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Remote Medical Claims Processor Jobs in Springfield, OH

CareSource

Operations Specialist II

Dayton, OH · On-site +1

$62K - $100K/yr

Develop and draft P&P's and job aides for Claims * Assist in training claims staff on claims processing policy and procedures * Assist in educating/training Business Partners on claims functions

CareSource

Vendor Medical Coding Analyst

Dayton, OH · On-site +1

$54K - $87K/yr

Claims processing skills * Technical writing skills * Time management skills * Decision making ... Certified Medical Coder (CPC, RHIT or RHIA) required Working Conditions: * General office ...

Premier Health

LEAD MEDICAL BILLING SPEC-REMOTE

Moraine, OH · On-site +1

$16.50 - $21/hr

The Medical Billing Specialist Team Leader is responsible for the entry of all data processed ... Claims printed daily c) Verify BWC claim/info is correctly processed 3) Charge Entry a) Ensure team ...

Pacs

Interim Biller 6 Months

Spring Valley, OH · Remote

$35 - $36/hr

Fresno, CA (Open to Remote location Central Valley) Full-Time Pay Range: $35-$36+/hour (BOE) Join ... processes Submit claims accurately and timely in accordance with payer guidelines Follow up on ...

Premier Health

LEAD MEDICAL BILLING SPEC-REMOTE

Moraine, OH · On-site +1

$16.50 - $21/hr

The Medical Billing Specialist Team Leader is responsible for the entry of all data processed ... Claims printed daily c) Verify BWC claim/info is correctly processed 3) Charge Entry a) Ensure team ...

Premier Health

LEAD MEDICAL BILLING SPEC-REMOTE

Moraine, OH · On-site +1

$16.50 - $21/hr

The Medical Billing Specialist Team Leader is responsible for the entry of all data processed ... Claims printed daily c) Verify BWC claim/info is correctly processed 3) Charge Entry a) Ensure team ...

Premier Health

LEAD MEDICAL BILLING SPEC-REMOTE

Moraine, OH · On-site +1

$16.50 - $21/hr

The Medical Billing Specialist Team Leader is responsible for the entry of all data processed ... Claims printed daily c) Verify BWC claim/info is correctly processed 3) Charge Entry a) Ensure team ...

Deloitte

Hospital Billing Operator

Dayton, OH · Remote

$17.75 - $22.75/hr

As an Epic Hospital Billing Analyst, you will help review and submit hospital claims, resolve billing issues, and work across teams to reduce avoidable denials. This is a primarily remote role ...

ForgeFit

Remote Inside Sales Representative

Dayton, OH · On-site +1

... process. Your focus will be on identifying client needs, presenting tailored solutions, and closing ... Comprehensive benefits including medical, dental, vision, 401k, and paid time off * 100% remote ...

Talkiatry

Psychiatrist (Remote)

Kettering, OH · Remote

$325K - $375K/yr

Active, unrestricted medical license (multi-state licensing support available) * Interest in ... If you need a reasonable accommodation to complete the application or interview process, please ...

Talkiatry

Psychiatrist (Remote)

Beavercreek, OH · Remote

$325K - $375K/yr

Active, unrestricted medical license (multi-state licensing support available) * Interest in ... If you need a reasonable accommodation to complete the application or interview process, please ...

Talkiatry

Psychiatrist (Remote)

Dayton, OH · Remote

$325K - $375K/yr

Active, unrestricted medical license (multi-state licensing support available) * Interest in ... If you need a reasonable accommodation to complete the application or interview process, please ...

Talkiatry

Psychiatrist (Remote)

Kettering, OH · Remote

$325K - $375K/yr

Active, unrestricted medical license (multi-state licensing support available) * Interest in ... If you need a reasonable accommodation to complete the application or interview process, please ...

Talkiatry

Psychiatrist (Remote)

Beavercreek, OH · Remote

$325K - $375K/yr

Active, unrestricted medical license (multi-state licensing support available) * Interest in ... If you need a reasonable accommodation to complete the application or interview process, please ...

Talkiatry

Psychiatrist (Remote)

Dayton, OH · Remote

$325K - $375K/yr

Active, unrestricted medical license (multi-state licensing support available) * Interest in ... If you need a reasonable accommodation to complete the application or interview process, please ...

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Remote Medical Claims Processor information

See Springfield, OH salary details

$12

$17

$23

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

As of Jul 30, 2026, the average hourly pay for remote medical claims processor in Springfield, OH is $17.54, according to ZipRecruiter salary data. Most workers in this role earn between $15.58 and $19.47 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 Springfield, OH? For Remote Medical Claims Processor jobs in Springfield, OH, the most frequently searched job titles are:
What job categories do people searching Remote Medical Claims Processor jobs in Springfield, OH look for? The top searched job categories for Remote Medical Claims Processor jobs in Springfield, OH are:
What cities near Springfield, OH are hiring for Remote Medical Claims Processor jobs? Cities near Springfield, OH 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 Springfield, OH as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $36,474 per year, or $17.5 per hour.

Operations Specialist II

CareSource

Dayton, OH • On-site, Remote

$62K - $100K/yr

Full-time

Re-posted 16 days ago

CareSource rating

7.7

Company rating: 7.7 out of 10

Based on 28 frontline employees who took The Breakroom Quiz

198th of 299 rated insurance

Job description

Job Summary:
The Operations Specialist II provides analytical support and leadership for project impacting Claims and key internal Claims projects.
Essential Functions:
  • Represent claims on cross-functional project work teams
  • Submit, monitor and prioritize IT tickets for the Claims department
  • Review special projects and identify issue trends and potential resolutions
  • Assist with Onbase reporting and processes
  • Develop and draft P&P's and job aides for Claims
  • Assist in training claims staff on claims processing policy and procedures
  • Assist in educating/training Business Partners on claims functions
  • Research and resolve provider claim issues and escalations by analyzing system configuration, payment policy, and claims data.
  • Perform analysis of all claims data in order to provide decision support to Claims management team
  • Identify and quantify data issues within Claims and assist in the development of plans to resolve data issues
  • If assigned to Research and Resolution team, responsibilities include:
    • Represent Claims Department at requested provider calls and visits
    • Provide feedback and/or face-to-face interaction with providers for claims research and resolution
    • Responsible for research and resolution of claims issues for all assigned provider inquiries and submissions
    • Responsible for managing provider issues adhering to Workflow processes and tools (Facets and Onbase)
    • Provide input for claims business requirements, testing processes and implementation tasks and plans
  • Perform any other job related instructions, as requested

Education and Experience:
  • Bachelor's degree or equivalent years of relevant work experience required
  • Minimum of two (2) years of healthcare claims environment is required

Competencies, Knowledge and Skills:
  • Advanced level experience in Microsoft Word, Excel and PowerPoint
  • Data analysis and trending skills
  • Demonstrated understanding of claims operations specifically related to managed care
  • Advanced knowledge of coding and billing processes, including CPT, ICD-9, ICD-10 and HCPCS coding
  • Ability to work independently and within a team environment
  • Attention to detail
  • Familiarity of the healthcare field
  • Critical listening and thinking skills
  • Negotiation skills/experience
  • Strong interpersonal skills
  • Proper grammar usage
  • Technical writing skills
  • Time management skills
  • Strong communication skills, both written and verbal
  • Customer service orientation
  • Decision making/problem solving skills

Licensure and Certification:
  • None

Working Conditions:
  • General office environment; may be required to sit or stand for extended periods of time

Compensation Range:
$62,700.00 - $100,400.00
CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type (hourly/salary):
Hourly
Organization Level Competencies
  • Fostering a Collaborative Workplace Culture
  • Cultivate Partnerships
  • Develop Self and Others
  • Drive Execution
  • Influence Others
  • Pursue Personal Excellence
  • Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.
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Brand=CareSource

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