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Remote Medical Claims Jobs in Rio Rancho, NM (NOW HIRING)

Workit Health

RCM Specialist

Albuquerque, NM · On-site +1

$18.75 - $25.75/hr

M-W in office and Th-F remote each week Job Summary: Workit Health is seeking a full-time RCM ... for eligibility, claims resolution, and authorization requests * Submit medical records to ...

Erm

Right of Way (ROW) Agent (Field Based)

Albuquerque, NM · 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 ...

ERM

Right of Way (ROW) Agent (Field Based)

Albuquerque, NM · 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 ...

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All JobsMedical Claims JobsRemote Medical Claims JobsRemote Medical Claims Jobs in Rio Rancho, NM

Remote Medical Claims information

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How much do remote medical claims jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for remote medical claims in Rio Rancho, NM is $20.89, according to ZipRecruiter salary data. Most workers in this role earn between $17.16 and $23.08 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 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 are popular job titles related to Remote Medical Claims jobs in Rio Rancho, NM?

For Remote Medical Claims jobs in Rio Rancho, NM, the most frequently searched job titles are:

What job categories do people searching Remote Medical Claims jobs in Rio Rancho, NM look for?

The top searched job categories for Remote Medical Claims jobs in Rio Rancho, NM are:

What cities near Rio Rancho, NM are hiring for Remote Medical Claims jobs?

Cities near Rio Rancho, NM with the most Remote Medical Claims job openings:

Remote Medical Claims jobs near you
Infographic showing various Remote Medical Claims job openings in Rio Rancho, NM as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 16% Part Time, and 6% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $43,454 per year, or $20.9 per hour.

RCM Specialist

Workit Health

Albuquerque, NM • On-site, Remote

$18.75 - $25.75/hr

Full-time

Re-posted yesterday

Job description

Hours: M-F, 8:00 AM - 4:30 PM local time

Location: Albuquerque, New Mexico

Hybrid Schedule: M-W in office and Th-F remote each week

Job Summary: 

Workit Health is seeking a full-time RCM Specialist to work rejections and denials as they come in and escalate any denial or rejection trends as they are identified. Candidate ideally has experience billing for addiction medicine and/or outpatient medication-assisted treatment or experience in billing for telemedicine services. Experience in both is a plus but is not required. Experience with calling health insurance plans a must. Excellent customer service skills. Candidates will demonstrate patient and empathetic communication to our members, be able to work accounts promptly and be open to workflow changes. Workit Health is a fast-paced, fluid environment where changes are frequent and employee input is highly valued.

Core Responsibilities:

  • Proficient in medical software, insurance websites, and EHR systems (Elation or Candid preferred)
  • Verify patient eligibility and benefits including coordination of benefits
  • Identify and resolve claims processing issues, including pre-submission errors, and generate appeals or reprocess claims as needed
  • Communicate effectively with patients, physicians, management, staff, and third-party representatives
  • Contact insurance payers for eligibility, claims resolution, and authorization requests
  • Submit medical records to insurance when needed
  • Review and audit patient accounts for accuracy
  • Maintain compliance with professional standards, company policies, and federal, state, and HIPAA regulations
  • Manage a high volume of claims, calls, chats, and tasks while meeting productivity and quality standards
  • Respond promptly to all calls, chats, and voicemails during business hours
  • Maintain a positive and optimistic attitude
  • Ensure timely completion of daily tasks
  • All other duties as assigned

Qualifications:

  • 1-2 years previous Medical Billing experience
  • CPC or CPB a plus but not required
  • Payment Posting is a plus but not required
  • Must be able to work independently and rely on personal knowledge/experience for problem-solving.
  • Must have experience with MS Word and Google Sheets or MS Excel
  • Must be detail-oriented and have excellent organizational and time management skills
  • Candidates must excel at providing a high level of customer service and be able to work in a team environment
  • Requires strong analytical skills and attention to detail, including writing and verbal communication skills and a professional positive attitude

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