • Assist colleagues and management by providing information or support related to insurance processes when needed.
Qualifications
  • 3-5 years of experience in a healthcare setting such as a hospital business office, surgery center, physician practice, or health insurance organization.
  • Strong communication skills, attention to detail, and self-motivation.
  • Proficient knowledge of insurance processes, including claim submission, claim denials, HCPCS/CPT/ICD-10 coding basics, and claim status inquiries.
  • Familiarity with Medicare/Medicaid, Commercial, Auto, Workers’ Compensation, Liability, Crime Victims, and State/Federal Insurance Programs.
  • Experience with medical billing and collection practices, business office procedures, and multi-system computer navigation.
  • Ability to type at least 55 words per minute.
  • High School Diploma or GED required; some college preferred.
Position Details
  • Employment Type: Full-Time

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