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Remote Medicare Claims Processing Jobs in Washington

Ennoble Care

Sr. Medical Economics Analyst

Arlington, VA · Remote

$120K - $140K/yr

... and Medicare claims data. * Ensure data quality and integrity across all analytical processes ... Fully Remote (with up to 10% travel) Salary Range: $120,000- $140,000 This position requires the ...

C-MCI

Medical Billing Specialist

Fairfax, VA · On-site +1

$18.50 - $24/hr

Remote / On-site Department: Revenue Cycle Management Overview: CMCI is seeking a detail-oriented ... claims processing, revenue cycle management, and contribute valuable insights to develop AI-powered ...

Marriott

Claims Adjuster II

Bethesda, MD · On-site +1

Knowledge of claims processing. Preferred * Applicable industry licensing. * Associate in Claims ... Remote positions. Marriott International is the world's largest hotel company, with more brands ...

Marriott

Claims Adjuster II

Bethesda, MD · On-site +1

Knowledge of claims processing. Preferred * Applicable industry licensing. * Associate in Claims ... Remote positions. Marriott International is the world's largest hotel company, with more brands ...

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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 popular job titles related to Remote Medicare Claims Processing jobs in Washington?

For Remote Medicare Claims Processing jobs in Washington, the most frequently searched job titles are:

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

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

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

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

Remote Medicare Claims Processing jobs near you
Infographic showing various Remote Medicare Claims Processing job openings in Washington as of August 2026, with employment types broken down into 92% Full Time, 4% Part Time, and 4% Contract. Highlights an 100% Remote job distribution.

Policy Associate, Medicare Value-Based Care (Remote Eligible)

Mathematica

Washington, DC • Remote

$17.50 - $23.25/hr

Full-time

Posted 8 days ago

Job description

Mathematica seeks a passionate, early career PolicyAssociate to join our Medicare Value-Based Care team. Mathematica partners withfederal agencies to test innovative policies and initiatives intended toimprove the delivery of high-quality Medicare services while controllinghealthcare costs. Teams within this portfolio facilitate Medicare incentivepayments to encourage high-quality care; technical support for Medicareproviders and physicians; and research to drive improvements to value-basedcare practice.

As a part of a project team, the Associate will support arange of project activities including client support and consulting, programimplementation, stakeholder training, and research. Ideal candidates are self-motivated;highly organized and detail-oriented; strong writers and oral communicators;passionate about learning new skills and topics; comfortable with ambiguity; collaborative;and creative problem-solvers.

Mathematica is invested in staff career growth across alllevels. The role will include opportunities to develop healthcare policysubject matter knowledge, research and consulting skills, and receivementorship and coaching from leading industry experts.

Key Responsibilities:

  • Assist managing projects and tasks to ensure alignment with Medicare policy timelines and priorities. This may include developing schedules and monitoring deadlines; maintaining team process documentation; and supporting meeting planning, from scheduling to drafting summaries for internal teams and clients.
  • Coordinate and support tasks that seek to educate health care stakeholders, such as hospitals and providers, on value-based care policy requirements and best practices by overseeing logistics for webinars and managing stakeholder communications.
  • Support the development and maintenance of technical specifications, user manuals, and standard operating procedures that support the implementation of health care innovations in the Medicare program.
  • Draft written materials including emails, newsletter blurbs, and slide decks that align with Mathematica's reputation for rigor and objectivity.
  • Contribute to collection and analysis of quantitative and/or qualitative data, such as by supporting focus group facilitation or analysis of Medicare claims data.
  • Additional duties depending on project placement.

Apply