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Remote Medical Claims Processor Jobs (NOW HIRING)

Conduent, Inc.

Remote Claims Processor

VA · Remote

$15/hr

Remote Claims Processor Schedule: Flexible shifts between 6:00 AM - 10:30 PM (based on business ... medical condition, use of a guide dog or service animal, military/veteran status, citizenship ...

WPS

Appeals Claims Processor

Madison, WI · On-site +1

$19.60/hr

Process Medical and Factual Appeals received by Providers, Beneficiaries and DHA. * Translate ... Remote Work Requirements * Wired (ethernet cable) internet connection from your router to your ...

Zenith American Solutions, Inc.

Claims Processor

$17.50 - $22/hr

Processes routine claims which could include medical, dental, vision, prescription, death, Life and AD&D, Workers' Compensation, or disability. * May provide customer service by responding to and ...

Zenith American Solutions, Inc.

Claims Processor

$17.50 - $22/hr

Processes routine claims which could include medical, dental, vision, prescription, death, Life and AD&D, Workers' Compensation, or disability. * May provide customer service by responding to and ...

TEEMA

Claims Reviewer

Phoenix, AZ · Remote

$25 - $29/hr

Arizona - Remote What you will be doing: * Conducts medical claims review using current claims processing guidelines and established clinical criteria e.g. CDST and policy keys, to evaluate medical ...

CareFirst

Claims Processor I (Remote)

Baltimore, MD · Remote

$17 - $21.25/hr

Applies training materials, correspondence and medical policies to ensure claims are processed accurately. Partners with Quality team for clarity on procedures and/or difficult claims and receives ...

New

TEEMA

Claims Reviewer

Phoenix, AZ · Remote

$26.40 - $27.88/hr

Familiarity with medical claims processing and terminology. * Preferred : * Coding experience ... Eligible Locations The position is remote, but you can only reside in the following states: AK, AR ...

IQVIA

Medical Biller/Claims Processing

Miami, FL · Remote

$23/hr

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to ...

IQVIA

Medical Biller/Claims Processing

Houston, TX · Remote

$23/hr

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to ...

IQVIA

Medical Biller/Claims Processing

Las Vegas, NV · Remote

$23/hr

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to ...

IQVIA

Medical Biller/Claims Processing

Kansas City, KS · Remote

$23/hr

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to ...

Moda Health

Supervisor, Medical Claims

Milwaukie, OR · Remote

Position Summary Provides supervision, coaching and support to Claims Processors. Organizes staff ... A reliable, high-speed, hard-wired internet connection required to support remote or hybrid work.

IQVIA

Medical Biller/Claims Processing

Flagstaff, AZ · Remote

$23/hr

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to ...

IQVIA

Medical Biller/Claims Processing

Newark, NJ · Remote

$23/hr

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to ...

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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 Jun 8, 2026, the average hourly pay for remote medical claims processor in the United States is $19.47, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $21.63 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 cities are hiring for Remote Medical Claims Processor jobs? Cities with the most Remote Medical Claims Processor job openings:
What are the most commonly searched types of Medical Claims Processor jobs? The most popular types of Medical Claims Processor jobs are:
What states have the most Remote Medical Claims Processor jobs? States with the most job openings for Remote Medical Claims Processor jobs include:
What job categories do people searching Remote Medical Claims Processor jobs look for? The top searched job categories for Remote Medical Claims Processor jobs are:
Remote Medical Claims Processor jobs near you
Infographic showing various Remote Medical Claims Processor job openings in the United States as of May 2026, with employment types broken down into 60% Full Time, 3% Part Time, 2% Temporary, 34% Contract, and 1% Nights. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $40,493 per year, or $19.5 per hour.
Medical Claims Examiner, Remote

Medical Claims Examiner, Remote

NTT DATA Services

Plano, TX • Remote

Temporary

Posted 11 days ago

NTT Data rating

7.3

Company rating: 7.3 out of 10

Based on 90 frontline employees who took The Breakroom Quiz

107th of 203 rated it services

Job description

Job Title: Medical Claims Examiner, Remote Date: Feb 26, 2026 Location: Plano, TX, US Company: NTT DATA Services NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team. In this Role the candidate will be responsible for: - Processing of Professional claim forms files by provider - Reviewing the policies and benefits - Comply with company regulations regarding HIPAA, confidentiality, and PHI - Abide with the timelines to complete compliance training of NTT Data/Client - Work independently to research, review and act on the claims - Prioritize work and adjudicate claims as per turnaround time/SLAs - Ensure claims are adjudicated as per clients defined workflows, guidelines - Sustaining and meeting the client productivity/quality targets to avoid penalties - Maintaining and sustaining quality scores above 98.5% PA and 99.75% FA. - Timely response and resolution of claims received via emails as priority work - Correctly calculate claims payable amount using applicable methodology/ fee schedule Requirements: - 3 year(s) hands-on experience in Healthcare Claims Processing - 2+ year(s) using a computer with Windows applications using a keyboard, navigating multiple screens and computer systems, and learning new software tools - High school diploma or GED.

- Previously performing – in P&Q work environment; work from queue; remotely - Key board skills and computer familiarity – - Toggling back and forth between screens/can you navigate multiple systems. - Working knowledge of MS office products – Outlook, MS Word and MS-Excel. Preferred Skills & Experiences: - Amisys - Ability to communicate (oral/written) effectively in a professional office setting - Effective troubleshooting where you can leverage your research, analysis and problem-solving abilities - Time management with the ability to cope in a complex, changing environment

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About NTT DATA

Sourced by ZipRecruiter

NTT DATA Services is a global business and IT services provider specializing in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services. We are part of the NTT family of companies, a partner to 85 % of the Fortune 100.

Industry

It services

Company size

10,000+ Employees

Headquarters location

Plano, TX, US

Year founded

1967

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