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Remote Medical Claims Processor Jobs in Stockbridge, GA

IQVIA

Medical Biller/Claims Processing

Atlanta, GA · Remote

$23/hr

Patient SupportMedicalBillingRepresentative Contract Remote Role - Location (Open to Remote US) At ... Receive medical claims from healthcare providers (HCPs) or patients and ensure all required ...

RemX

Be Seen First

$17/Hr. REMOTE - Prior Authorization Specialist *APPLY NOW*

Decatur, GA · Remote

$17/hr

If you have experience in medical billing, medical claims, insurance verification, denials ... Review and process prior authorization requests for medications, services, and procedures. * Verify ...

New

Scribe-X

Remote Medical Scribe

Atlanta, GA · Remote

$14 - $17/hr

Work for a company that understands the med school application process and supports your healthcare goals. Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider ...

Reserv, Inc.

Claims Manager - Trucking (BI)

Atlanta, GA · On-site +1

... in a remote environment * Comfortable with technology and the ability to evolve the claims systems and processes to drive better efficiencies and outcomes * Demonstrated commitment to quality ...

Reserv, Inc.

Claims Team Lead

Atlanta, GA · On-site +1

... in a remote environment * Comfortable with technology and the ability to evolve the claims systems and processes to drive better efficiencies and outcomes * Demonstrated commitment to quality ...

Reserv, Inc.

APD Claims Team Lead

Atlanta, GA · On-site +1

Align team with client and customer expectations of the claims process * Serve as a resource for ... Foster a culture of empathy, transparency, and empowerment in a remote-first environment At Reserv ...

Acrisure

Workers Compensation Claims Examiner

Atlanta, GA · On-site +1

$31.50 - $42.75/hr

This is a fully remote position. Workers' compensation claims experience is required for this role ... injured workers, attorneys, medical providers, and clients throughout the claims process

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

As of Aug 26, 2026, the average hourly pay for remote medical claims processor in Stockbridge, GA is $16.60, according to ZipRecruiter salary data. Most workers in this role earn between $14.76 and $18.46 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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Remote Medical Claims Processor jobs near you

Medical Biller/Claims Processing

Atlanta, GA • Remote

IQVIA
Health Care and Social Assistance • 10K+ employees

8.1

Company rating: 8.1 out of 10

Based on 53 frontline employees who took The Breakroom Quiz

62nd of 225 rated it services

People enjoy working here

Good employer

Paid breaks

Learn more about IQVIAexternal

$23/hr

Full-time

Posted 15 days ago

Job description

Patient SupportMedicalBillingRepresentative

Contract Remote Role - Location (Open to Remote US)

At IQVIA, we are driven by a shared purpose: to improve patients' lives through innovative healthcare solutions. As a global leader in commercial services, we bring life-changing therapies and support programs to the people who need them most. Our workplace is rooted in belonging, collaboration, and continuous improvement-where every team member is empowered to make an impact.

As aPatient Support Medical Billing Representative,you'llbe part of a team that delivers meaningfulassistanceto patients through co-pay cards, vouchers, andclaimssupport. We invest in your success with career development opportunities and a culture that values client focus, flawless execution, teamwork, integrity, and results.

We are excited to announce an opening for a100% remote (work from home)Patient Support Medical Billing Representativeto join our team!In this role, you will provide paymentassistancesolutions such as co-pay cards or vouchers to patients. Your primary responsibility will be to receive medical claims from healthcare providers (HCPs) or patients, review supporting documentation, and vet each claim against program-specific business rules todeterminewhether it should be paid or rejected.This is acontract position with IQVIA, managed by an external agency, with thepotential to convert to a full-time IQVIA employee.

Job Responsibilities

  • Receive medical claims from healthcare providers (HCPs) or patients and ensure all required supporting documentation is provided.

  • Interpret Explanation of Benefits (EOB) and CMS-1500 forms.

  • Evaluate claims against program-specific business rules todetermineapproval or rejection.

  • Maintain exceptional organizational skills to manage dailyworkload.

  • Provide support to customer inquiries via phone, email, fax, or other communication channels.

  • Identifyoperational challenges and recommend solutions to management as needed.

  • Adhere to HIPAA guidelines.

  • Prioritize tasks effectively throughout the day.

  • Meet daily productivity and quota expectations.

  • Work40 hoursper week under moderate supervision.

Minimum Education & Experience

  • High School Diploma or equivalent Required

  • Completion of Medical Billing Program or Medical Billing degree or Certified Medical BillinglicenseRequired

  • Experience in claim processing Required

  • Ability to interpret EOBs Required

  • Insurance verificationexperience Required

  • Experience with payment postings Required

  • Callcenter,customer service experience (inbound/outbound calls) Required

  • Revenue cycle experience Preferred

  • Proficiencyin Microsoft Office (Excel, Word, Outlook, Teams) Preferred

  • Experience with secondary and tertiary billing Preferred

  • Familiarity with complex insurance scenarios Preferred

  • Experience with multi-layered billing processes Preferred

The pay range for this role is $23.00 per hour.

IQVIA is an Equal Opportunity Employer. We cultivate a diverse corporate culture across the 100+ countries where we operate, celebrating and rewarding teamwork and inclusiveness. By embracing our differences, we create innovative solutions that are good for IQVIA, our clients, and the advancement of healthcare everywhere. This role will be a contract role with IQVIA managed by an external agency, with the opportunity to be converted to an IQVIA full-time employee.

#LI-CES

#LI-Remote

#LI-DNP

IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more athttps://jobs.iqvia.com

IQVIA is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable law. https://jobs.iqvia.com/eoe

IQVIA is committed to integrity in our hiring process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application must be truthful and complete. Any false statements, misrepresentations, or material omissions during the recruitment process will result in immediate disqualification of your application, or termination of employment if discovered later, in accordance with applicable law. We appreciate your honesty and professionalism.

The potential base pay range for this role is $23.00 per hour. The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits.
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About IQVIA

Sourced by ZipRecruiter

At IQVIA, we are passionate about helping customers and partners improve results and patient outcomes. Everything we do contributes to this vision for creating a healthier world. In today’s healthcare environment, it’s not only about how much data, information, and technology you have at your fingertips – it’s what you do with it. IQVIA is focused on making intelligent connections for customers across the entire healthcare ecosystem to help you drive healthcare forward. Whether that means partnering with novel technology companies to boost patient engagement, leveraging AI & machine learning to accelerate results, or using decentralized trials to reach the right patients wherever they are – we are always looking for smarter ways to move you forward.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Durham, NC, US

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