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Remote No Experience Medical Claims Processor Jobs

Imagenet

Claims Examiner - Remote

Tampa, FL · Remote

Experience processing Provider Dispute Resolution (PDR), appeals, reconsiderations, or claim ... Medical terminology strongly preferred * Understanding of ICD-9 & ICD-10 * Basic MS office computer ...

ImageNetLLC

Claims Examiner - Remote

Tampa, FL · Remote

Experience processing Provider Dispute Resolution (PDR), appeals, reconsiderations, or claim ... Medical terminology strongly preferred * Understanding of ICD-9 & ICD-10 * Basic MS office computer ...

Moda Health

Medical Claims COB Processor I

Milwaukie, OR · Remote

$18.39 - $20.58/hr

PTO and Company Paid Holidays Required Skills, Experience & Education: * High School diploma or ... medical claim processing or customer service dealing with all types of plans/claims and ...

Medical University of South Carolina

Claims Processor I

$17.50 - $22/hr

Use electronic billing system appropriately to follow up on outstanding denied claims and all no ... High School Degree or Equivalent Work Experience: 0-6months The Medical University of South ...

Imagenet

Claims Examiner - Remote

Tampa, FL · On-site +1

Experience processing Provider Dispute Resolution (PDR), appeals, reconsiderations, or claim ... Medical terminology strongly preferred * Understanding of ICD-9 & ICD-10 * Basic MS office computer ...

ImagenetLLC

Claims Examiner - Remote

Tampa, FL · Remote

Experience processing Provider Dispute Resolution (PDR), appeals, reconsiderations, or claim ... Medical terminology strongly preferred * Understanding of ICD-9 & ICD-10 * Basic MS office computer ...

TEEMA

Claims Reviewer

Phoenix, AZ · Remote

$25 - $29/hr

... Remote What you will be doing: * Conducts medical claims review using current claims processing ... Claim coding experience * Knowledge of behavioral health claims review

Imagenet

Claims Examiner - Remote (Alameda)

Tampa, FL · Remote

Experience processing Provider Dispute Resolution (PDR), appeals, reconsiderations, or claim ... Medical terminology strongly preferred * Understanding of ICD-9 & ICD-10 * Basic MS office computer ...

New

PharMerica

Pharmacy Claims Processor / Remote

Louisville, KY · Remote

$15.50 - $19.75/hr

Remote Flexibility : This position is 100% remote, giving you the freedom to work from anywhere! ... Leverage your Pharmacy Claims Experience to manage and resolve claims efficiently, ensuring our ...

NTT DATA

Healthcare Claims Processor, Remote

$17.50 - $22/hr

Remote Claims Processing Associate NTT DATA is seeking to hire a Remote Claims Processing Associate ... hands-on experience in Healthcare Claims Processing * 2+ years using a computer with Windows ...

PharMerica

Pharmacy Claims Processor / Remote

Louisville, KY · On-site +1

$15.50 - $19.75/hr

Remote Flexibility : This position is 100% remote, giving you the freedom to work from anywhere! ... Leverage your Pharmacy Claims Experience to manage and resolve claims efficiently, ensuring our ...

BrightSpring

Pharmacy Claims Processor / Remote

Louisville, KY · Remote

$15.50 - $19.75/hr

Remote Flexibility : This position is 100% remote, giving you the freedom to work from anywhere! ... Leverage your Pharmacy Claims Experience to manage and resolve claims efficiently, ensuring our ...

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All JobsMedical Claims Processor JobsRemote No Experience Medical Claims Processor Jobs

Remote No Experience Medical Claims Processor information

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How much do remote no experience medical claims processor jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for remote no experience medical claims processor in the United States is $19.47, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $21.63 per hour, depending on experience, location, and employer.

What is the difference between Remote No Experience Medical Claims Processor vs Remote No Experience Medical Billing Specialist?

AspectRemote No Experience Medical Claims ProcessorRemote No Experience Medical Billing Specialist
CredentialsNo certifications required, training providedNo certifications required, training provided
Work EnvironmentHome-based, healthcare insurance companiesHome-based, healthcare providers or insurance companies
Industry UsageCommonly used in insurance claims processingCommonly used in billing and invoicing
Search IntentJobs for entry-level claims processing rolesJobs for entry-level billing roles

Both roles are entry-level, remote positions in the healthcare industry that typically do not require prior experience or certifications. The main difference is that Medical Claims Processors handle the review and processing of insurance claims, while Medical Billing Specialists focus on invoicing and billing patients or providers. Your choice depends on whether you prefer working with claims or billing tasks within healthcare organizations.

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Remote No Experience Medical Claims Processor jobs near you

Claims Examiner - Remote

Imagenet

Tampa, FL • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 3 days ago

Job description

Claims Examiner - Remote


Job Type: Full-time

Work Setup: This is a fully remote position
Work Hours:Pacific Time Zone


We are looking forExperienced Claims Examiner to join our rapidly growing team.

Experience isrequiredfor this position.


Job Overview:

As a Claims Examiner, you will be responsible for accurately reviewing, investigating, and processing medical claims and provider dispute requests in accordance with payer guidelines, contractual agreements, regulatory requirements, and internal policies.


Responsibilities:

  • Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of appropriate reimbursement methodologies.
  • Review and investigate provider dispute requests, appeals, and reconsiderations related to processed medical claims.
  • Verify patient eligibility, provider credentialing, and coverage details to facilitate accurate claims processing.
  • Communicate with internal resources, and internal stakeholders to resolve claim discrepancies, request additional information, or clarify issues.
  • Participate in ongoing training and professional development activities.
  • Maintain accurate and detailed records of claims processing activities.
  • Review claim forms and supporting documents
  • Determine eligibility, verify data accuracy
  • Request additional information when needed
  • Process claims end-to-end
  • Identify and escalate complex or unusual claims for further review or investigation.
  • Participate in ongoing training and professional development activities.
  • Handle more complex claims with multiple services, providers


Experience:

  • At least 1-2 years of experience working closely with healthcare claims or in a claims processing/adjudication environment.
  • Experience processing Provider Dispute Resolution (PDR), appeals, reconsiderations, or claim adjustments is highly preferred.
  • Understanding of health claims processing/adjudication
  • Ability to perform basic to intermediate mathematical computation routines
  • Medical terminology strongly preferred
  • Understanding of ICD-9 & ICD-10
  • Basic MS office computer skills
  • Ability to work independently or within a team
  • Time management skills
  • Written and verbal communication skills
  • Attention to detail
  • Must be able to demonstrate sound decision-making skills


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 Grow Your Career?

We'd love to meet you! Click"Apply Now"and tell us why you'd be a great addition to the Imagenet team.


About Imagenet, LLC

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.

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