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Remote Medical Claims Processor Jobs (NOW HIRING)

Moda Health

Dental Claims Processor I

Milwaukie, OR · Remote

Medical, Dental, Vision, Pharmacy, Life, & Disability * 401K- Matching * FSA * Employee Assistance ... A reliable, high-speed, hard-wired internet connection required to support remote or hybrid work.

Conduent, Inc.

Remote Claims Processing Clerk

KY · Remote

$15/hr

... Claims Processor to support a fast-paced healthcare team. This role is fully remote and requires ... Health benefits start Day 1 to include Medical, Dental, Vision and 401K savings plan * Growth ...

Curative HR LLC

Claims Resolution Specialist

Austin, TX · On-site +1

$25 - $29/hr

Process claim adjustments, reversals, reprocessing, and corrected claims. Balance Billing ... Maintain a secure remote work environment. * Perform additional duties and special projects as ...

Curative HR LLC

Claims Resolution Specialist

Austin, TX · Remote

$25 - $29/hr

Process claim adjustments, reversals, reprocessing, and corrected claims. Balance Billing ... Maintain a secure remote work environment. * Perform additional duties and special projects as ...

Curative HR LLC

Claims Resolution Specialist

Austin, TX · Remote

$25 - $29/hr

Process claim adjustments, reversals, reprocessing, and corrected claims. Balance Billing ... Maintain a secure remote work environment. * Perform additional duties and special projects as ...

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Remote Medical Claims Processor information

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$13

$19

$25

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

As of Jun 9, 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:
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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 Auditor (Hybrid)

Medical Claims Auditor (Hybrid)

Northwest Administrators, Inc.

Mountlake Terrace, WA • On-site, Remote

$30.70 - $41.54/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 29 days ago

Job description

Are you a skilled communicator with strong writing abilities and deep, hands-on experience processing medical claims? Do you enjoy applying your claims expertise to work one-on-one, or in small group settings, to help others strengthen their accuracy, compliance, and performance? If so, you may be the ideal candidate for our Claims Auditor position within our Health & Welfare group.
What you'll be doing...
As a Health and Welfare Claims Auditor, the main focus will be to review the work completed by the Health and Welfare Medical, Dental, Vision, Time Loss and Life Claims Processors. This position requires collaboration with other auditors, outside vendors, account executives, department supervisors and managers, and medical consultants.
Primary responsibilities for this position include:
  • Perform internal audits of our Health and Welfare Claims Processors' work
  • Design and implement training plans for Claims Processors
  • Conduct training sessions for groups of new Claims Processors
  • Train and cross-train on plan, system and procedural changes
  • Respond to day-to-day referral questions
  • Perform random and large dollar claims audits
  • Prepare written claim processing guideline materials
  • Coordinate vendor interaction with specific PPOs and benefit providers

This position has a hybrid work schedule with 3 days per week in the office, after completion of training. The position can be based in our Seattle, Mountlake Terrace or Federal Way office.
Who you are...
  • Educated. Bachelor's degree preferred or equivalent combination of education & experience
  • Experienced. Medical & Dental Claims processing; auditing/training experience preferred
  • Organized. Able to prioritize work, multi-task and work independently
  • Communicator. Excellent verbal, written and interpersonal communication skills
  • Technically Savvy. Intermediate level experience using Microsoft Office Suite of tools

Who we are...
Northwest Administrators, Inc. is an industry leader in third-party administration of employee benefits. We administer one of the largest multi-employer pension plans in the country, along with numerous large health and welfare plans. As part of our team, you will benefit from many training and development opportunities and can expect a better-than-market benefits package. See what our associates are saying about us at Northwest Administrators Inc. | Careers (nwadmin.com)
If hired, you can expect...
  • Hourly rate range of $30.70 - $41.54 per hour (dependent upon experience & qualifications)
  • Medical, dental (w/Orthodontia), vision, Rx benefits, disability & life insurance
  • Optional benefits: health flex spending, dependent care assistance & pet insurance
  • Generous 401(k) plan with employer base contribution and match
  • Paid Vacation (10 days), Sick Leave (10 days) and Holidays (10 days)
  • Collaborative team environment
  • Work-life balance

Equal Employment Opportunity
NWA is proud to be an Equal Employment Opportunity employer. All employment decisions are based on business needs, job requirements and individual qualifications, without regard to race, color, religion, national origin, sex, sexual orientation, gender identity or expression, age, physical or mental disability, marital status, amnesty, veteran status, citizenship, family medical history or genetic information or any other characteristic protected by local, state, or federal laws. NWA prohibits any discrimination or harassment based on any of these characteristics.
We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact Human Resources at HR@nwadmin.com to request accommodation.
Northwest Administrators Inc. | Privacy Policy (nwadmin.com)

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