ZipRecruiter

Log In

2

Remote Medicare Claims Processing Jobs in Michigan

BeneSys, Inc.

Specialty Claims Analyst (Troy, MI)

Troy, MI · Remote

$21 - $24/hr

... process submitted claims. Assists with customer service. Applicants for this remote role will only be considered if they live in these locations: Illinois, Indiana, Iowa, Kentucky, Michigan, Missouri ...

Great American Insurance Group

$20 - $27/hr

... and processed accurately and efficiently. This role serves as a key partner to adjusters by ... This is a remote, work-from-home position for candidates located within the Mountain or Central ...

CSAA

Job Title Process Manager, Commercial Casualty Claims - Remote Requisition Number R7810 Process Manager, Commercial Casualty Claims - Remote (Open) Location California - Home Teleworkers Additional ...

CSAA

In order for your application to be correctly processed please sign-in before you apply Internal ... Job Title Commercial Insurance Consultant, Claims Insights- Remote Requisition Number R7770 ...

CSAA

$59K - $77K/yr

In order for your application to be correctly processed please sign-in before you apply Internal ... Job Title Commercial Senior Auto Claims Adjuster- Remote Requisition Number R7890 Commercial Senior ...

Summit

$69K - $92K/yr

Georgia, Illinois, Indiana, Kentucky, North Carolina, South Carolina, Tennessee. #LI-Remote Job ... process. Learn more at *Excludes seasonal employees and interns.

Great American Insurance Group

$69K - $92K/yr

Georgia, Illinois, Indiana, Kentucky, North Carolina, South Carolina, Tennessee. #LI-Remote Job ... process. Learn more at *Excludes seasonal employees and interns.

Tmhcc

Property Claims Adjuster

Troy, MI · On-site +1

Remote / Hybrid (dependent upon on proximity of office location) Reports To: Katie Toman Employment ... The Property Claims Adjuster will also support the subrogation process for claims identified as ...

New

CSAA

In order for your application to be correctly processed please sign-in before you apply Internal ... Job Title Sr. Examiner, Homeowner Claims Multi-State - Remote Requisition Number R7899 Sr. Examiner ...

next page

Showing results 1-20

All JobsMedicare Claims Processing JobsRemote Medicare Claims Processing JobsRemote Medicare Claims Processing Jobs in Michigan

Remote Medicare Claims Processing information

What are the key skills and qualifications needed to thrive as a remote Medicare claims processor?

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.

What are popular job titles related to Remote Medicare Claims Processing jobs in Michigan? For Remote Medicare Claims Processing jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Remote Medicare Claims Processing jobs in Michigan look for? The top searched job categories for Remote Medicare Claims Processing jobs in Michigan are:
Remote Medicare Claims Processing jobs near you
Infographic showing various Remote Medicare Claims Processing job openings in Michigan as of August 2026, with employment types broken down into 89% Full Time, 3% Part Time, and 8% Contract. Highlights an 3% In-person, and 97% Remote job distribution.

Claims Analyst

Global Information Technology (Michigan)

Southfield, MI • Remote

Contractor

Re-posted 26 days ago

Job description

Job Title: EDI Claims Analyst
Job Location: Remote
Job Type: Contract

Job Description:

The EDI Claims Analyst is responsible for analyzing and processing electronic data interchange (EDI) transactions, including claims and eligibility inquiries. This role involves reviewing and resolving claim rejections, ensuring accurate data submission, and supporting various EDI transactions. The analyst will work closely with provider relations, IT, and other internal teams to ensure smooth and efficient claims processing.

Requirement:

  • Strong understanding of EDI transactions and claims processing
  • Proficiency in SQL and data analysis
  • Knowledge of Edifecs Smart-Trading platform, Availity Essentials, Informatica, and Apigee
  • Familiarity with CBH systems, including Connects and Flexicare
  • Excellent problem-solving and analytical skills
  • Ability to mentor and train team members
  • Executive leadership client facing
Interested candidates can send their updated resumes at jobs@global-itech.com

Apply