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Remote Medical Claims Jobs (NOW HIRING)

Curative HR LLC

Claims Resolution Specialist

Austin, TX · On-site +1

$25 - $29/hr

Review, analyze, and adjudicate medical claims in accordance with plan benefits, internal policies ... Maintain a secure remote work environment. * Perform additional duties and special projects as ...

Curative HR LLC

Claims Resolution Specialist

Austin, TX · Remote

$25 - $29/hr

Review, analyze, and adjudicate medical claims in accordance with plan benefits, internal policies ... Maintain a secure remote work environment. * Perform additional duties and special projects as ...

Sedgwick

Future Medical Claims Examiner | Brea, CA

Brea, CA · On-site +1

$85K - $105K/yr

To process future medical workers compensation claims to determine benefits due; to ensure ongoing ... Remote #LI-AM1 Qualified applicants with arrest or conviction records will be considered for ...

Curative HR LLC

Claims Resolution Specialist

Austin, TX · Remote

$25 - $29/hr

Review, analyze, and adjudicate medical claims in accordance with plan benefits, internal policies ... Maintain a secure remote work environment. * Perform additional duties and special projects as ...

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Remote Medical Claims information

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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.
Remote Medical Billing Specialist

Remote Medical Billing Specialist

TRC Talent Solutions

Dallas, TX • Remote

$18 - $22/hr

Temporary

Medical, Dental, Vision, Life, PTO

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Medical Billing Specialist – 100% Remote
$18–22/hour | Full-Time | Permanent Opportunity

We’re growing and looking for experienced Medical Billing Specialists to join our fully remote team! In this role, you’ll focus on back-end A/R follow-up, denial resolution, and aged account remediation for Hospital and/or Physician Billing accounts.

Our team partners with healthcare providers and hospital organizations to deliver revenue cycle and accounts receivable support services. If you thrive in a fast-paced environment, enjoy problem-solving, and have experience resolving insurance denials and unpaid claims, we’d love to hear from you.

Why Join Us?

  • 100% Remote

  • Flexible Schedule

  • Health, Dental, Vision & Life Insurance

  • PTO, Paid Sick Leave & Paid Holidays

  • Career Growth Opportunities

What You’ll Do

  • Perform second-tier insurance follow-up on outstanding A/R balances

  • Resolve denied, underpaid, and unresolved insurance claims

  • Work aged and high-dollar accounts

  • Research payer issues and reimbursement variances

  • Review UB-04 and/or HCFA 1500 claims for accuracy

  • Investigate eligibility, coding, and denial issues

  • Submit corrected claims, appeals, rebills, and secondary billing

  • Communicate with insurance payers, clients, and internal teams

  • Identify payer trends and workflow barriers

  • Document account activity accurately

  • Escalate payer errors for reprocessing

  • Work with commercial and government payers

  • Maintain productivity and quality standards

Qualifications

  • 1–2 years of Healthcare Revenue Cycle experience required

  • Hospital Billing and/or Physician Billing experience required

  • Strong knowledge of denials, insurance follow-up, and claims processing

  • Experience with systems such as Epic, Cerner, Meditech, McKesson, Allscripts, Soarian, etc.

  • Proficiency in Microsoft Office and web-based systems

  • Strong multitasking and organizational skills

  • High School Diploma or equivalent required; Associate’s or Bachelor’s Degree preferred

Physical Requirements

  • Ability to sit for extended periods

  • Frequent typing and computer use

  • Ability to communicate via phone and computer

  • Occasionally lift up to 15 pounds