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Remote Medicare Claims Processing Jobs in Tennessee

The Operations Specialist position is an integral role assisting with the processing of claims and ... This role is fully remote in Nashville, candidates for this role must be based in the Nashville ...

Hybrid - 3 days in office, 2 days remote after training. PAY: The expected hiring range for this ... Maintainsworkflow to ensure timely processing of claims. * Partners withClaimsleadershipon ...

Nashville, TN/ Remote Status: Full Time Days: Monday - Friday Hours : 40/week Are you a Revenue ... Notifies the Dept. Director of any problems with claims or processes. * Assists other Revenue Cycle ...

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Remote Medicare Claims Processing information

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 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 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 the most commonly searched types of Medicare Claims Processing jobs in Tennessee?

The most popular types of Medicare Claims Processing jobs in Tennessee are:

What job categories do people searching Remote Medicare Claims Processing jobs in Tennessee look for?

The top searched job categories for Remote Medicare Claims Processing jobs in Tennessee are:

What cities in Tennessee are hiring for Remote Medicare Claims Processing jobs?

Cities in Tennessee with the most Remote Medicare Claims Processing job openings:

Infographic showing various Remote Medicare Claims Processing job openings in Tennessee as of August 2026, with employment types broken down into 88% Full Time, 7% Part Time, and 5% Contract. Highlights an 100% Remote job distribution.

Licensed Health Insurance Agent - Medicare | Remote

Sagility

Memphis, TN • Remote

$21/hr

Full-time

Medical

Posted 3 days ago

New


Sagility rating

4.6

Company rating: 4.6 out of 10

Based on 29 frontline employees who took The Breakroom Quiz

63rd of 72 rated call and contact centers


Job description

Job title Licensed Health Insurance Agent – Medicare | Remote About Sagility

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.

Job title:

Licensed Health Insurance Agent – Medicare | Remote

Job Description:

Put Your Health Insurance License to Work and Apply Today!

BroadPath, a Sagility Company, is hiring Licensed Health Insurance Agents to join our remote Medicare sales team.

If you have an active Health Insurance Producer License and are ready to put it to work, we want to hear from you. Whether you are an experienced Medicare sales professional or looking to build your experience in health insurance sales, this is an opportunity to earn competitive pay and incentives while helping customers make important healthcare decisions; all from home.

We are actively hiring for upcoming opportunities. Apply now to be considered.

Compensation & Incentives

Your license and sales performance have value. This opportunity offers competitive hourly pay plus multiple ways to increase your earnings:

  • Starting pay of $21.00+ per hour , with the opportunity for a higher starting rate based on experience, qualifications, geographic location, market data, and client/program requirements
  • Weekly pay
  • Paid training
  • $200 training completion bonus for employees who meet applicable attendance requirements
  • $500 end-of-season bonus based on applicable performance, attendance, and client metrics
  • Per-application incentives providing opportunities to earn additional compensation for eligible applications and sales performance
  • Additional performance, attendance, and project-specific incentives may be available based on assignment

Additional incentive and bonus eligibility requirements will be communicated by Operations during training.

Why Join BroadPath, a Sagility Company?

We want you to have the tools, support, and opportunity to succeed while working remotely. You can expect:

  • 100% remote work
  • Company-provided laptop, headset, and Bhive webcam
  • Instructor-led virtual training to prepare you for your Medicare client assignment
  • Ongoing coaching and support from your leadership team
  • A collaborative virtual work environment
  • Opportunities to strengthen your Medicare knowledge and sales experience
  • Opportunities to earn additional compensation based on applicable program requirements and performance

What You Will Do

As a Licensed Health Insurance Agent, you’ll provide consultative sales support to customers exploring Medicare health plans. You’ll use your insurance knowledge, communication skills, and ability to connect with people to understand customer needs, explain available options, and confidently guide customers through the enrollment process.

On a typical day, you’ll:

  • Answer inbound calls from customers exploring Medicare health insurance options
  • Conduct needs assessments using active listening and consultative sales techniques
  • Educate customers on available Medicare health plans, benefits, products, and services
  • Recommend solutions based on individual healthcare and coverage needs
  • Confidently guide conversations toward successful enrollment
  • Complete health plan enrollments while meeting applicable sales and performance expectations
  • Identify additional customer needs and available solutions when appropriate
  • Build trust through clear, professional, and compassionate communication
  • Navigate multiple systems while maintaining accuracy, efficiency, and compliance
  • Protect customer information and follow all applicable privacy, security, and HIPAA requirements
  • Represent BroadPath, a Sagility Company, and our client partners with professionalism and care

What You Will Bring

  • Active resident Health Insurance Producer License
  • Ability to obtain reciprocal state health insurance licenses when required
  • High school diploma or equivalent
  • Previous sales, customer service, call center, or health insurance experience preferred
  • Strong communication and active listening skills
  • Customer-focused approach with the ability to build trust and rapport
  • Strong computer navigation skills and the ability to work efficiently across multiple systems
  • Ability to maintain accuracy and attention to detail in a fast-paced environment
  • Ability to remain seated for extended periods while working productively in a remote environment

Schedule

This is a seasonal, fully remote opportunity . Schedules are assigned based on business and client needs and may fall within:

Monday–Sunday | 8:00 AM–10:00 PM, Client Local Time

Specific schedules, program details, assignment length, and requirements will be discussed during the interview and assignment process.

What You Will Need to Work from Home

Before your first day, you’ll need:

  • 19" or larger monitor with VGA or HDMI port and appropriate cable
  • USB wired mouse; USB wired keyboard optional
  • Reliable, hardwired internet connection with a minimum of 25 Mbps download / 10 Mbps upload
  • Ethernet cable
  • Private, distraction-free workspace that protects member confidentiality and minimizes background noise

Important: Wi-Fi, cellular, hotspot, and other wireless internet connections are not supported because they cannot maintain the secure VPN connection required for this role.

What We Provide

BroadPath, a Sagility Company, provides the following equipment for the duration of your assignment:

  • Laptop
  • Headset
  • Bhive webcam

Ready to Put Your License to Work?

Don’t wait to take the next step. We are actively considering licensed candidates for upcoming Medicare opportunities.

If you have an active Health Insurance Producer License, enjoy connecting with customers, and are motivated by the opportunity to earn additional compensation based on your performance, apply today to be considered for an upcoming class.

About BroadPath, a Sagility Company

BroadPath, a Sagility Company, brings together people, technology, and healthcare expertise to support exceptional experiences for the members and organizations we serve.

Our remote teams play an important role in helping customers navigate healthcare with greater clarity and confidence. We value collaboration, accountability, and the ability to make a positive impact through every interaction.

Employment may be contingent upon successful completion of background checks, previous employment verification, education verification, licensing requirements, and other screening requirements applicable to the position or client assignment.

BroadPath, a Sagility Company, uses market-based compensation practices to ensure competitive pay. Your starting rate will be determined based on your experience, qualifications, geographic location, applicable market data, and client or program requirements.

BroadPath, a Sagility Company, is an Equal Opportunity Employer/Veteran/Disability.

Location:

Florida (EST)United States of America

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