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Remote Medical Claims Processor Jobs (NOW HIRING)

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 ...

NTT DATA

Healthcare Claims Processor, Remote

$17.50 - $22/hr

Remote Claims Processing Associate At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our ...

MUSC

$17.50 - $22/hr

Document medical claims processes by completing forms, reports, logs and records. Resolve medical claims by approving or denying, calculating benefit due and initiating payment or denial. Ensure ...

Moda Health

Inpatient Claims Processor I

Milwaukie, OR · Remote

$21.30 - $23.96/hr

Medical, Dental, Vision, Pharmacy, Life, & Disability * 401K- Matching * FSA * Employee Assistance ... High School diploma or equivalent. * 1-2 years medical claims processing experience. * 10-key ...

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 ...

Moda Health

Supervisor, Medical Claims

Milwaukie, OR · Remote

$59K - $74K/yr

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.

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 ...

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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 Jul 21, 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 July 2026, with employment types broken down into 91% Full Time, 7% Part Time, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $40,493 per year, or $19.5 per hour.
Claims Reviewer

Claims Reviewer

TEEMA

Phoenix, AZ • Remote

$25 - $29/hr

Full-time

Re-posted 19 days ago

Job description


Job Tittle: Claims Reviewer
Job ID: 75861
Location: 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 necessity, appropriateness of care and program benefits, exclusions and limitations.

  • Validates medical determinations through research of resources including regulatory manuals, computer files, and documentation.

  • Prepares cases program payment or medical director review as indicated.

  • Validates all appropriate data is supplied with program invoice.

  • Reviews claim data for process improvements related to all aspects of claims payment.

  • Ensures contract compliance for timelines regarding resolution of medical claims.

  • Communicates effectively with management and peers.

  • Consistently meets medical claims processing quotas.

  • Identifies and reports any potential quality or fraud issues to management, Quality Management, or Program Integrity as needed.

  • Provides support regarding clinical and coding questions.

  • Performs other duties as assigned.

  • Regular and reliable attendance is required.


What you must have:

  • High School Diploma or GED

  • 2+ years of claims review experience

  • Knowledge of all types of Medical claims review


Nice to have:

  • Claim coding experience

  • Knowledge of behavioral health claims review


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About Teema

Sourced by ZipRecruiter

TEEMA is an award-winning, industry-leading recruitment agency dedicated to building meaningful relationships across North America. We achieve this time after time by consistently sourcing, screening, managing and securing top talent tailored to employers’ specific needs. The team that makes this happen consists of hundreds of experienced professional recruiters backed by exceptional, tenured leadership and back-office support. No matter how unique or challenging your hiring needs may be or how misunderstood or undervalued your in-demand skills may be in your current role, we have you covered. Our primary objective is to provide an exceptional recruitment experience for our clients and candidates and an ecosystem that empowers our team to thrive.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Litchfield Park, AZ, US

Social media

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