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Remote Medical Claims Processor Jobs in Wheat Ridge, CO

InnovAge

Claims Processor II

Denver, CO · Remote

$22.84 - $31.97/hr

Responsibilities The Claims Processor II is responsible for ensuring the accurate and timely ... Experience with medical billing and/or coding as well as document imaging systems and Medical ...

InnovAge

Claims Processor II

Denver, CO · Remote

$17.50 - $22.25/hr

Responsibilities The Claims Processor II is responsible for ensuring the accurate and timely ... Experience with medical billing and/or coding as well as document imaging systems and Medical ...

InnovAge

Claims Processor II

Denver, CO · On-site +1

$22.84 - $27.40/hr

Responsibilities The Claims Processor II is responsible for ensuring the accurate and timely ... Experience with medical billing and/or coding as well as document imaging systems and Medical ...

Ccfs

Risk Claims Manager

Denver, CO · Remote

$85K - $95K/yr

This position has the potential to be remote. ESSENTIAL JOB DUTIES * Personally investigate and ... Knowledge of statistical process control desirable.

Ryder

Claims Analyst - REMOTE

Englewood, CO · Remote

$100K/yr

Comprehensive understanding of all relevant laws and regulations as well as related medical and ... processes * Assists Claim Manager in the identification of exposures and recommends solutions

Ryder

Claims Analyst - REMOTE

Englewood, CO · Remote

$100K/yr

Comprehensive understanding of all relevant laws and regulations as well as related medical and ... processes * Assists Claim Manager in the identification of exposures and recommends solutions

ATN Health

Virtual Medical Assistant

Sheridan, CO · On-site +1

$17.75 - $22.75/hr

Description: Full Remote Medical Assistant - ATN Health This is a remote position in Orlando ... rooming process to assist the in-office medical assistant in expediting onsite rooming in ...

ATN Health

Virtual Medical Assistant

Boulder, CO · On-site +1

$18.50 - $23.50/hr

Description: Full Remote Medical Assistant - ATN Health This is a remote position in Orlando ... rooming process to assist the in-office medical assistant in expediting onsite rooming in ...

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Remote Medical Claims Processor information

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

As of Aug 7, 2026, the average hourly pay for remote medical claims processor in Wheat Ridge, CO is $20.69, according to ZipRecruiter salary data. Most workers in this role earn between $18.41 and $22.98 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 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?

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 job categories do people searching Remote Medical Claims Processor jobs in Wheat Ridge, CO look for? The top searched job categories for Remote Medical Claims Processor jobs in Wheat Ridge, CO are:
What cities near Wheat Ridge, CO are hiring for Remote Medical Claims Processor jobs? Cities near Wheat Ridge, CO 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 Wheat Ridge, CO as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $43,033 per year, or $20.7 per hour.

Claims Processor II

InnovAge

Denver, CO • Remote

$22.84 - $31.97/hr

Full-time

Posted 22 days ago

InnovAge rating

6.6

Company rating: 6.6 out of 10

Based on 18 frontline employees who took The Breakroom Quiz

Job description

Responsibilities

The Claims Processor II is responsible for ensuring the accurate and timely processing of all UB, HCFA and Dental claims submitted by external providers for participant care per company and CMS guidelines. This position monitors and processes claim audits to maximize accuracy and minimize expense, using various software and customized applications. The position interacts with all external providers, vendors, and external agencies on issues related to claims submission, process and payment.

  • Train providers and address provider appeals per CMS and NCCI guidelines adjusting claims as appropriate.
  • Monitor and clear pended claims as necessary via research and system updates/corrections.
  • Downgrades DRG claims and reprocesses per the direction of InnovAge’s external audit vendor.
  • Processes provider refunds, creating, coordinating and reconciling activity with AP.
  • Receives inbound customer service calls and e-mails, answering claims questions in regards to claim status, verification of eligibility/benefits, billing and payment per CMS, NCCI and InnovAge guidelines.
  • Monitor Smart Data claims activity and work rejected claims by making necessary adjustments to the claim so transmission to the Claims system is possible
  • Clear pended claims. Pull reports daily to research and resolve the issues stopping the claim from processing, up to and including loading provider data to the PCM claims system.
  • Conduct weekly batch reviews, monitoring a reviewing a host of internal reports to maximize accuracy of claim payments
  • Under the supervision of the team lead load new providers to InnovAge’s PCM Network to allow claims to process and pay per expectations
  • Work with Center Leadership to approve claims from non-contracted providers, communicating the need for contracts as necessary
  • Research and resolve Provider reconciliations to address billing/payment issues – research claims and communicate resolution to provider.
  • Performs provider fee schedule maintenance for Housing providers
  • Train external providers on how to execute and CMS UB04, HCFA or Dental claim as necessary
  • Process Refunded payments back to the claims system, ensuring shared spreadsheets are up to date and accurately maintained for reconciliation purposes with Accounting
  • Work claims audits generated by Virtual Examiner –500-1500 weekly
  • Work IP audits generate by Varis, adjusting claims and submitting invoices to AP
  • Reviews and responds to Provider appeals, including research, claims adjustment and drafting responses to providers
  • Resolves claims issues through contact with participants, physicians, facilities and others and makes changes to claims based on results of those conversations.
  • Hand key paper claims activity that is loaded in KL i.e. Smart Data rejects

REQUIRED

  • 3+ as a Claims Processor or similar position in either a doctor’s office, healthcare clinic or other healthcare setting; or equivalent combination of education and experience.
  • Ability to type 10,000+ KSPH (alpha/numeric), in addition to being able to produce business correspondence to both participants and regulatory agencies
  • Must have intermediate customer service skills and be able to research and communicate information to callers in a timely manner.
  • Experience with basic office machines such as copiers, scanners and multi-line phone systems are essential.
  • Current experience in communicating claims issues with physicians and their staff, participants, and other regulatory agencies
  • Associates degree or Certificate in healthcare sciences, health information technology or a related field from an accredited college

PREFERRED

  • Experience with medical billing and/or coding as well as document imaging systems and Medical Terminology.
  • Prior experience working with Plexis, Virtual Examiner, ABCT, Encoder Plus
  • Prior Audit experience
  • Bi-lingual in Spanish

What InnovAge employees say

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