ZipRecruiter

Log In

2

Remote Medical Claims Jobs (NOW HIRING)

Karna, LLC

$20 - $25/hr

Minimum of 5 years' experience in medical claims processing, including professional and facility ... PM18 #remote

IQVIA

Medical Biller/Claims Processing

Miami, FL · 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 ...

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

Kansas City, KS · 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

Flagstaff, AZ · 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

Newark, NJ · 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 ...

TEKsystems

Remote Medical Records

Houston, TX · Remote

$15/hr

Remote Medical Records Specialist Join a leading nationwide revenue cycle organization through ... Minimum 2 year of experience in medical records or medical claims * Strong attention to detail and ...

Valenz

Certified Medical Claims Auditor

Phoenix, AZ · Remote

As a Certified Medical Claims Auditor (Clinical Bill Review Analyst), you'll review claims upfront ... This is a fully remote position, and we'll provide all the necessary equipment! * Work Environment:

next page

Showing results 1-20

All JobsMedical Claims JobsRemote Medical Claims Jobs

Remote Medical Claims information

See salary details

$14

$22

$31

How much do remote medical claims jobs pay per hour?

As of Jun 9, 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 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.
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 June 2026, with employment types broken down into 100% Full Time. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $46,198 per year, or $22.2 per hour.
Experienced Healthcare Claims Processor

Experienced Healthcare Claims Processor

Karna, LLC

Remote

$20 - $25/hr

Other

This job post has expired today. Applications are no longer accepted.

Job description

Description

Join the new Bakinaw-Karna Joint Venture Team as a Temporary, Full-Time Medical Claims Processor. Become an integral part of a team dedicated to servicing the World Trade Center Health Program. In this role, you will leverage your meticulous attention to detail and commitment to accuracy in processing complex medical claims. If you're eager to make a positive impact in our community through your administrative skills, we encourage you to apply!


*Minimum of 5 years' experience in medical claims processing, including professional and facility claims as well as complex and high-dollar claims*

Job Responsibilities:

  • Claims Review and Processing: Analyze and process a variety of complex medical claims in accordance with program policies and procedures, ensuring accuracy and compliance.
  • Critical Analysis: Analyze claims and adjudicate them according to program guidelines, employing critical thinking to navigate complex scenarios.
  • Timely Processing: Ensure claims are processed promptly to meet client standards and regulatory requirements, employing effective problem-solving skills to address any barriers.
  • Issue Resolution: Proactively resolve claim discrepancies and issues by collaborating with other departments, utilizing analytical skills to identify root causes and implement solutions.
  • Confidentiality Maintenance: Uphold the confidentiality of patient records and company information as per HIPAA regulations.
  • Detailed Record Keeping: Maintain thorough records of claims processed, denied, or requiring further investigation, ensuring transparency and traceability.
  • Trend Monitoring: Analyze and report on trends in claim issues or irregularities to management, contributing to process improvement initiatives; Assists Team Leads with reporting.
  • Audit Participation: Engage in audits and compliance reviews to ensure adherence to internal and external regulations, using critical thinking to evaluate processes.
  • Mentoring: Mentors and trains new claims processors as needed.

Requirements


  • High school diploma or equivalent.
  • Minimum of 5 years' experience in medical claims processing, including professional and facility claims as well as complex and high-dollar claims.
  • Familiarity with ICD-10, CPT, and HCPCS coding systems.
  • Understanding of medical terminology, healthcare services, and insurance procedures (worker's compensation experience is a plus).
  • Strong attention to detail and accuracy.
  • Ability to interpret and apply insurance program policies and government regulations effectively.
  • Excellent written and verbal communication skills.
  • Proficient in Microsoft Office Suite (Word, Excel, Outlook).
  • Capacity to work independently as well as collaboratively within a team.
  • Commitment to ongoing education and training in industry standards and technology advancements.
  • Experience with claim denial resolution and the appeals process.
  • Ability to efficiently manage a high volume of claims.
  • Customer service-oriented with strong problem-solving capabilities.
  • Must be flexible and have the ability to adjust to the needs of the client and changes in the program.

PM18


#remote

Apply