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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 ...

Marriott

Claims Adjuster II

Bethesda, MD · On-site +1

Full-time positions also offer coverage for medical, dental, vision, health care flexible spending ... Remote positions. Marriott International is the world's largest hotel company, with more brands ...

Marriott

Claims Adjuster II

Bethesda, MD · On-site +1

Full-time positions also offer coverage for medical, dental, vision, health care flexible spending ... Remote positions. Marriott International is the world's largest hotel company, with more brands ...

CareFirst

Claims Adjuster I (Remote)

Washington, DC · Remote

Verifies insurance claims by reviewing claims requirements; examining documentation and calculations; highlighting and summarizing out-of-line situations; recommending changes in operating processes ...

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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 Jul 27, 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
Infographic showing various Remote Medical Claims job openings in Reston, VA as of July 2026, with employment types broken down into 88% Full Time, 9% Part Time, and 3% Contract. Highlights an 88% Physical, 4% Hybrid, and 8% Remote job distribution, with an average salary of $48,062 per year, or $23.1 per hour.

Obstetrics & Gynecology, 100% Remote | Gynecologic Oncologist Providers Needed for Medical Reviews

Maximus Federal & VES

Mclean, VA • Remote

$126.25 - $136.50/hr

Full-time

Posted 5 days ago

Job description

Become A 100% Remote Medical Expert Reviewer with Maximus Federal.

Join Maximus as an Expert Medical Advisor

Maximus is seeking MD/DO professionals to join our team providing expert medical opinions, peer reviews, and expert testimony cases. As an EMA, you will play a critical role in resolving disputes related to reimbursement, differing opinions between healthcare providers, and complex healthcare matters.

Key Responsibilities:

  • Provide expert medical opinions to resolve disputes regarding denied health plan claims.
  • Serve as a neutral third-party expert when there is a disagreement between independent medical examiners or healthcare providers.
  • Youre reviewing insurance denials from health plansnot treating patients. Your job is to decide if the care should have been approved.
  • Your medical opinion will be given a legal presumption of correctness unless clear and convincing evidence to the contrary is presented.

Why Join Maximus?

  • Be part of a reputable organization that values your expertise and helps resolve complex healthcare-related issues.
  • Work on your schedule: You determine the time it will take to complete and submit reviews, offering flexibility.

Minimum Qualifications:

  • Active and clean Medical License.
  • Direct Patient Care experience.
  • Board Certified in your specialty.
  • 5+ years of post-training experience in your specialty.

Take the next step in your medical career!

If you meet the qualifications and are ready to make an impact in the workers' compensation field, apply now to join our team as an Expert Medical Advisor at Maximus.

#Healthcare #MedicalAdvisor #WorkersCompensation #MD #DO #PeerReview #MedicalExpert #MedicalTestimony #CME

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