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Remote Medical Claims Jobs (NOW HIRING)

ImagenetLLC

Claims Examiner - Remote

Tampa, FL · Remote

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

Imagenet

Claims Examiner - Remote

Tampa, FL · On-site +1

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

TEEMA

Claims Reviewer

Phoenix, AZ · Remote

$25 - $29/hr

Arizona - Remote What you will be doing: * Conducts medical claims review using current claims processing guidelines and established clinical criteria e.g. CDST and policy keys, to evaluate medical ...

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.

Orthos Inc

Remote Medical Biller

Niles, MI · Remote

$16.50 - $21.25/hr

Essential Duties & Responsibilities: Assist in the processing of insurance claims including worker ... medical terminology Participate in professional development efforts to stay current with health ...

Fortuna BMC

Remote Medical Scheduler

$21/hr

... verification, claims processing, prior authorizations, or medical records strongly preferred ... This is not an entry-level remote role . Applicants without prior remote or hybrid professional ...

Moda Health

Medical Claims Auditor I

Milwaukie, OR · Remote

$18.39 - $20.58/hr

Knowledge and understanding of medical claims processing administrative policies affecting claims ... Working Conditions Remote work environment with extensive close PC and keyboard work, constant ...

Orthos Inc

Remote Medical Biller

Mishawaka, IN · Remote

$16.75 - $21.50/hr

Essential Duties & Responsibilities: Assist in the processing of insurance claims including worker ... medical terminology Participate in professional development efforts to stay current with health ...

TEEMA

Claims Reviewer

Phoenix, AZ · Remote

$26.40 - $27.88/hr

Claims Reviewer Opportunity Join a dynamic team where your expertise in claims review can make a ... medical card required if applicable). Eligible Locations The position is remote, but you can only ...

Moda Health

Supervisor, Medical Claims

Milwaukie, OR · Remote

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.

Orthos Inc

Remote Medical Biller

Plymouth, IN · Remote

$16.50 - $21.25/hr

Essential Duties & Responsibilities: Assist in the processing of insurance claims including worker ... medical terminology Participate in professional development efforts to stay current with health ...

Orthos Inc

Remote Medical Biller

South Bend, IN · Remote

$18 - $23/hr

Essential Duties & Responsibilities: Assist in the processing of insurance claims including worker ... medical terminology Participate in professional development efforts to stay current with health ...

Imagenet

Claims Examiner Team Leader | Remote

Tampa, FL · Remote

$22/hr

Oversee day-to-day medical claims processing for professional, facility, adjustments, corrected and ... Remote work offered * Equipment provided * Paid trainingto set you up for success * Comprehensive ...

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Remote Medical Claims information

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How much do remote medical claims jobs pay per hour?

As of Jul 21, 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 July 2026, with employment types broken down into 91% Full Time, 7% Part Time, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $46,198 per year, or $22.2 per hour.
Claims Examiner - Remote

Claims Examiner - Remote

ImagenetLLC

Tampa, FL • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 17 days ago

Job description

Claims Examiner - Remote


Job Type: Full-time  

Work Setup: This is a fully remote position
Work Hours: Pacific Time Zone 


We are looking for Experienced  Claims Examiner to join our rapidly growing team.

Experience is required for this position.


Job Overview:

As a Claims Examiner, you will be responsible for accurately reviewing, investigating, and processing medical claims and provider dispute requests in accordance with payer guidelines, contractual agreements, regulatory requirements, and internal policies.


Responsibilities:

  • Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of appropriate reimbursement methodologies.
  • Review and investigate provider dispute requests, appeals, and reconsiderations related to processed medical claims.
  • Verify patient eligibility, provider credentialing, and coverage details to facilitate accurate claims processing.
  • Communicate with internal resources, and internal stakeholders to resolve claim discrepancies, request additional information, or clarify issues.
  • Participate in ongoing training and professional development activities.
  • Maintain accurate and detailed records of claims processing activities.
  • Review claim forms and supporting documents
  • Determine eligibility, verify data accuracy
  • Request additional information when needed
  • Process claims end-to-end
  • Identify and escalate complex or unusual claims for further review or investigation.
  • Participate in ongoing training and professional development activities.
  • Handle more complex claims with multiple services, providers


Experience:

  • At least 1-2 years of experience working closely with healthcare claims or in a claims processing/adjudication environment.
  • Experience processing Provider Dispute Resolution (PDR), appeals, reconsiderations, or claim adjustments is highly preferred.
  • Understanding of health claims processing/adjudication
  • Ability to perform basic to intermediate mathematical computation routines
  • Medical terminology strongly preferred
  • Understanding of ICD-9 & ICD-10
  • Basic MS office computer skills
  • Ability to work independently or within a team
  • Time management skills
  • Written and verbal communication skills
  • Attention to detail
  • Must be able to demonstrate sound decision-making skills


What We Offer

  • Remote work offered
  • Equipment provided
  • Paid training to set you up for success
  • Comprehensive benefits: Medical, Dental, Vision, Life, HSA, 401(k)
  • Paid Time Off (PTO)
  • 7 paid holidays
  • A supportive team and a company that values internal growth


Ready to Grow Your Career?

We’d love to meet you! Click “Apply Now” and tell us why you’d be a great addition to the Imagenet team.


About Imagenet, LLC

Imagenet is a leading provider of back-office support technology and tech-enabled outsourced services to healthcare plans nationwide. Imagenet provides claims processing services, including digital transformation, claims adjudication and member and provider engagement services, acting as a mission-critical partner to these plans in enhancing engagement and satisfaction with plans’ members and providers.


The company currently serves over 70 health plans, acting as a mission-critical partner to these plans in enhancing overall care, engagement and satisfaction with plans’ members and providers. The company processes millions of claims and multiples of related structured and unstructured data elements within these claims annually. The company has also developed an innovative workflow technology platform, JetStreamTM, to help with traceability, governance and automation of claims operations for its clients.


Imagenet is headquartered in Tampa, operates 10 regional offices throughout the U.S. and has a wholly owned global delivery center in the Philippines.