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Remote Medical Claims Jobs (NOW HIRING)

paradigm

Medical Cost Projection Analyst

Tampa, FL · Remote

... remote Medical Cost Projection Analyst. This position is responsible for supporting the Sr. Director of Risk Actuarial Services to ensure product profitability through the analysis of claims data and ...

Imagenet

Claims Examiner - Remote (Alameda)

Tampa, FL · Remote

Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of ... Remote work offered * Equipment provided * Paid trainingto set you up for success * Comprehensive ...

Moda Health

Supervisor, Medical Claims

Milwaukie, OR · Remote

$59K - $74K/yr

College degree or equivalent work experience. * 2 - 4 years medical claims processing experience ... A reliable, high-speed, hard-wired internet connection required to support remote or hybrid work.

IQVIA

Medical Biller/Claims Processing

Las Vegas, NV · Remote

$23/hr

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to ...

IQVIA

Medical Biller/Claims Processing

Houston, TX · Remote

$23/hr

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to ...

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Remote Medical Claims information

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How much do remote medical claims jobs pay per hour?

As of Aug 10, 2026, the average hourly pay for remote medical claims in the United States is $22.21, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $24.52 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.
More about Remote Medical Claims jobs
What cities are hiring for Remote Medical Claims jobs? Cities with the most Remote Medical Claims job openings:
What are the most commonly searched types of Medical Claims jobs? The most popular types of Medical Claims jobs are:
What states have the most Remote Medical Claims jobs? States with the most job openings for Remote Medical Claims jobs include:
What job categories do people searching Remote Medical Claims jobs look for? The top searched job categories for Remote Medical Claims jobs are:
Remote Medical Claims jobs near you
Infographic showing various Remote Medical Claims job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $46,198 per year, or $22.2 per hour.

Medical Cost Projection Analyst

paradigm

Tampa, FL • Remote

Full-time

Posted 17 days ago

Job description

We are seeking a full-time, remote Medical Cost Projection Analyst. This position is responsible for supporting the Sr. Director of Risk Actuarial Services to ensure product profitability through the analysis of claims data and historical contract performance and support creation of processes and tools utilized in those activities.   

RESPONSIBILITIES:

  • Responsible for lifetime medical cost planning for injured workers on an accurate and timely basis.
  • Participate in the improvement of the process surrounding the estimation of lifetime medical costs.
  • Support the actuarial function with regards to data analysis of medical claims using database in programming tools.
  • Create visually appealing and accurate deliverables, including self-service capabilities.
  • Collaborate with key stakeholders to identify and develop business questions for analytic investigation and modeling.
  • Utilize applicable data/analytical tools to extract and analyze data (e.g., R, SQL, Excel, Power BI)

QUALIFICATIONS:

  • Proficiency and experience designing and running complex data programs, (e.g., extract and analyze data via R, SAS,SQL, Python, VBA).
  • Experience with Microsoft Suite including Excel, Power BI or similar.
  • 5+ years of experience in workers’ compensation.
  • 5+ years of experience with health care claims data and analyses.
  • Experience collaborating with cross functional teams.

Apply