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Remote Medical Claims Jobs in Minnesota (NOW HIRING)

As Gravie looks to continue its member-centric approach to healthcare, the Medical Claims Examiner II will support, review and adjudicate claims in our best in class claim system. They are a subject ...

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives Workers' Compensation ... A comprehensive benefits package is available for full-time regular employees and includes Medical ...

Medical Coder II - Remote

Sartell, MN · Remote

$26 - $30/hr

The Medical Coding Specialist II is responsible for correctly coding healthcare claims and ... Remote Schedule: 8am - 5pm in Eastern, Central, Mountain, or Pacific time zones Department:

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Remote Medical Claims information

See Minnesota salary details

$14

$21

$31

How much do remote medical claims jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for remote medical claims in Minnesota is $21.75, according to ZipRecruiter salary data. Most workers in this role earn between $17.88 and $24.04 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 Minnesota?

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

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

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

Infographic showing various Remote Medical Claims job openings in Minnesota as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $45,247 per year, or $21.8 per hour.

Medical Claims Examiner II

Gravie

Minneapolis, MN • On-site, Remote

Full-time

Medical, Retirement, PTO

Posted 12 days ago


Job description

Hi, we're Gravie. Our mission is to create health benefits that actually benefit small and midsize businesses and their employees. Our innovative benefit solutions and services are developed and delivered by a diverse group of unique people. We encourage you to be your authentic self - we like you that way.
A Little More About this Role:
As Gravie looks to continue its member-centric approach to healthcare, the Medical Claims Examiner II will support, review and adjudicate claims in our best in class claim system. They are a subject matter expert capable of thoroughly evaluating, researching, and analyzing claim submissions with a solid knowledge of national claims guidelines. In addition to owning a high-volume, high-complexity caseload, this role may serve as a go-to resource for other Examiners, contribute to training and special projects, and support leadership with inventory management, process development, and auditing.
You will:
  • Accurately review, investigate, and verify coverage to ensure proper processing of medical claims, identifying key processing requirements based on Summary Plan Descriptions (SPD), policies, and departmental procedures
  • Process complex claim scenarios in accordance with Summary Plan Descriptions (SPDs). Areas of expertise include, but are not limited to: Coordination of Benefits (COB), Prior Authorization, Claim Adjustments, Health Reimbursement Arrangements (HRA), Transplant Claims, and High Dollar Claims Processing.
  • Review claims queues and provide expertise to address nuances with appropriate parties.
  • Serve as a go-to resource for other Examiners, answering questions and helping resolve claims issues as they arise
  • Continually meet department metrics and quality standards set forth by leadership
  • Communicate complex claims issues clearly through documentation and direct communication
  • Provide ongoing feedback to leadership on workflow gaps, process improvements, system enhancements, and training needs
  • Support leadership with special projects as assigned, including inventory management, process development, and auditing

You bring:
  • High School Diploma
  • 4 + years of experience processing/adjusting and/or analyzing medical claims preferably in a TPA environment
  • Strong knowledge of CPT/HCPC and ICD-10 code rules
  • Ability to set priorities, manage time and work independently
  • Functional comfort with Zoom, Microsoft Teams, or Google Meets
  • General knowledge of CMS claims submission regulations
  • Strong collaboration and communication skills within a team setting

Extra credit:
  • Medical Coding experience/certification
  • Medical Billing experience
  • Understanding of provider data
  • Degree in Healthcare Administration or similar field
  • Previous experience using Javelina processing system
  • Experience with training and ability to create processes/procedure documentation
  • Previous start-up company experience
A Little More About Us:
  • We know healthcare. Our company was founded and is still led by industry veterans who have started and grown several market-leading companies in the space.
  • We have raised money from top tier investors who share the same long-term vision as we do of building an industry defining company that will endure over the long run. We are well capitalized.
  • Our clients love us. Customer satisfaction rates among employees using Gravie health plans consistently rank above 80% - nearly 40 points above the industry average.
  • Our culture is unique. We tend to be non-hierarchical, merit-driven, opinionated but kind people who thrive working in a high-performance, fast-paced environment. People at Gravie care deeply about making a positive impact in the lives of the people we serve.
Benefits
Our unique benefits program is the gravy, i.e., the special sauce that sets our compensation package apart. In addition to standard health and wellness benefits, Gravie's package includes alternative medicine coverage, flexible PTO, up to 16 weeks paid parental leave, paid holidays, a 401k program, transportation perks, education reimbursement, and 2 days of paid paw-ternity leave.
Job Applicants
If you apply for employment with Gravie, personal information collected via our applicant tracking vendor is subject to our standalone California Job Applicant Notice at Collection, accessible directly within the application workflow and separate from this Policy.