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Remote Medical Claims Processor Jobs in Villa Rica, GA

Reserv, Inc.

Trucking Director

Atlanta, GA · On-site +1

Monitor and analyze claims data to identify trends, patterns, and areas for process improvement ... Foster a culture of empathy, transparency, and empowerment in a remote-first environment Location ...

Sydiera

medical biller (Remote)

Atlanta, GA · Remote

$18.75 - $24/hr

Insurance claims and reimbursement processes * Patient and insurance information * Medical billing software * Claims submission and follow-up * Payment posting * Accounts receivable * Denials and ...

Elevance Health

Research Scientist Senior

Atlanta, GA · On-site +1

$94K - $120K/yr

Leads the proposal development process, project pricing, and project milestone forecasting ... medical claims. * Designs and develops machine learning, predictive modeling, and reinforcement ...

SYDIERA

medical biller

Atlanta, GA · On-site +1

$17.50 - $22.50/hr

Insurance claims and reimbursement processes * Patient and insurance information * Medical billing software * Claims submission and follow-up * Payment posting * Accounts receivable * Denials and ...

Oscar Health

Associate, Medical Economics

Atlanta, GA · Remote

$111K - $145K/yr

This is a remote position, open to candidates who reside in: Atlanta, GA. You will be fully remote ... Perform in-depth analysis of integrated claims and operational data (medical, pharmacy, lab, auths ...

Acrisure

Workers Compensation Lost Time Adjuster

Atlanta, GA · On-site +1

$70K - $83K/yr

Remote: Georgia residency preferred; open to candidates in Florida, North Carolina, South Carolina ... Control and manage medical issues * Evaluate claims for resolution * Consistently keep claim files ...

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Remote Medical Claims Processor information

See Villa Rica, GA salary details

$12

$16

$22

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

As of Sep 12, 2026, the average hourly pay for remote medical claims processor in Villa Rica, GA is $16.99, according to ZipRecruiter salary data. Most workers in this role earn between $15.10 and $18.89 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 job categories do people searching Remote Medical Claims Processor jobs in Villa Rica, GA look for?

The top searched job categories for Remote Medical Claims Processor jobs in Villa Rica, GA are:

What cities near Villa Rica, GA are hiring for Remote Medical Claims Processor jobs?

Cities near Villa Rica, GA 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 Villa Rica, GA as of September 2026, with employment types broken down into 87% Full Time, 7% Part Time, 2% Temporary, and 4% Contract. Highlights an 2% In-person, and 98% Remote job distribution, with an average salary of $35,345 per year, or $17 per hour.

Trucking Director

Atlanta, GA • On-site, Remote

Reserv, Inc.
Insurance Services • 1 - 10 employees
Learn more about Reserv, Inc.external

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 2 days ago

Job description

About Reserv
Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike. We have ambitious (but attainable!) goals and need people who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can't wait to meet you.
About the role
As a Director of Commercial Transportation Claims at Reserv, you will be responsible for a team of Claims Professionals overseeing a wide variety of Commercial Transportation claims, including but not limited to Trucking, Garage Keeper, Specialty Vehicle, Rideshare/TNC, and Delivery claims. We want your background and experience to drive operational effectiveness, with a focus on leveraging technology and analytics to improve efficiency and performance in the Commercial Transportation space. In this role, you will play a critical part in working with your team, customers, and clients to ensure high-quality standards are maintained, while adhering to regulatory requirements and both internal and external contractual SLAs. This position requires exceptional leadership skills and a strong understanding of state and federal transportation rules and regulations, ideally with experience managing or handling large, complex claims portfolios.
Who you are
  • Highly motivated and growth-oriented
  • Subject matter expert. You have deep technical and subject matter experience in the world of commercial transportation claims, including coverage and litigation.
  • Experienced in reviewing and analyzing contracts
  • Tech-oriented. You are excited by the prospect of building a tech-driven claims organization while delivering an excellent service and have proven results leveraging technology and analytics
  • Passionate claims professional who cares about their team, the customer, and their experience
  • Empathetic leader. You exercise empathy and patience towards everyone you interact with
  • Sense of urgency - at all times. That does not mean working at all hours
  • Creative. You challenge existing assumptions and find ways of leveraging technology and the talents of your team to address problems
  • Curious. You want to know the whole story so you can make the right decisions early and be decisive when it counts.
  • Problem solver. You have the ability to take a 'deep dive' into the details of the business while staying focused on the big picture
  • Anti-status quo. You don't just wish things were done differently, you action on it
  • Communicative. You are comfortable with and understand the importance of phone communications throughout the claims process
  • And did we mention, a sense of humor. Claims are hard enough as it is.Tr

What we need
We need you to do all the things typical to the role:
  • Manage a unit of Commercial Transportation claims professionals at the management and desk level.
  • Be consistently dependable in achieving or exceeding goals and overcoming obstacles
  • Implement and maintain best practices for claims handling, including: claim intake, investigation, evaluation, settlement, and recovery
  • Monitor and analyze claims data to identify trends, patterns, and areas for process improvement
  • Align team with client and customer expectations of the claims process
  • Serve as a resource for escalated claims
  • Responsible for accuracy and adequacy of all aspects of claim reserving
  • Develop and implement strategies to mitigate fraudulent claims and ensure compliance with legal and regulatory requirements
  • Foster a positive work environment, promote teamwork, and encourage professional growth and development
  • Execute on performance management; attract, hire, retain and provide high level of training
  • Collaborate with internal teams, such as Account Management, Compliance, and Claim Operations, to resolve complex or escalated claims-related issues
  • Establish and maintain strong relationships with external stakeholders, including policyholders, agents, brokers, and legal representatives
  • Prepare and present comprehensive claims reports, metrics, and analysis to clients and customers; advise clients on claim trends and loss mitigation

Requirements
  • Bachelor's degree in insurance, business administration, or a related field; relevant certifications (e.g., CPCU, AIC) as well as a JD are a plus
  • 10+ years in insurance claims management experience in Commercial Transportation
  • 5+ years management experience with preference for experience managing in a remote environment
  • 5+ years of detailed coverage analysis and policy interpretation is a plus
  • Active home state adjusters license
  • Comfortable with technology and the ability to evolve the claims systems and processes to drive better efficiencies and outcomes
  • Demonstrated commitment to quality, accuracy, and attention to detail
  • Integrity, ethics, and a strong sense of accountability in handling confidential and sensitive information

Benefits
  • Generous health-insurance package with nationwide coverage, vision, & dental
  • 401(k) retirement plan with employer matching
  • Competitive PTO policy - we want our employees fresh, healthy, happy, and energized!
  • Generous family leave policy
  • Work from anywhere to facilitate your work life balance paired with frequent, regular corporate retreats to build team cohesion, reinforce culture, and have fun
  • Apple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder!

Additionally, we will
  • Listen to your feedback to enhance and improve upon the long-standing challenges of an adjuster and the claims role
  • Work toward reducing and eliminating all the administrative work from an adjuster role
  • Foster a culture of empathy, transparency, and empowerment in a remote-first environment

Location
Candidates must reside in an eligible U.S. state throughout employment. We are unable to hire candidates residing in California, Alaska, Hawaii, U.S. territories, or outside the United States.
At Reserv, we value diversity in backgrounds, perspectives, and life experiences and believe that diversity in viewpoints and critical thinking drives innovation, first-principles thinking, and success. We welcome applicants from all backgrounds and encourage those from all walks of life to apply. If you believe you are a good fit for this role, we would love to hear from you!

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