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Remote Medicare Reviewer Jobs (NOW HIRING)

Clinical Pharmacist - Medicare

TX · Remote

$57 - $58/hr

In this remote role, you'll review pharmacy benefit requests, ensure compliance with CMS/Medicare guidelines, and provide clinical expertise while delivering a best-in-class service experience. Key ...

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Independent Medicare Agent (Remote)

Philadelphia, PA · Remote

$104K - $136K/yr

Independent Medicare Field Agent Pay Range: Commission-based; varies by production and book size ... AI reviews every plan, highlights what fits, and saves you hours of research * CRM, quoting ...

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Independent Medicare Agent (Remote)

Atlanta, GA · Remote

$104K - $136K/yr

Independent Medicare Field Agent Pay Range: Commission-based; varies by production and book size ... AI reviews every plan, highlights what fits, and saves you hours of research * CRM, quoting ...

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Independent Medicare Agent (Remote)

San Antonio, TX · Remote

$104K - $136K/yr

Independent Medicare Field Agent Pay Range: Commission-based; varies by production and book size ... AI reviews every plan, highlights what fits, and saves you hours of research * CRM, quoting ...

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Independent Medicare Agent (Remote)

Phoenix, AZ · Remote

$104K - $136K/yr

Independent Medicare Field Agent Pay Range: Commission-based; varies by production and book size ... AI reviews every plan, highlights what fits, and saves you hours of research * CRM, quoting ...

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Independent Medicare Agent (Remote)

Chicago, IL · Remote

$104K - $136K/yr

Independent Medicare Field Agent Pay Range: Commission-based; varies by production and book size ... AI reviews every plan, highlights what fits, and saves you hours of research * CRM, quoting ...

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Independent Medicare Agent (Remote)

Saint Louis, MO · Remote

$104K - $136K/yr

Independent Medicare Field Agent Pay Range: Commission-based; varies by production and book size ... AI reviews every plan, highlights what fits, and saves you hours of research * CRM, quoting ...

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Independent Medicare Agent (Remote)

New Orleans, LA · Remote

$104K - $136K/yr

Independent Medicare Field Agent Pay Range: Commission-based; varies by production and book size ... AI reviews every plan, highlights what fits, and saves you hours of research * CRM, quoting ...

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Independent Medicare Agent (Remote)

Dallas, TX · Remote

$104K - $136K/yr

Independent Medicare Field Agent Pay Range: Commission-based; varies by production and book size ... AI reviews every plan, highlights what fits, and saves you hours of research * CRM, quoting ...

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Independent Medicare Agent (Remote)

Los Angeles, CA · Remote

$104K - $136K/yr

Independent Medicare Field Agent Pay Range: Commission-based; varies by production and book size ... AI reviews every plan, highlights what fits, and saves you hours of research * CRM, quoting ...

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Independent Medicare Agent (Remote)

Fort Worth, TX · Remote

$104K - $136K/yr

Independent Medicare Field Agent Pay Range: Commission-based; varies by production and book size ... AI reviews every plan, highlights what fits, and saves you hours of research * CRM, quoting ...

Eastern Time: 9:30 AM - 6:30 PM Location ✅ 100% Remote Key Responsibilities * Manage end-to-end Medicare enrollment processes for healthcare providers * Review daily email communications regarding ...

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Remote Medicare Reviewer information

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$10

$29

$48

How much do remote medicare reviewer jobs pay per hour?

As of Jul 16, 2026, the average hourly pay for remote medicare reviewer in the United States is $29.88, according to ZipRecruiter salary data. Most workers in this role earn between $22.60 and $36.54 per hour, depending on experience, location, and employer.

What are the most common challenges faced by Remote Medicare Reviewers, and how can they be managed effectively?

Remote Medicare Reviewers often encounter challenges such as interpreting complex medical documentation, staying updated with frequently changing Medicare guidelines, and managing high caseloads while working independently. To manage these effectively, it's important to develop strong time-management skills, actively participate in ongoing training, and utilize available resources such as clinical guidelines and team communication tools. Regular check-ins with team members and supervisors can also provide support and help resolve complex cases efficiently.

What is the difference between Remote Medicare Reviewer vs Remote Medical Coder?

AspectRemote Medicare ReviewerRemote Medical Coder
Required CredentialsCertifications like CMS Certification, medical backgroundCertified Coding Specialist (CCS), CPC, or equivalent
Work EnvironmentHome-based, healthcare insurance industryHome-based, healthcare billing and coding industry
Employer & Industry UsageInsurance companies, Medicare/Medicaid providersHospitals, clinics, billing companies
Comparison Search IntentUnderstanding roles in Medicare review processUnderstanding medical coding and billing roles

The Remote Medicare Reviewer and Remote Medical Coder roles share similarities in healthcare industry experience and certification requirements. However, the Medicare Reviewer focuses on evaluating Medicare claims and coverage, while the Medical Coder specializes in translating medical procedures into billing codes. Both roles are remote, industry-specific, and require relevant certifications, but they serve different functions within healthcare administration.

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

To thrive as a Remote Medicare Reviewer, you generally need a background in nursing or healthcare, knowledge of Medicare guidelines, and relevant licensure such as an RN or LPN. Familiarity with claims review software, electronic medical records (EMR), and CMS regulations is typically required, and certifications in case management can be beneficial. Excellent attention to detail, strong analytical skills, and effective written communication help reviewers interpret medical records and document findings accurately. These skills are critical for ensuring compliance, preventing fraud, and supporting the integrity of Medicare services.

What is a Remote Medicare Reviewer?

A Remote Medicare Reviewer is a healthcare professional who evaluates medical records and claims to ensure they meet Medicare guidelines and compliance requirements. Working remotely, they review documentation submitted by healthcare providers to verify that services billed to Medicare are medically necessary and properly documented. Their role helps prevent fraud, waste, and abuse in the Medicare system, while ensuring accurate reimbursement for providers. This position typically requires a background in nursing, coding, or healthcare administration, along with knowledge of Medicare policies.
More about Remote Medicare Reviewer jobs
What cities are hiring for Remote Medicare Reviewer jobs? Cities with the most Remote Medicare Reviewer job openings:
What are the most commonly searched types of Medicare Reviewer jobs? The most popular types of Medicare Reviewer jobs are:
What states have the most Remote Medicare Reviewer jobs? States with the most job openings for Remote Medicare Reviewer jobs include:
Infographic showing various Remote Medicare Reviewer job openings in the United States as of July 2026, with employment types broken down into 89% Full Time, and 11% Contract. Highlights an 4% In-person, and 96% Remote job distribution, with an average salary of $62,159 per year, or $29.9 per hour.
Remote Insurance Sales Representative $25/hr

Remote Insurance Sales Representative $25/hr

TEKsystems

Manhattan, NY • Remote

$25/hr

Contractor

Medical, Dental, Vision, Life, Retirement, PTO

Posted 3 days ago

New


Job description

Remote Medicare Telesales Representative

100% Remote | Full-Time

We're hiring licensed insurance professionals with Medicare sales experience to educate, enroll, and support Medicare members over the phone.

Schedule
  • Monday–Friday, 8:00 AM–5:30 PM
  • Some weekends may be required
Requirements
  • Active Health Insurance License (any state)
  • NY appointment required within 30 days of hire
  • AHIP Certification
  • 2+ years of telesales, call center, customer service, or healthcare sales experience
  • Strong knowledge of Medicare Advantage, CMS guidelines, and compliant sales practices
  • Experience with CRM systems and Microsoft Office
Preferred
  • Medicare sales experience
  • Spanish bilingual
  • Healthcare or insurance industry background
Key Responsibilities
  • Conduct Medicare sales presentations and enrollments
  • Educate members on plan options and benefits
  • Ensure CMS-compliant sales practices
  • Document customer interactions accurately
  • Meet sales, quality, and service goals

Keywords: Medicare Sales, Medicare Advantage, AHIP, Licensed Health Insurance Agent, Telesales, Enrollment Specialist, Call Center, Customer Service, Health Insurance

Apply today to join a growing remote Medicare sales team.

Job Type & Location

This is a Contract position based out of New York, NY.

Pay and Benefits

The pay range for this position is $25.00 - $25.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Jul 27, 2026.

About TEKsystems

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.