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Remote Medical Claims Processor Jobs in Springfield, PA

Corvel

Liability Claims Specialist

Norristown, PA · Remote

$52K - $85K/yr

This is a remote role. Heavy Auto Liability experience is required. ESSENTIAL FUNCTIONS ... A comprehensive benefits package is available for full-time regular employees and includes Medical ...

Corvel

Claims Supervisor

Norristown, PA · On-site +1

$73K - $113K/yr

This role is available for both remote and hybrid work arrangements. ESSENTIAL FUNCTIONS ... A comprehensive benefits package is available for full-time regular employees and includes Medical ...

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All JobsRemote Medical Claims Processor JobsRemote Medical Claims Processor Jobs in Springfield, PA

Remote Medical Claims Processor information

See Springfield, PA salary details

$13

$18

$24

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

As of Jul 6, 2026, the average hourly pay for remote medical claims processor in Springfield, PA is $18.36, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $20.38 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 the most commonly searched types of Medical Claims Processor jobs in Springfield, PA? The most popular types of Medical Claims Processor jobs in Springfield, PA are:
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What cities near Springfield, PA are hiring for Remote Medical Claims Processor jobs? Cities near Springfield, PA 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, PA as of June 2026, with employment types broken down into 95% Full Time, and 5% Contract. Highlights an 100% Remote job distribution, with an average salary of $38,199 per year, or $18.4 per hour.

Sr. Inside Property Claims Specialist | Remote

KING'S INSURANCE STAFFING LLC

Philadelphia, PA • Remote

$90K - $105K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 13 days ago

Be an early applicant

Job description

Our client, an A-rated and well-established insurance carrier, is looking to add a Senior Inside Property Claims Specialist for a fully remote opportunity. This individual will be responsible for managing a mix of Homeowners and Commercial property losses from initial intake through final resolution. The role involves handling complex, high-exposure losses, including claims related to wind, fire, hail, vandalism, theft, and water damage.
Qualified candidates should be well versed in ImageRight and Xactimate while also holding an active adjusters license. Prefer candidates to reside in NJ, NY, PA or in the New England region.
Key Responsibilities:
  • Review and assess residential and commercial property claims to determine coverage, liability, and extent of loss
  • Negotiate and resolve claims efficiently while delivering a high level of customer service
  • Collaborate with policyholders, contractors, and third-party vendors to evaluate damages and move claims toward resolution
  • Maintain thorough and accurate claim documentation, updating reserves as exposure changes
  • Prepare estimates using Xactimate and ensure cost-effective claim handling
  • Adhere to internal guidelines, regulatory standards, and industry best practices throughout the claims process
Qualifications:
  • At least 5 years of experience handling first-party property claims (homeowners and/or commercial) in a desk adjusting role with an insurance carrier
  • Strong proficiency in Xactimate and ImageRight
  • Experience with Guidewire is preferred
  • Familiarity with MSO policy is a plus
  • Excellent analytical, negotiation, and decision-making skills
  • Strong communication skills with the ability to effectively engage with various stakeholders
Compensation & Benefits:
  • Base salary ranging from $95,000 - $110,000, plus bonus potential up to 15%
  • Flexible schedule with full remote capability
  • Employer covers 100% for Medical, Dental, and Vision premium costs
  • 401(k) with employer match
  • Profit-sharing program
  • Lucrative Pension Plan
  • Generous PTO package