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Remote Medical Claims Jobs in Reston, VA (NOW HIRING)

C-MCI

Medical Billing Specialist

Fairfax, VA · On-site +1

$18.50 - $24/hr

Remote / On-site Department: Revenue Cycle Management Overview: CMCI is seeking a detail-oriented and experienced Medical Billing Specialist to oversee claims processing, revenue cycle management ...

WearLinq

Medical Billing Associate (Remote)

Rockville, MD · Remote

$44K/hr

We're hiring for our Medical Billing team to support our client and patient growth! About the Role ... Key Responsibilities Billing & Claims Management * Prepare, review, and submit professional and ...

AFSPA

Health Benefits Officer II

Washington, DC · On-site +1

$44K - $50K/yr

... claims, medical/pharmacy coverage, and eligibility issues. This essential role supporting a mission ... This position is fully remote, scheduled Monday through Friday from 11:00 AM to 7:00 PM EST ...

New

AFSPA

Health Benefits Officer II

Washington, DC · On-site +1

$44K - $50K/yr

... claims, medical/pharmacy coverage, and eligibility issues. This essential role supporting a mission ... This position is fully remote, scheduled Monday through Friday from 11:00 AM to 7:00 PM EST ...

New

AFSPA

Health Benefits Officer II

Washington, DC · On-site +1

$44K - $50K/yr

... claims, medical/pharmacy coverage, and eligibility issues. This essential role supporting a mission ... This position is fully remote, scheduled Monday through Friday from 11:00 AM to 7:00 PM EST ...

New

AFSPA

Health Benefits Officer II (Washington)

Washington, DC · On-site +1

$44K - $50K/yr

... claims, medical/pharmacy coverage, and eligibility issues. This essential role supporting a mission ... This position is fully remote, scheduled Monday through Friday from 11:00 AM to 7:00 PM EST ...

New

AFSPA

Health Benefits Officer II

Washington, DC · On-site +1

$44K - $50K/yr

... claims, medical/pharmacy coverage, and eligibility issues. This essential role supporting a mission ... This position is fully remote, scheduled Monday through Friday from 11:00 AM to 7:00 PM EST ...

New

AFSPA

Health Benefits Officer II (Washington)

Washington, DC · On-site +1

$44K - $50K/yr

... claims, medical/pharmacy coverage, and eligibility issues. This essential role supporting a mission ... This position is fully remote, scheduled Monday through Friday from 11:00 AM to 7:00 PM EST ...

New

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All JobsMedical Claims JobsRemote Medical Claims JobsRemote Medical Claims Jobs in Reston, VA

Remote Medical Claims information

See Reston, VA salary details

$15

$23

$33

How much do remote medical claims jobs pay per hour?

As of Jun 12, 2026, the average hourly pay for remote medical claims in Reston, VA is $23.11, according to ZipRecruiter salary data. Most workers in this role earn between $18.99 and $25.53 per hour, depending on experience, location, and employer.

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 remote medical claims jobs?

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 are the key skills and qualifications needed to thrive as a Remote Medical Claims Specialist, and why are they important?

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 some common challenges faced by professionals working 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 are the most commonly searched types of Medical Claims jobs in Reston, VA? The most popular types of Medical Claims jobs in Reston, VA are:
What are popular job titles related to Remote Medical Claims jobs in Reston, VA? For Remote Medical Claims jobs in Reston, VA, the most frequently searched job titles are:
What job categories do people searching Remote Medical Claims jobs in Reston, VA look for? The top searched job categories for Remote Medical Claims jobs in Reston, VA are:
What cities near Reston, VA are hiring for Remote Medical Claims jobs? Cities near Reston, VA with the most Remote Medical Claims job openings:
Remote Medical Claims jobs near you
Medical Billing Specialist

Medical Billing Specialist

C-MCI

Fairfax, VA • On-site, Remote

$18.50 - $24/hr

Full-time

Posted 7 days ago

Job description

Job Description
Position: Medical Billing Specialist
Location: Remote / On-site
Department: Revenue Cycle Management
Overview:
CMCI is seeking a detail-oriented and experienced Medical Billing Specialist to oversee claims processing, revenue cycle management, and contribute valuable insights to develop AI-powered tools that enhance medical billing workflows. The ideal candidate will have expertise in medical coding, claims submission, payer interactions, and denial management, ensuring optimized billing practices for maximum reimbursement and minimal claim rejections.
Why Join CMCI?
  • Opportunityto work with cutting-edge AI-driven billing solutions that optimizeRCM efficiency.
  • Work in acollaborative environment with healthcare and AI professionals.
  • Competitivesalary, benefits, and professional development opportunities.

Key Responsibilities:
  • ClaimsProcessing & Submission:
    • Accuratelyprocess, review, and submit medical claims.
    • Verify CPT,ICD-10, and HCPCS codes to ensure claims compliance withpayer-specific policies.
    • Work withclearinghouses and insurance payers to track claims and resolve denials,rejections, and underpayments efficiently.
  • Revenue CycleManagement (RCM):
    • Oversee theentire claims lifecycle, from eligibility verification to final paymentreconciliation.
    • Monitoraccounts receivable (A/R) aging reports and ensure timely follow-upon outstanding claims.
    • Optimizepayer reimbursement rates by leveraging contractual agreements andcoding best practices.
  • Payer &Compliance Coordination:
    • Utilize thepayer lookup database to retrieve Payer IDs and transactiontypes for accurate claim submission.
    • Ensurecompliance with Medicare, Medicaid, and private insuranceguidelines to prevent fraud and billing errors.
    • Stay updatedon coding changes, regulatory requirements, and payer policies tomaintain accuracy in claims processing.
  • Technology& AI Development Support:
    • Provideinsights into billing workflows, common claim errors, and automationopportunities to improve AI-driven billing tools.
    • Assist intesting and refining AI-powered RCM solutions, including automated claimsscrubbing and predictive denial management.
    • Collaboratewith the engineering and data science teams to train AI models forenhanced claims accuracy.

Requirements
Required Qualifications:
  • Education& Certification:
    • Associate'sor Bachelor's degree in Health Information Management, Business, or arelated field (preferred).
    • CertifiedProfessional Biller (CPB) or Certified Professional Coder(CPC) (preferred).
  • Experience:
    • 2+ years ofexperience in medical billing, claims processing, or revenue cyclemanagement.
    • Strongknowledge of CPT, ICD-10, and HCPCS coding systems.
    • Experienceworking with Medicare, Medicaid, and commercial insurance payers.
  • TechnicalSkills:
    • Proficiencywith billing and practice management software such as:
      • ElectronicHealth Records Systems: Epic, Cerner, Athenahealth
      • Clearinghouseplatforms: Emdeon, Availity, Change Healthcare, Waystar, Kareo
    • Experiencewith ANSI X12 837 EDI claims processing.
    • Strong Exceland data analysis skills for tracking claim performance.
    • Familiaritywith AI-based RCM tools is a plus.
  • Soft Skills:
    • Stronganalytical and problem-solving skills for identifying claimdiscrepancies.
    • Excellentcommunication and collaboration skills to liaise with providers andpayers.
    • Ability towork independently and in a team environment in a fast-pacedsetting.

Join CMCI to help revolutionize the future of AI-powered medical billing!
All qualified applicants will receive consideration for employment without regard to any characteristic protected by local, state, or federal laws, rules, or regulations

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