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Remote Medicare Claims Processing Jobs (NOW HIRING)

WPS

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 ...

IQVIA

Medical Biller/Claims Processing

Las Vegas, NV · Remote

$23/hr

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to ...

HealthEdge

Quality Auditor

$35K - $48K/yr

Maintain currency on CMS claims processing rules and guidelines for Medicare Advantage ... Remote, US Type of Employment: Full-time, permanent Work Environment: The physical demands ...

IQVIA

Medical Biller/Claims Processing

Houston, TX · Remote

$23/hr

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to ...

HealthEdge

Quality Auditor

$35K - $48K/yr

Maintain currency on CMS claims processing rules and guidelines for Medicare Advantage ... Remote, US Type of Employment: Full-time, permanent Work Environment: The physical demands ...

IQVIA

Medical Biller/Claims Processing

Miami, FL · Remote

$23/hr

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to ...

Imagenet

Claims Quality Auditor - Remote

Tampa, FL · On-site +1

Remote Reports to: Claims Supervisor Position Summary: The Claims Quality Auditor plays a key role ... Perform detailed audits of denied, underpaid, and processed claims using EZCap to assess accuracy ...

ImageNetLLC

Claims Quality Auditor - Remote

Tampa, FL · Remote

Remote Reports to: Claims Supervisor Position Summary: TheClaims Quality Auditor plays a key role ... Perform detailed audits of denied, underpaid, and processed claims using EZCap to assess accuracy ...

Imagenet

Claims Quality Auditor - Remote

Tampa, FL · Remote

Remote Reports to: Claims Supervisor Position Summary: TheClaims Quality Auditor plays a key role ... Perform detailed audits of denied, underpaid, and processed claims using EZCap to assess accuracy ...

IQVIA

Medical Biller/Claims Processing

Newark, NJ · Remote

$23/hr

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to ...

InterSources

Cobol Programmer - Advanced

Columbia, South Carolina (100% Remote) Duration: 9 Months (Possible Extension) Interview Process: 2 ... SAS * File-Aid * Medicaid or Medicare Claims Processing * MQ * Endevor * Xpeditor bout Us:

IQVIA

Medical Biller/Claims Processing

Kansas City, KS · Remote

$23/hr

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to ...

Health Admins

Claims Processor

Austin, TX · Remote

$17.50 - $22/hr

Location: Remote (Texas preferred) Job Type: Full-time, Non-Exempt About Us Health Admins is a ... As a key member of our organization, you will be responsible for processing medical claims ...

Spotter

Spotter AI is on the lookout for a dedicated and detail-oriented Claims Specialist to enhance our claims processing team. This remote position is vital in ensuring that our clients receive prompt and ...

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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 29, 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.

Healthcare Claims Team Lead - Remote

ImageNetLLC

Tampa, FL • Remote

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 8 days ago

Key responsibilities

  • Lead end-to-end client implementation, including discovery, go-live, and stabilization phases.

  • Coordinate cross-functional activities with Training, QA, IT, and Workforce Management to ensure operational readiness.

  • Perform standard Team Lead responsibilities such as team oversight, performance management, and reporting.

Job description

Salary:

Healthcare Claims Team Lead (Remote)


Job Type:Full-time

Location: Remote

Reporting to: Claims Supervisor


About the Role

We are seeking a highly driven Healthcare Claims Team Lead to play a critical role in launching and supporting a new client engagement. This position is ideal for a hands-on leader who thrives in fast-paced environments and enjoys building processes from the ground up.


You will lead end-to-end implementation efforts while ensuring operational readiness, cross-functional alignment, and a successful go-live. In addition to standard Team Lead responsibilities, this role requires active involvement in implementation, process design, and client onboarding.


Key Responsibilities

Implementation & Client Onboarding

  • Lead end-to-end client implementation, from discovery through go-live and stabilization
  • Translate client requirements into operational workflows, SOPs, and staffing models
  • Develop and execute detailed implementation plans, including timelines and milestones
  • Identify risks early and proactively drive mitigation strategies

Cross-Functional Coordination

  • Partner with Training, QA, IT, and Workforce Management teams to ensure readiness across all workstreams
  • Coordinate system setup, user acceptance testing (UAT), and access provisioning with IT and client teams
  • Ensure all systems, tools, and environments are fully tested and production-ready prior to go-live

Operational Readiness & Process Design

  • Support development of process documentation, job aids, and knowledge base materials
  • Validate workflows for claims processing, including escalation paths and exception handling
  • Ensure processes are scalable, efficient, and aligned with client expectations

Expanded Leadership Scope

  • Perform standard Team Lead responsibilities including team oversight, performance management, and reporting
  • Take ownership of Quality Assurance and Training functions during the implementation phase
  • Provide hands-on support in building, testing, and executing processes


Qualifications

  • Min. 5 years of experience processing easy, moderate, and complex medical claims (payer-side experience preferred)
  • 2+ years in a leadership role within claims or healthcare operations.
  • Proven experience in implementations, transitions, or new client launches
  • Strong experience with Medicare and Medi-Cal claims, including a working knowledge of CMS guidelines and regulatory requirements.
  • Prior quality assurance and training experience with demonstrated ability to identify trends
  • Previous experience leading, coaching, or mentoring teams in a claims or healthcare operations environment.
  • Strong analytical skills with the ability to interpret performance data and KPIs.
  • Excellent communication, organizational, and decision-making skills.
  • High attention to detail and commitment to accuracy, compliance, and operational excellence.


What We Offer

  • Remote work offered
  • Equipment provided
  • Paid trainingto set you up for success
  • Comprehensive benefits:Medical, Dental, Vision, Life, HSA, 401(k)
  • Paid Time Off (PTO)
  • 7 paid holidays
  • A supportive team and a company that values internal growth


Ready to Take the Lead on Something New?
Dont miss this opportunity to shape a new client launchclick Apply Now and get started.


COMPANY OVERVIEW

Imagenet is a leading provider of back-office support technology and tech-enabled outsourced services to healthcare plans nationwide. Imagenet provides claims processing services, including digital transformation, claims adjudication and member and provider engagement services, acting as a mission-critical partner to these plans in enhancing engagement and satisfaction with plans members and providers.


The company currently serves over 70 health plans, acting as a mission-critical partner to these plans in enhancing overall care, engagement and satisfaction with plans members and providers. The company processes millions of claims and multiples of related structured and unstructured data elements within these claims annually. The company has also developed an innovative workflow technology platform, JetStreamTM, to help with traceability, governance and automation of claims operations for its clients.


Imagenet is headquartered in Tampa, operates 10 regional offices throughout the U.S. and has a wholly owned global delivery center in the Philippines.