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Remote Medicare Jobs in Springfield, OR (NOW HIRING)

Medical Billing Specialist

Eugene, OR ยท Remote

$50 - $80/hr

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer's project focused on developing advanced AI-assisted writing tools for clinical documentation. In ...

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Remote Medicare information

See Springfield, OR salary details

$17

$22

$24

How much do remote medicare jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for remote medicare in Springfield, OR is $22.26, according to ZipRecruiter salary data. Most workers in this role earn between $18.65 and $23.65 per hour, depending on experience, location, and employer.

What are remote Medicare jobs?

Remote Medicare jobs are positions that involve working with Medicare-related services or support, but can be performed from home or another remote location. These roles can include customer service representatives, claims processors, billing specialists, and case managers who assist Medicare beneficiaries, process claims, answer inquiries, and ensure compliance with Medicare regulations. Remote Medicare jobs are often offered by insurance companies, healthcare providers, or third-party administrators who serve the Medicare population. They typically require strong communication skills, knowledge of Medicare policies, and proficiency with digital tools to manage tasks and communicate with clients or team members. These jobs provide flexibility and the opportunity to help individuals navigate the Medicare system.

What are remote Medicare jobs?

Remote Medicare jobs entail the selling of health insurance, supplementary coverage, and other benefits to seniors who qualify for Medicare services. In these positions, you perform your duties as an employee or contractor who works outside of a company office. You contact seniors via phone or internet, and you may meet face-to-face to explain Medicare plan options and help with the enrollment process. You follow up on sales leads and work with customers who have an existing account to sell new products and benefits. Your responsibilities can focus on a specific type of medical coverage, such as home healthcare or prescription insurance plans.

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

To thrive as a Remote Medicare Specialist, you need a solid understanding of Medicare regulations, claims processing, and healthcare compliance, typically supported by experience in medical billing or coding and at least a high school diploma or equivalent. Familiarity with Medicare billing software, electronic health records (EHRs), and customer relationship management (CRM) systems is highly valued. Excellent communication, attention to detail, and problem-solving skills help professionals effectively assist clients and resolve complex inquiries remotely. These competencies ensure accurate claims processing, regulatory compliance, and strong client satisfaction in a virtual healthcare environment.

What are some common challenges faced by professionals working in remote Medicare roles, and how can they be addressed?

Professionals in remote Medicare positions often face challenges such as staying updated with frequent policy changes, ensuring HIPAA-compliant communication, and maintaining effective collaboration with team members and clients across different locations. To address these challenges, it's important to actively participate in ongoing training, use secure and reliable technology platforms, and establish regular check-ins with colleagues. Building strong communication habits and leveraging available digital tools can help remote employees stay connected and efficient in their roles.

What is the difference between Remote Medicare vs Remote Medicaid?

AspectRemote MedicareRemote Medicaid
Required CertificationsMedicare certification, health insurance licensesMedicaid certification, health insurance licenses
Work EnvironmentCall centers, insurance companies, healthcare providersCall centers, government agencies, healthcare providers
Industry UsagePrivate insurers, Medicare Advantage plansState Medicaid programs, government agencies
Common Search/ComparisonRemote Medicare vs Remote Medicaid

Remote Medicare and Remote Medicaid roles both involve assisting beneficiaries with insurance plans, but they differ mainly in certification requirements and employer types. Medicare roles focus on private insurance plans for seniors, while Medicaid roles are linked to government-funded programs for low-income populations. Understanding these differences helps job seekers target the right opportunities in the healthcare insurance industry.

What are popular job titles related to Remote Medicare jobs in Springfield, OR?

For Remote Medicare jobs in Springfield, OR, the most frequently searched job titles are:

What job categories do people searching Remote Medicare jobs in Springfield, OR look for?

The top searched job categories for Remote Medicare jobs in Springfield, OR are:

What cities near Springfield, OR are hiring for Remote Medicare jobs?

Cities near Springfield, OR with the most Remote Medicare job openings:

Nurse Practitioner (Per Diem) ***$3,500.00 Sign-on bonus***

ComplexCare Solutions

Eugene, OR โ€ข On-site, Remote

$2.4K - $10K/mo

Per diem

Retirement

Posted 8 days ago


Job description

Overview

Nurse Practitioner Per Diem

This position covers all zip codes in: Lane County, OR

SIGN ON BONUS - $3,500.00

Effective 8/10/26. Terms and conditions apply

ComplexCare Solutions (CCS) specializes in helping those in need by delivering high-value home and virtual assessments for health plans nationwide. We pride ourselves on our member engagement aimed towards evaluating current health status, gaps in care, potential health risks and care management opportunities with a focus on driving better clinical outcomes.

CCS, on behalf of SME Medical Delaware, P.A., is calling on Advanced Practice Providers that are passionate about helping their local communities. We care dearly about those whom we serve, and we need your help to make a difference in the lives of our members. Providers have the opportunity to spend a full hour with these members, which allows them to capture a comprehensive picture of that individual's personal needs and what is required to keep them in the home and out of the hospital.

Compensation:

  • Pay Range: $2,400.00 - $10,000.00 per month (Potential income) Earnings will vary based on completed assessments, state of residence, and business needs as there is no guarantee of visits or minimum income
  • In-home visit rate: $120 - $140 depending on state of residence
  • If available, our telehealth rate is $85 per completed assessment

Benefit:

This position is eligible to participate in a company 401K plan providing the opportunity to save for retirement through employee contributions. New hires will be automatically enrolled in the company 401(k) plan at a 3% contribution rate with the option to opt out.

Responsibilities
  • Knowledge of CMS Regulations and NCQA HEDIS Guidelines
  • Knowledge of Evidence-based Clinical Practice Standards: American Diabetes Association (ADA), American College of Cardiology (ACC), American Heart Association (AHA), Familiarity with ICD-10 and CPT-4 coding practices
  • Complete comprehensive, accurate and thorough review of the assigned member population, including timely completion and submission of all required encounter documentation (paper or electronic)
  • Ensure that all pertinent and active medical conditions are documented in the medical record in a manner compliant with CMS/DHHS, Company policy, and client requirements
  • Support the physician/patient relationship and ensure timely and adequate communication, documentation of assessment findings, recommendations, need for additional services, emergency services required if necessary and need for follow up and timelines for follow up to primary care provider (PCP) and health plan as required
  • Make general recommendations to members intended to improve members' knowledge of their chronic condition(s), such as information concerning recommended testing
  • Address and close identified gaps in care (disease-specific or preventive)
  • Recognize emergent or urgent situations requiring escalation and take appropriate action as specified in company policies, and as determined by reasonable professional judgment and ethical professional practice standards; and
  • Perform, document and communicate results of Point of Care (POC) Testing
  • Maintain compliance with Company policies, procedures and mission statement
  • Adhere to all confidentiality and HIPAA requirements as outlined within the Company's Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position
  • Fulfill those responsibilities and/or duties that may be reasonably provided for the purpose of achieving operational and financial success of the Company
  • Uphold responsibilities relative to the separation of duties for applicable processes and procedures within your job function
  • On a monthly basis, be available for a minimum of 25 slots of availability per month (approximately 37 hours)
  • We reserve the right to change this job description from time to time as business needs dictate and will provide notice of such
  • Other duties as assigned
Qualifications
  • Active un-encumbered license to practice nursing
  • ANCC or AANP board certification as a Nurse Practitioner or Clinical Nurse Specialist in Family, Adult, Gerontology or Emergency Medicine.ย 
  • Maintains current CPR certification
  • Compliance, prior to hire, with recommended Healthcare Personnel Requirements for vaccinations and preventive testing:
    • Hepatitis B
    • Influenza
    • MMR: Measles, Mumps and Rubella
    • Pertussis, Tetanus and diphtheria and acellular pertussis (Tdap)
    • Varicella
    • Tuberculosis
  • Home Health exp a plusย 
  • Must be able to effectively communicate with elderly and chronically ill patients and families
  • Understanding of Medicare, Medicaid and Health Plan benefit structures beneficial
  • Ability to multitask
  • Excellent customer service skills
  • Bi-lingual or multi-lingual a plus
  • Ability to practice autonomously in a remote clinical environment, including independently conducting patient assessments, formulating evidence-based treatment plans, managing complex chronic conditions, and making sound clinical decisions without direct on-site supervision
  • Proficient with computer platforms, electronic health records (EHRs), secure messaging systems, and cloud-based documentation tools

This company utilizes E-Verify.

ComplexCare Solutions (CCS) is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. By embracing diversity, equity and inclusion we enhance our work environment and drive business success. ComplexCare Solutions (CCS) strives to reflect the diversity of the communities where we operate and of our clients and everyone whom we serve. We endeavor to create a culture of inclusion in which our associates feel empowered to bring their full, authentic selves to work and pursue their professional goals in an equitable setting. We understand that by fostering this type of culture, and welcoming different perspectives, we generate innovation and growth.

Employment Type: OTHER