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Remote Medical Claims Jobs in Raleigh, NC (NOW HIRING)

Danaher

Principal Clinical Scientist

Raleigh, NC · On-site +1

... remote based (can also be onsite in Chaska, MN). At Danaher Diagnostics, our vision is to be the ... claims, and evidence plans. * Partner crossfunctionally with R&D, Regulatory, Medical Affairs ...

ERM

Right of Way (ROW) Agent (Field Based)

Raleigh, NC · On-site +1

$34.19 - $40.20/hr

Work on the settlement of complex damage claims with land owners (or their designees) relative to ... Ability to work in remote locations for long periods of time; * Excellent interpersonal skills and ...

Infojini Inc

Project Manager

Raleigh, NC · Remote

Experience working with remote resources *Experience with SaaS and hosted software solutions ... medical and pharmacy claims *Understanding of IT fundamentals, architecture, and the system ...

Hitachi

Contract Management Professional

Raleigh, NC · On-site +1

$86K - $115K/yr

Legal, Compliance & Audit Job Schedule: Full time Remote: No The Opportunity At Hitachi Energy, we ... Ensure timely execution of claims, variation orders, and warranties. * Maintain accurate ...

Infojini Inc

Project Manager

Raleigh, NC · Remote

Experience working with remote resources *Experience with SaaS and hosted software solutions ... medical and pharmacy claims *Understanding of IT fundamentals, architecture, and the system ...

Lantern

Strategy Analyst

Raleigh, NC · Remote

This is a remote-first role with occasional (~1x month) travel. Responsibilities and Duties ... Analyze claims and cost savings data to drive insights for reporting and product improvement

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All JobsMedical Claims JobsRemote Medical Claims JobsRemote Medical Claims Jobs in Raleigh, NC

Remote Medical Claims information

See Raleigh, NC salary details

$14

$21

$31

How much do remote medical claims jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for remote medical claims in Raleigh, NC is $21.59, according to ZipRecruiter salary data. Most workers in this role earn between $17.74 and $23.85 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 Raleigh, NC?

The most popular types of Medical Claims jobs in Raleigh, NC are:

What are popular job titles related to Remote Medical Claims jobs in Raleigh, NC?

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

What job categories do people searching Remote Medical Claims jobs in Raleigh, NC look for?

The top searched job categories for Remote Medical Claims jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Remote Medical Claims jobs?

Cities near Raleigh, NC with the most Remote Medical Claims job openings:

Remote Medical Claims jobs near you
Infographic showing various Remote Medical Claims job openings in Raleigh, NC as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 12% Part Time, and 6% Contract. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution, with an average salary of $44,908 per year, or $21.6 per hour.

Customer Service Advocate

Marpai Administrators LLC

Cary, NC • Remote

$18 - $20/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 18 days ago

Job description

Marpai Administrators is a technology company transforming the Third-Party Administration sector serving employers with self-funded health plans. Marpai Administrators (“Marpai”) is an AI-powered national TPA (third party administrator) using deep learning and machine learning to maximize population health outcomes with the greatest cost efficiency for any health plan budget. We create healthier members and a healthier bottom line. Marpai proactively targets at-risk members with meaningful clinical interventions to improve outcomes. 
 
ABOUT THE POSITION:
The Customer Service Advocate is responsible for ensuring Marpai Administrators' interactions are executed at all levels for our clients, members, and providers. This position is responsible for the resolution of all incoming interactions.  The Customer Service Advocate will be interacting with members, providers, and vendors through phone, fax, email, SMS, and chat. 
 
WHAT YOU WILL BE DOING: 
  • Handle incoming interactions received from members, providers, and vendor contacts within defined service protocols.
  • Resolve member and provider issues concerning eligibility, benefits, and claims.
  • Outbound interactions with members and providers following up on a task.
  • Educating and counseling members and providers:
  1. Eligibility Information 
  2. Benefit Information 
  3. Pre-Certification Information
  4. Claim Information
  5. Doctor and/or Facility Network Validation  
  • Outbound interactions with providers to ensure Pre-Certification/Authorization is completed.
  • Work closely with the claims department to ensure claims are accurately processed.
  • Create and document CRM to precisely communicate with the members and providers.
  • Provide excellent verbal communication utilizing company resources.
  • Recommend network providers, wellness programs, and additional employer-offered benefits.
  • Anticipate customer needs, following up with previous customers to offer additional information and service.
  • Training completed 100% Online.
  • Other duties as assigned 
WHAT DO YOU NEED
  • Minimum of 3 years of Customer Service experience in a call center is required.
  • Ability to communicate with all levels of people to illustrate superior professionalism.
  • Excellent written communication and documentation skills.
  • Ability to manage multiple projects to a successful conclusion.
  • Analytical ability to research and deal with situations where limited standardization exists.
  • Attention to detail with the ability to prioritize and meet deadlines.
  • Must have basic knowledge of all desktop computer applications such as MS Office including Outlook, Word, Excel, PowerPoint, and Adobe Reader.
  • Ability to adapt and be flexible in a variety of situations.
  • Ability to multitask and possess strong time management skills.
  • Medical terminology and/or insurance experience.
  • Experience in a fast pace, high call volume environment.
  • HS Diploma, college a plus
 WORK REQUIREMENTS:
  • Fast paced, dynamic work environment requiring the ability to be adaptive, innovative and flexible
  • Travel minimal
 WHY WORK AT MARPAI?  
We have great benefits: 
  • Generous PTO
  • Medical and Prescription 
  • EAP 
  • FSA / HSA / Dependent Care
  • Dental 
  • Vision 
  • Life and Disability 
  • STD/LTD
  • Voluntary Benefits: Critical Illness, Accident, Hospital
  • 401k with Employer Match
  • LegalShield
  • Identity Theft Protection
 
Marpai is an equal opportunity workplace.  We are committed to equal opportunity regardless of race, color, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, or veteran status.
 

This is a remote position.