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Remote Third Party Medical Billing Jobs (NOW HIRING)

Vital Connect Inc

Denial Management Specialist

CA · Remote

This is a fully remote role** Responsibilities * Comprehensive research and review to resolve payer ... third-party medical policies, and contract language. * Customize appeals to payers in accordance ...

Massgeneralbrigham

Third Party Reviewer

Somerville, MA · Remote

$19.81 - $28.30/hr

Essential Functions -Review medical claims and billing documentation to ensure accuracy ... Remote Type Remote Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type ...

Ovationhealthcare

Specialist, Billing

$19.75 - $26.50/hr

... third-party Insurance payer guidelines * High school diploma or equivalent; additional training in medical billing is a plus. Working Conditions: Work from home and remote location with a stable ...

Ovationhealthcare

Specialist, Billing

Mount Vernon, OH · Remote

$16 - $21.75/hr

... third-party Insurance payer guidelines * High school diploma or equivalent; additional training in medical billing is a plus. Working Conditions: Work from home and remote location with a stable ...

Ovationhealthcare

Specialist, Billing

$19.75 - $26.50/hr

Medical Terminology, ICD-10, CPT and DRG knowledge a preferred, knowledge of third-party Insurance ... Work from home and remote location with a stable internet connection, a quiet and dedicated ...

Southcoast Health

Patient Accts Representative

Fairhaven, MA · On-site +1

$17.22 - $28.56/hr

Third party medical billing experience with knowledge of CPT/HCPCS/ICD coding is strongly preferred. * Working knowledge of Excel and Word preferred. * Minimum of three (3) years of office experience ...

System One

Third Party Risk Manager

Vienna, VA · Remote

Hybrid - onsite and remote Business unit: Procurement Main focus: support enhancements to the Third ... medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as ...

System One

Third Party Risk Manager

Vienna, VA · Remote

Hybrid - onsite and remote Business unit: Procurement Main focus: support enhancements to the Third ... medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as ...

PharMerica

3rd Party Plan Analyst

Louisville, KY · On-site +1

The 3rd Party Analyst is responsible for configuring 3rd party insurance setups within our ... The position specializes in pharmacy claim billing and reimbursement detail. Analyst are considered ...

PharMerica

3rd Party Plan Analyst

Louisville, KY · On-site +1

The 3rd Party Analyst is responsible for configuring 3rd party insurance setups within our ... The position specializes in pharmacy claim billing and reimbursement detail. Analyst are considered ...

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Remote Third Party Medical Billing information

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How much do remote third party medical billing jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for remote third party medical billing in the United States is $20.52, according to ZipRecruiter salary data. Most workers in this role earn between $17.55 and $22.60 per hour, depending on experience, location, and employer.

What is remote third party medical billing?

Remote third party medical billing is the process of managing and submitting medical claims to insurance companies on behalf of healthcare providers, but performed offsite or from a different location, often from home. A third party medical billing company acts as an intermediary between healthcare providers and insurance payers, handling tasks like coding, billing, claim follow-ups, and payment processing. By working remotely, billers use secure software and communication tools to ensure accuracy and compliance with healthcare regulations. This arrangement can help healthcare providers focus on patient care while experts handle the complexities of medical billing and insurance reimbursement.

What are some common challenges faced by remote third party medical billing specialists, and how can they be managed effectively?

Remote third party medical billers often encounter challenges such as managing communication across different healthcare providers, staying updated on frequently changing billing regulations, and ensuring data security when accessing sensitive patient information from home. To manage these effectively, billers should establish clear communication channels with clients, regularly participate in professional development or compliance training, and use secure, HIPAA-compliant billing software. Building a structured daily routine and maintaining organized digital records also helps ensure accuracy and efficiency in this remote work environment.

What are the key skills and qualifications needed to thrive as a remote third party medical billing specialist, and why are they important?

To thrive as a Remote Third Party Medical Billing Specialist, you need a solid understanding of medical billing procedures, insurance claims processes, and relevant healthcare regulations, often supported by a certification such as Certified Professional Biller (CPB). Proficiency with medical billing software, electronic health record (EHR) systems, and payer portals is typically required. Attention to detail, strong organizational skills, and effective communication set candidates apart in this role. These skills ensure accurate and timely claim submissions, minimize billing errors, and facilitate smooth interactions with payers and healthcare providers, which are critical for financial health and compliance.

What is the difference between Remote Third Party Medical Billing vs Remote Medical Coding?

AspectRemote Third Party Medical BillingRemote Medical Coding
CredentialsCertification (e.g., CPC, CPC-H), knowledge of billing softwareCertification (e.g., CPC, CCS), understanding of coding systems
Work EnvironmentTypically works with billing companies or healthcare providersOften employed by hospitals, clinics, or coding service providers
Industry UsageCommonly used in billing and revenue cycle managementPrimarily used in medical record documentation and coding
Search/Comparison IntentOften compared for billing roles and revenue cycle jobsCompared for coding roles and medical record documentation

Remote Third Party Medical Billing focuses on submitting claims and managing billing processes, while Remote Medical Coding involves translating medical records into standardized codes. Both roles require certifications like CPC and are integral to healthcare revenue management, but they differ in daily tasks and employer settings.

More about Remote Third Party Medical Billing jobs

What cities are hiring for Remote Third Party Medical Billing jobs?

Cities with the most Remote Third Party Medical Billing job openings:

What are the most commonly searched types of Third Party Medical Billing jobs?

The most popular types of Third Party Medical Billing jobs are:

What states have the most Remote Third Party Medical Billing jobs?

States with the most job openings for Remote Third Party Medical Billing jobs include:

What job categories do people searching Remote Third Party Medical Billing jobs look for?

The top searched job categories for Remote Third Party Medical Billing jobs are:

Remote Third Party Medical Billing jobs near you
Infographic showing various Remote Third Party Medical Billing job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $42,673 per year, or $20.5 per hour.

Pharmacy Billing Representative- Remote

Sign In / Register - Job Candidate Account

Columbus, OH • Remote

$17.25 - $22.50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 21 days ago

Job description

Build Your Career with Us!

Competitive Pay Stable Schedules Career Growth Multiple Shifts Available

SpecialtyRx is a fast-growing Long-Term Care pharmacy dedicated to providing personalized, high-quality pharmaceutical services to long-term care facilities and assisted living communities.

We are currently seeking a Third-Party Rejections Specialist to join our team. This role is focused specifically on hands-on third-party insurance rejection experience. If you have direct experience researching, resolving, and processing pharmacy insurance rejections, we want to hear from you!

Candidates must reside in Ohio, Virginia, or Kentucky.

What You'll Do

  • Perform duties and responsibilities assigned by the Billing Supervisor.
  • Research and verify patient eligibility and insurance coverage with state and private insurance providers.
  • Research, analyze, and resolve third-party insurance rejections in accordance with daily rejection reports.
  • Maintain and update patient billing, insurance, and coverage information in the system.
  • Submit and follow up on prior authorizations for state insurance programs.
  • Communicate directly with insurance companies regarding rejections, overrides, eligibility issues, coverage changes, and claim updates.
  • Investigate and resolve pending billing and insurance issues.
  • Work with client facility staff and other applicable healthcare organizations and agencies, including PDP/Medicare, CMS, NJM, and NYM, when necessary.
  • Maintain accurate documentation and ensure billing information is current and complete.
  • Work independently while collaborating with the billing team to meet daily goals and deadlines.
  • Handle multiple priorities in a fast-paced environment while maintaining accuracy and attention to detail.

Qualifications

Who We're Looking For

We're looking for detail-oriented professionals who understand how to work through third-party pharmacy claim rejections and are comfortable communicating with insurance providers to identify and resolve coverage and billing issues.

If your background is primarily in medical billing or medical coding, this position may not be the right fit. We are specifically seeking candidates with direct third-party pharmacy rejection experience.

Required:

  • High school diploma or equivalent.
  • Direct, hands-on experience working with third-party pharmacy insurance rejections is required.
  • Experience must be in actual third-party rejection processing/resolution.
  • Strong computer skills and ability to learn and navigate multiple systems.
  • Excellent attention to detail and problem-solving skills.
  • Professional and courteous telephone communication skills.
  • Ability to work independently and as part of a team.
  • Ability to multitask and prioritize work in a fast-paced environment.
  • Strong organizational skills and follow-through.

Preferred:

  • Previous pharmacy experience.
  • Long-Term Care Pharmacy experience.
  • Experience with New York pharmacy billing claims.
  • Frameworks/ECM experience.
  • Experience working directly with insurance providers to resolve pharmacy claim rejections.

Schedule

We are hiring for multiple shifts!

Candidates must have weekend availability. Flexibility to work evenings and/or overnight shifts is strongly preferred.

Available shifts may include:

  • 8:00 AM - 4:00 PM
  • 9:00 AM - 5:00 PM
  • 11:00 AM - 7:00 PM
  • 12:00 PM - 8:00 PM
  • 3:00 PM - 11:00 PM
  • 4:00 PM - 12:00 AM

What We Offer

  • Competitive pay based on experience.
  • Stable and consistent scheduling.
  • Opportunities for career growth.
  • Health, dental, and vision insurance.
  • Group life insurance and short-term disability.
  • Paid time off and paid holidays.
  • 401(k) with company match.
  • Paid training and development opportunities.
  • Collaborative and supportive work environment.

Ready to Join the SpecialtyRx Team?

Apply today through our careers portal:

Apply Here - SpecialtyRx Careers

We look forward to reviewing your application and connecting with qualified candidates to schedule an interview.

EEO Statement

SpecialtyRx, Inc. is fully committed to employing a diverse workforce. We recruit and retain talented individuals without regard to gender, race, age, marital status, disability, veteran status, sexual orientation, gender identity, or any other status protected by federal, state, or local law.

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