ZipRecruiter

Log In

2

Remote Medicare Claims Processing Jobs (NOW HIRING)

Ovation Healthcare

Specialist, Medicare

This role involves processing Medicare claims, managing accounts receivable, addressing patient inquiries, and working closely with Medicare representatives to resolve billing issues. Duties and ...

Conduent, Inc.

Remote Claims Processing Clerk

KY · Remote

$15/hr

Remote Claims Processing Clerk Schedule: Monday- Friday 8:00 AM - clean desk (based on business needs) Training Schedule: 4-week paid training Pay Rate: $15.00 per hour- please note this rate may be ...

JM Benefits Insurance Agency

Be Seen First

Remote Medicare Enrollment Specialist

Fort Lauderdale, FL · Remote

$60K - $100K/yr

... Processes to Help You Succeed Faster Whether you're experienced in Medicare sales or looking to ... Remote Work Environment Qualifications ✔ Active Florida 2-15 Life & Health License ✔ AHIP ...

JM Benefits Insurance Agency

Be Seen First

Remote Medicare Enrollment Specialist

Fort Lauderdale, FL · Remote

$60K - $100K/yr

... Processes to Help You Succeed Faster Whether you're experienced in Medicare sales or looking to ... Remote Work Environment Qualifications ✔ Active Florida 2-15 Life & Health License ✔ AHIP ...

ImageNetLLC

Claims Examiner - Remote

Tampa, FL · Remote

We are looking for Experienced Claims Processor to join our rapidly growing team. Experience is ... Job Type: Full-time This is a fully remote position Responsibilities: * Review and adjudicate ...

Imagenet

Claims Examiner - Remote

Tampa, FL · Remote

We are looking for Experienced Claims Processor to join our rapidly growing team. Experience is ... Job Type: Full-time This is a fully remote position Responsibilities: * Review and adjudicate ...

Imagenet

Claims Examiner - Remote

Tampa, FL · On-site +1

We are looking for Experienced Claims Processor to join our rapidly growing team. Experience is ... Job Type: Full-time This is a fully remote position Responsibilities: * Review and adjudicate ...

WPS Health Solutions

Foreign Claims Processor

Madison, WI · On-site +1

$18.50/hr

During Probationary Period: 8:00-4:35pm CST Mon-Fri Work Location We are open to remote work in the ... One (1) or more years of experience in a claims processing role. * Demonstrated proficiency in data ...

New

next page

Showing results 1-20

All JobsRemote Medicare Claims Processing Jobs

Remote Medicare Claims Processing information

See salary details

$12

$22

$34

How much do remote medicare claims processing jobs pay per hour?

As of Jun 28, 2026, the average hourly pay for remote medicare claims processing in the United States is $22.34, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $25.48 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Remote Medicare Claims Processor, and why are they important?

To thrive as a Remote Medicare Claims Processor, you need strong attention to detail, knowledge of medical billing and coding, and a solid understanding of Medicare regulations, often supported by a relevant certification like CPC or CCA. Familiarity with claims processing software, electronic health record (EHR) systems, and Medicare-specific platforms such as the Fiscal Intermediary Standard System (FISS) is typically required. Strong organizational skills, effective written communication, and problem-solving abilities help you excel in remote work environments. These skills ensure timely and accurate claims processing, minimize errors, and support compliance with complex healthcare regulations.

What are some common challenges faced by remote Medicare claims processors and how can they be managed?

One common challenge for remote Medicare claims processors is staying up-to-date with frequent changes in Medicare regulations and billing codes. Additionally, working remotely can make it harder to quickly clarify complex cases with colleagues or supervisors. To manage these challenges, it's important to participate in regular training sessions, utilize internal communication platforms for collaboration, and maintain organized documentation. Employers often provide digital resources and support channels to help remote processors stay connected and informed.

What is remote Medicare claims processing?

Remote Medicare claims processing involves reviewing, verifying, and submitting medical claims to Medicare from a location outside of a traditional office, often from home. Professionals in this role ensure that healthcare providers are reimbursed for services rendered to Medicare patients by checking claims for accuracy, compliance, and eligibility. They use specialized software to process electronic and paper claims, resolve discrepancies, and follow up on denied or delayed payments. This job requires knowledge of Medicare regulations, coding, and strong attention to detail. Remote work allows for flexible scheduling but also demands self-discipline and secure handling of sensitive patient data.

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

AspectRemote Medicare Claims ProcessingRemote Medical Billing Specialist
CertificationsCPAR, CPC, or similarCPB, CPC, or similar
Work EnvironmentHealthcare insurance, government programsHealthcare providers, clinics, hospitals
Job FocusSubmitting and managing Medicare claimsBilling for various medical services and insurance

Remote Medicare Claims Processing involves handling claims specifically for Medicare, focusing on government regulations and Medicare-specific procedures. Remote Medical Billing Specialists manage billing for a variety of insurance types and healthcare providers. While both roles require similar certifications and work remotely in healthcare settings, Medicare Claims Processing is specialized in government insurance claims, whereas Medical Billing covers broader insurance billing tasks.

More about Remote Medicare Claims Processing jobs
What cities are hiring for Remote Medicare Claims Processing jobs? Cities with the most Remote Medicare Claims Processing job openings:
What are the most commonly searched types of Medicare Claims Processing jobs? The most popular types of Medicare Claims Processing jobs are:
What states have the most Remote Medicare Claims Processing jobs? States with the most job openings for Remote Medicare Claims Processing jobs include:
What job categories do people searching Remote Medicare Claims Processing jobs look for? The top searched job categories for Remote Medicare Claims Processing jobs are:
Remote Medicare Claims Processing jobs near you
Infographic showing various Remote Medicare Claims Processing job openings in the United States as of June 2026, with employment types broken down into 1% As Needed, 89% Full Time, 6% Part Time, 2% Temporary, and 2% Contract. Highlights an 37% Physical, 3% Hybrid, and 60% Remote job distribution, with an average salary of $46,461 per year, or $22.3 per hour.

Specialist, Medicare

Ovation Healthcare

Remote

Full-time

Posted 13 days ago

Job description

Welcome to Ovation Healthcare!
At Ovation Healthcare (formerly QHR Health), we've been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions.
The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior.
We're looking for talented, motivated professionals with a desire to help independent hospitals thrive. Working with Ovation Healthcare, you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork.
Ovation Healthcare's corporate headquarters is located in Brentwood, TN. For more information, visit www.ovationhc.com.
Summary:
The Medicare Specialist is responsible for managing the billing and collection processes for Medicare patients, ensuring compliance with Medicare policies and regulations, and following up on unpaid Medicare claims. This role involves processing Medicare claims, managing accounts receivable, addressing patient inquiries, and working closely with Medicare representatives to resolve billing issues.
Duties and Responsibilities:
  • Prepare and submit accurate Medicare claims for patient services, ensuring compliance with Medicare guidelines and regulations. Utilizes DDE, CWF, and other tools to identify, track and follow up on unpaid or denied Medicare claims, identifying issues and working to resolve any billing discrepancies with Medicare or patients.
  • Review patient accounts and reconcile payments with Medicare remittance advice, ensuring all payments are posted correctly and outstanding balances are addressed. Communicate with patients regarding their Medicare coverage, billing questions, payment options, and any unpaid balances.
  • Investigate and resolve issues related to denied or underpaid Medicare claims, working with Medicare representatives and internal departments to ensure accurate reimbursement. Prepares and submits appeals for denied claims, including supporting documentation.
  • Monitor and analyze aging reports to prioritize follow-up actions for overdue Medicare accounts, ensuring timely resolution. Ensure all billing and collection practices are compliant with Medicare regulations, HIPAA, and company policies. Identifies potential compliance risks and recommends corrective action. Maintains accurate records of all Medicare claims, payments, communications, and follow-up activities, ensuring proper documentation in the patient account system.
  • Identify and resolve Medicare credit balances and may assist with preparation of quarterly Medicare credit balance report. Request offset to future payments in DDE.
  • Work with internal departments, such as coding, finance, etc. to review diagnosis, CPT code, etc. to resolve claim edit issues.
  • Prepare, submit, and follow up on redetermination appeals to Medicare

Knowledge, Skills, and Abilities:
  • Ability to analyze complex data, identify patterns, and draw accurate conclusions.
  • High level of accuracy in reviewing medical records and billing data.
  • Ability to analyze claim data, identify billing errors, and troubleshoot complex claim issues.
  • In-depth knowledge of Medicare billing codes, guidelines, and regulations. Familiarity with electronic health record (EHR) systems, billing software, and remittance advice processing and DDE. Strong communication skills, with the ability to explain Medicare billing details and resolve patient concerns effectively.
  • Ability to handle sensitive information and maintain confidentiality in accordance with HIPAA regulations. Detail-oriented with strong organizational skills and the ability to manage multiple accounts simultaneously. Problem-solving abilities, particularly with regard to billing discrepancies and denied claims.

Apply