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Remote Medical Insurance Claims Jobs (NOW HIRING)

AppleOne

Medical Insurance Claims

Bakersfield, CA · On-site +1

$23/hr

Job Summary We are seeking a detail-oriented Medical Insurance Claims professional for a full-time ... This hybrid/remote role is ideal for a claims processing professional with payer-side or health ...

RemX

Be Seen First

Remote Medical Benefits Rep | $17/hr. + Weekly pay!

Memphis, TN · Remote

$17/hr

Join us as a Remote Medical Benefits Representative and make a real impact every day!" Join a ... Knowledge of medical terminology, insurance claims, and benefits verification. * Strong ...

RemX

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Remote Medical Claims Representative | $19/Hr.

Jacksonville, FL · Remote

$19/hr

REMOTE MEDICAL BILLING OPPORTUNITY - SECURE YOUR SPOT NOW! **NOW HIRING! *** *Fortune 500 Health ... Communicate with providers, insurance companies, and patients to resolve discrepancies.

RemX

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Remote Medical Claims Rep | $19/Hr.-Weekly pay!

Savannah, GA · Remote

$19/hr

****REMOTE MEDICAL CLAIMS ROLES CLOSING SOON**** A Fortune 500 healthcare company is filling its final ... Qualifications * 1 year or more of RECENT medical claims or insurance experience (No exceptions)

RemX

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$19/Hr. Work-From-Home Medical Claims Representative

Salt Lake City, UT · Remote

$19/hr

REMOTE MEDICAL BILLING OPPORTUNITY - SECURE YOUR SPOT NOW! **NOW HIRING! *** *Fortune 500 Health ... Communicate with providers, insurance companies, and patients to resolve discrepancies.

RemX

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$19/Hr. Work-From-Home Medical Claims Representative

Augusta, GA · Remote

$19/hr

REMOTE MEDICAL BILLING OPPORTUNITY - SECURE YOUR SPOT NOW! **NOW HIRING! *** *Fortune 500 Health ... Communicate with providers, insurance companies, and patients to resolve discrepancies.

Corvel

Indemnity Claims Specialist

Lawrenceville, GA · Remote

$52K - $85K/yr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives claims, confirms ... Manages non-complex and non-problematic medical only claims and minor lost-time workers ...

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How much do remote medical insurance claims jobs pay per hour?

As of Jun 30, 2026, the average hourly pay for remote medical insurance claims in the United States is $20.97, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $23.08 per hour, depending on experience, location, and employer.

What are some common challenges faced by remote medical insurance claims professionals, and how can they be addressed?

Remote medical insurance claims professionals often face challenges such as maintaining clear communication with healthcare providers and colleagues, staying updated on frequently changing insurance policies, and managing high volumes of complex claims. These challenges can be addressed by utilizing reliable collaboration tools, participating in ongoing training sessions, and establishing a structured daily routine. Staying organized and proactive in seeking clarification on unclear policies or procedures also helps ensure accuracy and efficiency in claim processing.

What are the key skills and qualifications needed to thrive as a Remote Medical Insurance Claims Specialist, and why are they important?

To thrive as a Remote Medical Insurance Claims Specialist, you need a solid understanding of medical terminology, health insurance policies, and claims processing, typically supported by relevant experience or certification such as Certified Professional Coder (CPC). Familiarity with claims management software, electronic health records (EHRs), and billing systems like ICD-10 and CPT coding is crucial. Attention to detail, strong organizational skills, and effective written communication are vital soft skills for accurately processing claims and resolving discrepancies. These competencies are essential for ensuring timely, accurate claims adjudication and maintaining compliance with healthcare regulations.

What is the difference between Remote Medical Insurance Claims vs Remote Medical Billing Specialist?

AspectRemote Medical Insurance ClaimsRemote Medical Billing Specialist
CredentialsInsurance claims processing certifications, knowledge of insurance policiesMedical billing certifications, coding knowledge
Work EnvironmentHome-based, insurance companies or third-party claims processorsHome-based, healthcare providers or billing companies
Industry UsageInsurance companies, claims processing firmsHospitals, clinics, billing service providers
Search/Comparison IntentUnderstanding claims processing roles, remote claims jobsBilling roles, coding, and invoicing jobs

Remote Medical Insurance Claims specialists focus on reviewing and submitting insurance claims for reimbursement, requiring knowledge of insurance policies and claims procedures. Remote Medical Billing Specialists handle invoicing and coding for healthcare providers. While both roles are remote and industry-related, claims specialists primarily work with insurance companies, whereas billing specialists work directly with healthcare providers.

What are remote medical insurance claims jobs?

Remote medical insurance claims jobs involve processing, reviewing, and approving or denying insurance claims related to medical services from a remote location, typically from home. Professionals in this field assess claims for accuracy, verify patient and provider information, and ensure compliance with insurance policies and regulations. These roles often require knowledge of medical terminology, coding, and insurance procedures, as well as strong attention to detail and communication skills. Remote positions offer flexibility and the ability to work with healthcare providers, insurance companies, or third-party administrators virtually.
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What are the most commonly searched types of Medical Insurance Claims jobs? The most popular types of Medical Insurance Claims jobs are:
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Remote Medical Insurance Claims jobs near you
Medical Insurance Claims

Medical Insurance Claims

AppleOne

Bakersfield, CA • On-site, Remote

$23/hr

Full-time

Medical, Dental, Vision, Retirement

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

Job description

Job Summary
We are seeking a detail-oriented Medical Insurance Claims professional for a full-time temp-to-hire opportunity in Bakersfield, CA. This hybrid/remote role is ideal for a claims processing professional with payer-side or health insurance claims experience, rather than clinic-only billing experience.
In this role, you will review, process, audit, and resolve medical and facility claims for payment while applying contract benefits, policies, procedures, eligibility rules, coding guidelines, and payment standards. You will support accurate, timely, and compliant claims administration within a mission-driven healthcare services environment focused on improving member health.
This is a strong opportunity for someone who enjoys focused claims review work, values accuracy, and wants to grow within a stable healthcare organization. The team environment supports collaboration, clear processes, professional development, and access to leadership guidance on more complex claims. This position may be filled at the I or II level based on experience and qualifications.
Key Responsibilities
- Review and process medical and facility claims from contracted and non-contracted providers, subscribers, and enrollees.
- Resolve system-suspended claims for PCPs, labs, radiology, less complex specialists, and physical therapy claims.
- Apply benefits, contract terms, claims policies, coding guidelines, and payment procedures accurately and timely.
- Identify billing errors, possible fraudulent submissions, overpayments, CCS eligibility issues, COB concerns, and claims requiring additional review.
- Deny inappropriate claims according to policy guidelines and route complex claims to the appropriate department or supervisor.
- Maintain productivity, quality, documentation, and attendance standards in accordance with department guidelines.


Equal Opportunity Employer / Disabled / Protected Veterans
The Know Your Rights poster is available here:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf
The pay transparency policy is available here:
https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf
For temporary assignments lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.
We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.
AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.
https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf
We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
#1087

Company Description

This company offers growth and a great group of people to work with.
AppleOne logo

About AppleOne

Sourced by ZipRecruiter

AppleOne is a renowned staffing service based in Glendale, California, USA. Positioned in the Human Resources industry, the company offers extensive staffing and recruiting solutions, such as temporary, full-time, and part-time placement, to companies across diverse industry sectors. The company was established by Bernie Howroyd in 1964, launching the business to aid others in finding excellent jobs and companies in finding excellent people.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Glendale, CA, US

Year founded

1964

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