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Rn Insurance Claims Remote Jobs in Rochester, NY

Ability to work independently in a remote environment while collaborating with a team. * Strong ... Company-paid Term Life/ Accidental Death Insurance Cottingham & Butler Claims Services (CBCS) At ...

This is a primarily remote role supporting enterprise Epic implementation, with minimal travel and ... Prepare and submit hospital claims to commercial, government, and other third-party payers in ...

Hospital Billing Operator

Rochester, NY · Remote

$18 - $23.25/hr

This is a primarily remote role supporting an enterprise Epic implementation, with minimal travel ... Prepare and submit hospital claims to commercial, government, and other third-party payers in ...

Perks: * Shift: 1st shift (Mon - Fri) 8:00 am - 5:00 pm EST (Remote but must be able to travel ... Research and author claims settlement agreements. Research, pursue, negotiate and obtain insurance ...

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Rn Insurance Claims Remote information

See Rochester, NY salary details

$12

$23

$42

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

As of Jul 26, 2026, the average hourly pay for rn insurance claims remote in Rochester, NY is $23.19, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $25.38 per hour, depending on experience, location, and employer.

What are RN Insurance Claims Remote jobs?

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, and why are they important?

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 Rochester, NY? For Rn Insurance Claims Remote jobs in Rochester, NY, the most frequently searched job titles are:
What job categories do people searching Rn Insurance Claims Remote jobs in Rochester, NY look for? The top searched job categories for Rn Insurance Claims Remote jobs in Rochester, NY are:
What cities near Rochester, NY are hiring for Rn Insurance Claims Remote jobs? Cities near Rochester, NY with the most Rn Insurance Claims Remote job openings:
Registered Nurse - Communications Center (Central Triage)

Registered Nurse - Communications Center (Central Triage)

Rochester Regional Health

Rochester, NY • On-site, Remote

Full-time

Posted 7 days ago


Rochester Regional Health rating

7.3

Company rating: 7.3 out of 10

Based on 218 frontline employees who took The Breakroom Quiz

304th of 890 rated healthcare providers


Job description

Job Title: Registered Nurse - Communications Center (Central Triage)
Location: Riedman Center/Remote
*IN PERSON TRAINING (4-5 MONTHS)*
*Working from home / hybrid schedule is an option once trained, will be expected to come into the office when needed*
Hours Per Week: 40
Schedule: Days/Evenings/Nights/Weekends (every other weekend + split holidays) 4, 8 or 12 hr shifts
*Must live within 1 hour of Riedman Center*
SUMMARY:
As a Registered Nurse (RN), you're the engine and the heart of patient care at Rochester Regional Health. You make a positive difference every single day in the lives of our patients, their family members and visitors - going above and beyond to meet their needs with courtesy, kindness, respect and compassion.
RESPONSIBILITIES:
• Performs initial and ongoing assessment of the patient, utilizing appropriate data (i.e. physical, psychological, educational and risk-screen data appropriate for the chronological / developmental age of the patient).
• Demonstrates clinical judgment in responding to priority patient needs.
• Communicates and documents assessment of patient with the interdisciplinary team. Utilizes all available resources in order to meet the needs of the patient and family.
Planning:
• Develops and documents plan of care, treatment and services which is individualized and appropriate for the patient needs, strengths, limitations and goals.
• Includes the interdisciplinary health team as needed.
• Demonstrates effective communication with the patient / family and interdisciplinary team.
Implementation:
• Provides care, treatment and services in collaboration with interdisciplinary health team.
• Maintains an appropriate nurse-patient relationship.
• Complies with organizational policies, procedures and protocols including policies governing safety, medication administration and documentation.
• Initiates and documents education plan for the patient and family based on identified learning.
Evaluations:
• Evaluates, communicates and documents patient responses to care.
• Revises plan of care based on ongoing evaluations and updates documentation appropriately.
Education:
• Ensures the patient and family receives / understands education / training specific to their needs and abilities using the teach back method for evaluation and documents appropriately.
Demonstrates Compassion, Leadership and Professionalism:
• Confidently leads the care delivery team through effective communication, collaboration and leadership.
• Assumes responsibility and accountability on the unit / patient care team.
• Demonstrates the ability to work collaboratively with others.
• Demonstrates knowledge of legal aspects of nursing as evidenced by documentation and professional behaviors.
• Delegates appropriate responsibilities to assigned nurses and ancillary staff.
• Demonstrates ability to manage job related stressors and constructive feedback during intra/interdepartmental relations.
• Demonstrates flexibility in meeting staffing needs throughout the organization.
• Participates in problem-solving activities at the unit level by identifying the problem and collaboratively working toward resolution.
• Provides input regarding protocols, policies and procedures to immediate supervisor.
• Provides training / precepting for new team members on the unit.
Performance Improvement / Evidence Based Practice / Research:
• Demonstrates knowledge of evidence-based practice within practice area and identifies opportunities for performance improvement.
• Participates and utilizes the performance improvement process to improve clinical practice.
• Completes at least one clinical research utilization (CRU) form for submission to Nursing Research Department utilizing a research article from the last 5 years from research performed in the United States.
Compliance
• Completes a minimum of 5 nationally approved contact hours (CNE or CEU) per year.
• Completes mandatory in-services and health screens in timely manner.
• Maintains Basic Life Support (BLS) certification.
REQUIRED QUAILFICATIONS
• Diploma or Associate's Degree in Nursing required; Bachelor's Degree in Nursing preferred.
• Registered Nurse license in New York State.
• Basic Life Support (BLS) certification
• 3 years RN experience minimum
PREFERRED QUALIFICATIONS
• Prior experience pediatrics, adult medicine and triage strongly preferred.
EDUCATION:
AS: Nursing (Required)
LICENSES / CERTIFICATIONS:
BLS - Basic Life Support - American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse - New York State Education Department (NYSED)New York State Education Department (NYSED)
PHYSICAL REQUIREMENTS:
M - Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects; Requires frequent walking, standing or squatting.
For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.
Any physical requirements reported by a prospective employee and/or employee's physician or delegate will be considered for accommodations.
PAY RANGE:
$35.34 - $47.13
CITY:
Rochester
POSTAL CODE:
14617
The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.
Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.

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