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Remote Medical Insurance Claims Jobs in Texas (NOW HIRING)

Remote Medical Coder

Fort Worth, TX ยท On-site +1

$75/hr

Remote Medical Coder Assess and validate AI-generated content related to healthcare operations ... Insurance (Voluntary Life & AD&D for the employee and dependents) โ€ข Short and long-term ...

Medical Biller & Coder

Houston, TX ยท On-site +1

$18 - $23/hr

Remote Medical Biller & Coder (Entry-Level Welcome) Location: Remote (Work From Home) Type ... with insurance companies, providers, and team members as needed * Manage denied or unpaid claims ...

Job Title Commercial Insurance Consultant, Claims Insights- Remote Requisition Number R7770 Commercial Insurance Consultant, Claims Insights- Remote (Open) Location California - Home Teleworkers ...

Highly qualified candidates outside the Austin area for a remote work arrangement. Position Summary ... Minimum 8 years of progressive insurance claims experience. * Demonstrated experience handling ...

Epic Denials Management Operator

San Antonio, TX ยท Remote

$16.25 - $21.75/hr

... Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. This is a primarily remote role supporting enterprise Epic support ...

Epic Denials Management Operator

Westlake, TX ยท Remote

$17.25 - $23/hr

... Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. This is a primarily remote role supporting enterprise Epic support ...

Epic Denials Management Operator

Houston, TX ยท Remote

$17.25 - $23/hr

... Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. This is a primarily remote role supporting enterprise Epic support ...

Epic Denials Management Operator

Fort Worth, TX ยท Remote

$17.25 - $23/hr

... Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. This is a primarily remote role supporting enterprise Epic support ...

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Remote Medical Insurance Claims information

What is a remote medical insurance claims job?

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.

What are the key skills and qualifications needed to thrive as a remote medical insurance claims specialist?

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 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 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 the most commonly searched types of Medical Insurance Claims jobs in Texas?

The most popular types of Medical Insurance Claims jobs in Texas are:

What cities in Texas are hiring for Remote Medical Insurance Claims jobs?

Cities in Texas with the most Remote Medical Insurance Claims job openings:

Infographic showing various Remote Medical Insurance Claims job openings in Texas as of August 2026, with employment types broken down into 86% Full Time, 11% Part Time, and 3% Contract. Highlights an 3% In-person, and 97% Remote job distribution.

Remote Medical Insurance Verification Specialist $19/hr *TEXAS*

San Antonio, TX โ€ข On-site, Remote

RemX
Recruiting and Staffing Servicesย โ€ขย 501 - 1,000 employees

$19/hr

Full-time

Medical

Posted 4 days ago


Job description

IMPORTANT:
RemX will never ask for any form of payment prior to or throughout the hiring process. If you have been asked for payment of any kind, please notify us right away. This is illegitimate and unlawful. RemX will never accept falsified resumes or documents. Falsified information may be subject to investigation and further action.
Are you a hard-working individual looking for a REMOTE work from home position? Our client is looking for driven, friendly, and experienced Medical Insurance Verification Specialists to accompany their team!
Position: Remote Medical Program Specialist
  • Pay: $19/hr. Weekly Pay plus Benefits
  • Paid training
  • Equipment Provided: Laptop, keyboard, two monitors, mouse, headphones
  • Start Date: 10/5

Schedule:7am-7pm CST. Monday through Friday (Must be able to work ANY 8hr Shift between these hours.)
Job Overview:
  • Handle inbound calls and must be ok with outbound as well.
  • Assisting benefit Verification, determining out of pocket, deductible, verifying if the patient qualifies for the free benefit coverage, troubleshoot/help patients navigate through website, enrollment.
  • The focus of the Program Specialist is to own issues and remove obstacles that prevent patients or providers from accessing the therapies requested.
  • The Program Specialist will be a self-starter who is comfortable taking initiative, identifying barriers, being on the phones and working with the appropriate parties to eliminate these obstructions for the customer.
  • The Program Specialist is proficient and knowledgeable about all the services provided on an assigned program and may support multiple client products or programs.

Summary of Responsibilities:
  • Conduct outbound/receive inbound calls of insurance verifications to understand if patient's prescribed therapy is eligible for coverage.
  • Document results and calls in appropriate tracking systems, and handle/escalate calls per established procedures.
  • Process patient applications and follow the program's specifications to determine their eligibility.
  • Place follow-up calls and respond to enquiries from patients and/or healthcare providers as necessary.
  • Maintain a professional, calm and friendly demeanor.
  • Express thoughts and instructions clearly in both verbal and written communication, i.e. uses grammatically correct and concise language.
  • Be familiar with the marketplace and the insurance options available for patients.
  • Educate patients on the available options as appropriate.
  • Adhere to all organizational standards and regulatory requirements related to the handling of patient information, including patient safety reporting practices.
  • Complete all training requirements related to patient privacy and data handling and apply these practices consistently across all interactions with patients, healthcare providers, and patient data.

Experience (Minimum Required):
  • Minimum of two or more years of recent high-level medical insurance experience needed.
  • Heavy prior experience in US healthcare and reimbursement industry.
  • Must be a proven problem solver with the ability, drive, and initiative to learn processes and procedures necessary to support the assigned program(s).
  • Comfortable with assisting Medicare patients as some do not know how to navigate through website.
  • Must be patient and empathetic.
  • Proficient in English, verbal and written
  • Must be tech Savvy. Easily navigate between multiple computer programs with dexterity
  • Adheres to schedule and meets deadlines.
  • Demonstrate solid customer service skills.
  • Understand each customer's needs and tailors' responses with those needs in mind.
  • Be motivated to help customers every day and operate with a sense of accountability and urgency.
  • Pay close attention to detail and consistently be a keen problem solver.
  • Adapt to changes and properly anticipate the next process steps when faced with ambiguous scenarios.
  • Learn information quickly, retain it, and effectively work on multiple tasks simultaneously.

For immediate consideration, APPLY HERE

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About RemX

Sourced by ZipRecruiter

RemX is a proven leader in the Contract to Hire job industry. We help place the right people in the right jobs. Let us help you today!

Industry

Recruiting and staffing services

Company size

501 - 1,000 Employees

Headquarters location

Atlanta, GA, US

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