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Rn Insurance Claims Remote Jobs in Raleigh, NC (NOW HIRING)

M3USA

Participant Recruitment Analyst

Raleigh, NC · Remote

MA, EMT, LVN/LPN, or RN certification or licensure, or similar certification, preferred. * Basic ... Vision insurance *M3 reserves the right to change this to meet the business needs of the ...

M3USA

Participant Recruitment Analyst

Raleigh, NC · On-site +1

MA, EMT, LVN/LPN, or RN certification or licensure, or similar certification, preferred. * Basic ... Vision insurance *M3 reserves the right to change this to meet the business needs of the ...

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All JobsRn Insurance Claims JobsRn Insurance Claims Remote JobsRn Insurance Claims Remote Jobs in Raleigh, NC

Rn Insurance Claims Remote information

See Raleigh, NC salary details

$12

$22

$41

How much do rn insurance claims remote jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for rn insurance claims remote in Raleigh, NC is $22.85, according to ZipRecruiter salary data. Most workers in this role earn between $17.07 and $25.00 per hour, depending on experience, location, and employer.

What is an RN Insurance Claims Remote?

RN Insurance Claims Remote jobs are positions where registered nurses (RNs) work from home or another remote location to evaluate, process, and review insurance claims related to medical care. These nurses use their clinical expertise to assess the validity of claims, ensure proper documentation, and determine the necessity and appropriateness of medical treatments. They may also communicate with healthcare providers, patients, and insurance companies to gather information and clarify medical details. This role typically requires an active RN license, strong analytical skills, and experience in case management or utilization review.

What are the key skills and qualifications needed to thrive as an RN Insurance Claims Remote?

To thrive as an RN Insurance Claims Remote, you need a current RN license, strong clinical knowledge, and experience in medical case review or utilization management. Familiarity with claims management software, ICD-10/CPT coding, and electronic health records (EHRs) is typically required, along with certifications like CCM (Certified Case Manager) being a plus. Exceptional attention to detail, analytical thinking, and effective written communication skills help you excel in evaluating claims and collaborating with stakeholders. These skills ensure accurate claims assessment, regulatory compliance, and efficient processing in a remote insurance environment.

What are some common challenges RNs face when working remotely in insurance claims, and how can they be addressed?

RNs working remotely in insurance claims often encounter challenges such as navigating complex medical records without in-person context, managing high caseloads, and ensuring clear communication with both internal teams and external providers. Staying organized, utilizing standardized documentation practices, and leveraging secure digital communication tools can help address these difficulties. Regular virtual check-ins with colleagues and ongoing training also support effective collaboration and professional growth in a remote environment.

What is the difference between Rn Insurance Claims Remote vs Rn Insurance Adjuster?

AspectRn Insurance Claims RemoteRn Insurance Adjuster
CredentialsRN license, insurance knowledgeRN license, insurance certification (e.g., AIC, CPCU)
Work EnvironmentRemote, home-basedField or office-based, sometimes remote
Industry UsageInsurance claims processing, customer serviceClaims assessment, damage evaluation
Common Search IntentRemote claims jobs, insurance claims rolesInsurance adjusting, claims evaluation

While both roles involve insurance and require RN licensure, Rn Insurance Claims Remote focuses on processing claims remotely, often involving customer communication. Rn Insurance Adjuster typically involves evaluating damages in the field or office, with a stronger emphasis on damage assessment and adjusting claims.

What are popular job titles related to Rn Insurance Claims Remote jobs in Raleigh, NC?

For Rn Insurance Claims Remote jobs in Raleigh, NC, the most frequently searched job titles are:

What job categories do people searching Rn Insurance Claims Remote jobs in Raleigh, NC look for?

The top searched job categories for Rn Insurance Claims Remote jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Rn Insurance Claims Remote jobs?

Cities near Raleigh, NC with the most Rn Insurance Claims Remote job openings:

Rn Insurance Claims Remote jobs near you
Infographic showing various Rn Insurance Claims Remote job openings in Raleigh, NC as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 20% Part Time, and 5% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $47,520 per year, or $22.8 per hour.

North Carolina Psychiatric-Mental Health Nurse Practitioner (PMHNP)

Accountable

Raleigh, NC • On-site, Remote

Contractor

Medical

Posted 6 days ago

Job description

NORTH CAROLINA REMOTE PSYCHIATRIC-MENTAL HEALTH NURSE PRACTITIONER (PMHNP)
Initiating Visit & Supervising Practitioner : Principal Illness Navigation, Peer Support (PIN-PS)
Independent Contractor (1099) | Telehealth/ Remote position | You Are Accountable
ABOUT THE ROLE
You Are Accountable operates behavioral health programs built around Principal Illness Navigation - Peer Support (PIN-PS), a Medicare care-navigation benefit in which certified peer support specialists walk alongside patients living with serious behavioral health conditions. Every patient's navigation episode must begin with a qualifying initiating visit furnished by a billing practitioner, and the ongoing peer navigation is billed incident to that practitioner's services under general supervision. That practitioner is you.
This is a flexible, telehealth-based contractor role with meaningful clinical leverage: you conduct the psychiatric evaluation that opens each patient's episode, set the plan of care the peer team supports, and remain available as the supervising clinician while peer specialists deliver month-to-month navigation. You control your own schedule, and compensation scales directly with the work you personally perform.
WHAT YOU'LL DO
  • Conduct initiating visits (e.g., psychiatric diagnostic evaluations, CPT 90791, or E/M visits) via telehealth for patients entering PIN-PS programs, establishing the diagnosis, medical necessity, and plan of care the navigation services will support.
  • Document each visit in our EHR within 48 hours to clean, billable standards, including patient consent to navigation services where required.
  • Serve as the billing practitioner of record for enrolled patients and provide general supervision of the certified peer support specialists furnishing navigation incident to your services.
  • Furnish follow-up visits for your enrolled patients where clinically indicated and mutually agreed.
  • Cooperate with quality, audit, and payer-compliance activities relating to your patients.

WHAT WE'RE LOOKING FOR
  • Active, unrestricted APRN/NP licensure in one or more of: Texas, Florida, North Carolina, Tennessee, Pennsylvania, New Jersey, or New York (multi-state licensure a plus). State credential titles vary (APRN, CRNP, APN, NP) - all are welcome.
  • National board certification as a Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC).
  • Any physician collaboration, supervision, or protocol arrangement required by your state (e.g., prescriptive authority agreement in TX; collaborative agreement in PA; joint protocol in NJ; practice agreement or NP Modernization Act qualification in NY; supervisory protocol in FL) - we can discuss support here. We also have physicians that we work with that can provide this.
  • Active NPI; eligibility to enroll with and reassign benefits to our professional entities for Medicare and Medicaid; never excluded from any federal or state health care program.
  • Comfort with telehealth care for adults with serious behavioral health conditions, and an appreciation for peer support as part of the care team.

COMPENSATION
  • Professional services: 80% of net collections for each service you personally furnish, paid within 30 days after the month we receive payment from the funding source, with full per-service reporting.
  • Supervision stipend: $5.00 per supervised patient per month for each month billable navigation services are furnished to that patient under your supervision.
  • Malpractice coverage: professional liability coverage for your services under this engagement provided at our expense ($1M per claim / $3M aggregate).

ENGAGEMENT DETAILS
1099 independent contractor; you keep full independent clinical judgment and set your own schedule around agreed availability. The role is non-exclusive - most of our practitioners maintain other practices. Because each patient's navigation episode depends on continuity with their billing practitioner, the agreement includes a 12-month notice period for termination without cause, which ends early automatically once your enrolled patients have been transitioned to a successor practitioner with continuity of care maintained; after giving notice you are never obligated to take on new patients.
You Are Accountable is an equal opportunity organization. All engagements are subject to credentialing, exclusion screening, and payer enrollment.

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