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Remote Medical Claims Jobs in Florida (NOW HIRING)

Imagenet

Claims Examiner - Remote

Tampa, FL · Remote

Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of ... Remote work offered * Equipment provided * Paid trainingto set you up for success * Comprehensive ...

Imagenet

Claims Examiner - Remote

Tampa, FL · On-site +1

Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of ... Remote work offered * Equipment provided * Paid training to set you up for success * Comprehensive ...

ARC Group

Medical Director

Jacksonville, FL · Remote

MEDICAL DIRECTOR - REMOTE ARC Group has an immediate opportunity for a Medical Director! This ... Provide the clinical expertise, scientific literature analysis, claims data analytics to ...

ARC Group

Claims Adjustor (BI)

Oakland Park, FL · Remote

CLAIMS ADJUSTER (remote) ARC Group seeks two Bodily Injury Claims Adjuster to work in a remote contract role for our direct client based in Fort Lauderdale, FL. This is a 90 day contract to start and ...

Gallagher

Claims Adjuster Senior

Orlando, FL · Remote

This role is eligible for fully remote work. How you'll make an impact * Apply claims management experience to execute decision-making to analyze claims exposure and litigation, plan the proper ...

TOC

Revenue Cycle Specialist-Remote

Tallahassee, FL · On-site +1

The ideal candidate would have a strong understanding of medical claims billing. * Research and resolve claims denials using the appropriate resources * Check that pre-bill claims are passing ...

Crawford and Company

Claims Clerk

Tampa, FL · Remote

$12.03 - $21.99/hr

Claims Clerk (Remote) Ready to kickstart your career in a fastmoving, supportive environment? Join ... The core benefits* offered include : - Medical, Dental and Vision Plans - Prescription Drugs - HSA ...

Crawford & Company - América Latina

Claims Clerk

Tampa, FL · Remote

$12.03 - $21.99/hr

Claims Clerk (Remote) Ready to kickstart your career in a fastmoving, supportive environment? Join ... The core benefits* offered include : - Medical, Dental and Vision Plans - Prescription Drugs - HSA ...

Oates Energy

Claims Processor

Jacksonville, FL · Remote

$36 - $49/hr

This is a remote position. Summary Our insurance division is looking for a committed Claims Processor to become an integral part of our team. In this vital role, you will oversee the initial intake ...

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Remote Medical Claims information

See Florida salary details

$10

$16

$23

How much do remote medical claims jobs pay per hour?

As of Sep 1, 2026, the average hourly pay for remote medical claims in Florida is $16.60, according to ZipRecruiter salary data. Most workers in this role earn between $13.65 and $18.32 per hour, depending on experience, location, and employer.

What is a remote medical claims job?

Remote medical claims jobs involve reviewing, processing, and managing health insurance claims from a location outside of a traditional office, typically from home. Professionals in this field assess medical records, verify patient information, ensure compliance with insurance policies, and determine the appropriate payment or denial of claims. These roles often require knowledge of medical terminology, coding, and healthcare regulations. Working remotely in this field offers flexibility while still maintaining the accuracy and confidentiality required in handling sensitive patient data.

What skills and qualifications are needed for a remote medical claims specialist?

To thrive as a Remote Medical Claims Specialist, you need a strong understanding of medical billing, insurance procedures, and healthcare regulations, often supported by relevant certifications like Certified Professional Coder (CPC) or Certified Billing and Coding Specialist (CBCS). Familiarity with claims management software, electronic health records (EHR) systems, and payer portals is typically required. Attention to detail, problem-solving abilities, and effective verbal and written communication help ensure accuracy and resolve claim issues efficiently. These skills are crucial for minimizing claim denials, maximizing reimbursements, and maintaining compliance in a remote environment.

What are common challenges in remote medical claims roles and how can they be managed?

One common challenge in remote medical claims roles is ensuring clear and timely communication with both healthcare providers and insurance companies, as miscommunication can lead to claim delays or denials. Additionally, managing a high volume of claims while maintaining accuracy requires strong organizational skills and attention to detail. To manage these challenges, professionals often rely on digital collaboration tools, regular team check-ins, and thorough knowledge of medical billing codes and insurance policies. Establishing a structured daily workflow and seeking continuous training on regulatory updates can also help remote medical claims specialists stay efficient and compliant.

What is the difference between Remote Medical Claims vs Remote Medical Billing?

AspectRemote Medical ClaimsRemote Medical Billing
CertificationsTypically requires CPC, CCS, or similar claims processing certificationsOften requires CPC, CPC-H, or billing-specific certifications
Work EnvironmentPrimarily involves reviewing and submitting insurance claimsFocuses on creating and submitting patient bills to insurance companies
Employer & Industry UsageUsed by insurance companies, third-party administrators, and healthcare providersUsed mainly by healthcare providers, billing companies, and medical offices

Remote Medical Claims specialists focus on processing and submitting insurance claims, ensuring compliance and accuracy. Remote Medical Billing professionals handle creating patient invoices and submitting bills to insurance companies. While both roles require similar certifications and work in healthcare, their core functions differ—claims processing vs billing. Understanding these distinctions helps job seekers find the right remote healthcare role.

What are the most commonly searched types of Medical Claims jobs in Florida?

The most popular types of Medical Claims jobs in Florida are:

What are popular job titles related to Remote Medical Claims jobs in Florida?

For Remote Medical Claims jobs in Florida, the most frequently searched job titles are:

What job categories do people searching Remote Medical Claims jobs in Florida look for?

The top searched job categories for Remote Medical Claims jobs in Florida are:

What cities in Florida are hiring for Remote Medical Claims jobs?

Cities in Florida with the most Remote Medical Claims job openings:

Remote Medical Claims jobs near you
Infographic showing various Remote Medical Claims job openings in Florida as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 14% Part Time, and 5% Contract. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution, with an average salary of $34,523 per year, or $16.6 per hour.

Claims Examiner - Remote

Tampa, FL • Remote

Imagenet
See more jobs at Imagenetexternal

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 29 days ago

Job description

Claims Examiner - Remote


Job Type: Full-time

Work Setup: This is a fully remote position
Work Hours:Pacific Time Zone


We are looking forExperienced Claims Examiner to join our rapidly growing team.

Experience isrequiredfor this position.


Job Overview:

As a Claims Examiner, you will be responsible for accurately reviewing, investigating, and processing medical claims and provider dispute requests in accordance with payer guidelines, contractual agreements, regulatory requirements, and internal policies.


Responsibilities:

  • Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of appropriate reimbursement methodologies.
  • Review and investigate provider dispute requests, appeals, and reconsiderations related to processed medical claims.
  • Verify patient eligibility, provider credentialing, and coverage details to facilitate accurate claims processing.
  • Communicate with internal resources, and internal stakeholders to resolve claim discrepancies, request additional information, or clarify issues.
  • Participate in ongoing training and professional development activities.
  • Maintain accurate and detailed records of claims processing activities.
  • Review claim forms and supporting documents
  • Determine eligibility, verify data accuracy
  • Request additional information when needed
  • Process claims end-to-end
  • Identify and escalate complex or unusual claims for further review or investigation.
  • Participate in ongoing training and professional development activities.
  • Handle more complex claims with multiple services, providers


Experience:

  • At least 1-2 years of experience working closely with healthcare claims or in a claims processing/adjudication environment.
  • Experience processing Provider Dispute Resolution (PDR), appeals, reconsiderations, or claim adjustments is highly preferred.
  • Understanding of health claims processing/adjudication
  • Ability to perform basic to intermediate mathematical computation routines
  • Medical terminology strongly preferred
  • Understanding of ICD-9 & ICD-10
  • Basic MS office computer skills
  • Ability to work independently or within a team
  • Time management skills
  • Written and verbal communication skills
  • Attention to detail
  • Must be able to demonstrate sound decision-making skills


What We Offer

  • Remote work offered
  • Equipment provided
  • Paid trainingto set you up for success
  • Comprehensive benefits:Medical, Dental, Vision, Life, HSA, 401(k)
  • Paid Time Off (PTO)
  • 7 paid holidays
  • A supportive team and a company that values internal growth


Ready to Grow Your Career?

We'd love to meet you! Click"Apply Now"and tell us why you'd be a great addition to the Imagenet team.


About Imagenet

Imagenet is a technology-forward healthcare operations partner with more than 25 years of experience helping healthcare payers manage critical administrative and operational processes. Founded in 2000 and headquartered in Tampa, Florida, Imagenet supports 150+ health plans through its payer clients.


Our teams help improve efficiency, accuracy, visibility, and service across complex healthcare operations, including digital mailroom, claims adjudication, contact center, member communications, and related administrative functions. By combining experienced operational teams, proven processes, and purpose-built workflow technology, Imagenet helps payers keep essential processes moving for the members, providers, and communities they serve.


Imagenet operates 10 secure facilities across the U.S. and one secure facility in Manila, Philippines.


Joining Imagenet means contributing to work that supports the healthcare operations members and providers rely on every day.

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