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Work From Home Healthcare Insurance Claims Processor Jobs

Apolis

Claims Processing Executive

$17.50 - $22/hr

This remote position offers the flexibility of working from home during day shifts, allowing you to ... healthcare claims submitted by providers in accordance with US insurance policies. * Work on the ...

NTT DATA

Healthcare Claims Processor, Remote

$17.50 - $22/hr

... in Healthcare Claims Processing * 2+ years using a computer with Windows applications using a ... Previously performing - in P&Q work environment; work from queue; remotely * Key board skills and ...

Karna, LLC

$20 - $25/hr

Understanding of medical terminology, healthcare services, and insurance procedures (worker ... Capacity to work independently as well as collaboratively within a team. * Commitment to ongoing ...

KARNA LLC

$22 - $25/hr

Understanding of medical terminology, healthcare services, and insurance procedures (worker ... Capacity to work independently as well as collaboratively within a team. * Commitment to ongoing ...

ICONMA

Claims processor

$17.50 - $22/hr

Claims Processor Our client, a IT Services and Consulting company, is looking for a Claims ... Category Name Required Importance Experience * Healthcare Claims Yes 1 Why Should You Apply?

TEKsystems

Claims Processor

Brookfield, WI · On-site +1

$19.25/hr

... healthcare claims processing experience and are looking for an opportunity to work with a team ... Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term ...

New

NTT DATA Americas, Inc.

Medical Claims Processor

$17 - $18/hr

Medial Claims Processor Industry : Healthcare FSLA status : Non-Exempt Department : Operations ... Entry to mid-level Location : Work at Home Pay Rate: 17.00-18.00 In this Role the candidate will be ...

NTT Data Americas, Inc.

Medical Claims Processor

$17 - $18/hr

Medial Claims Processor Industry : Healthcare FSLA status : Non-Exempt Department : Operations ... Entry to mid-level Location : Work at Home Pay Rate: 17.00-18.00 In this Role the candidate will be ...

NTT DATA

Medical Claims Processor - Remote

$18/hr

Remote-Work From Home Pay Rate: $18.00 per hour Start Date: 8/26/2026 Shift: M-F 7:00-4:00 pm CT ... Healthcare Claims Processing * 2+ year(s) using a computer with Windows applications using a ...

InnovAge

Claims Processor II

Denver, CO · On-site +1

$22.84 - $27.40/hr

Work with Center Leadership to approve claims from non-contracted providers, communicating the need ... healthcare sciences, health information technology or a related field from an accredited college ...

GlobalHealth, Inc

Claims Processor (52219)

Oklahoma City, OK · On-site +1

$15.75 - $20/hr

Our passion is Genuine Care and Optimal Health for the members we serve. We are unique by providing ... We work hard to offer affordable health insurance coverage with the benefits people truly want and ...

InnovAge

Claims Processor II

Denver, CO · On-site +1

$17.50 - $22.25/hr

Work with Center Leadership to approve claims from non-contracted providers, communicating the need ... healthcare sciences, health information technology or a related field from an accredited college ...

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Work From Home Healthcare Insurance Claims Processor information

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$12

$22

$34

How much do work from home healthcare insurance claims processor jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for work from home healthcare insurance claims processor in the United States is $22.34, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $25.48 per hour, depending on experience, location, and employer.

What does a work from home healthcare insurance claims processor do?

A Work From Home Healthcare Insurance Claims Processor is responsible for reviewing, evaluating, and processing insurance claims related to healthcare services. They work remotely to verify the accuracy of claims, ensure compliance with insurance policies, and determine the appropriate payment or denial of claims. Their work involves communicating with healthcare providers, policyholders, and insurance companies, as well as using specialized software to manage claim information. Attention to detail and knowledge of medical terminology and insurance procedures are important for this role.

What are the key skills and qualifications needed to thrive as a work from home healthcare insurance claims processor?

To thrive as a Work From Home Healthcare Insurance Claims Processor, you need a solid understanding of medical terminology, insurance policies, and claims processing procedures, often supported by a high school diploma or relevant certification. Familiarity with claims management software, electronic health records (EHR) systems, and billing codes such as ICD-10 and CPT is typically required. Attention to detail, strong organizational skills, and effective written communication are soft skills that help ensure accuracy and efficiency in a remote setting. These skills and qualifications are vital for minimizing errors, expediting claims resolution, and maintaining compliance with healthcare regulations.

What are some common challenges faced by work from home healthcare insurance claims processors and how can they be managed?

Remote Healthcare Insurance Claims Processors often face challenges such as managing high volumes of claims while maintaining accuracy, staying updated with frequently changing insurance policies, and effective communication with team members and providers. To manage these, it's important to establish a structured daily routine, utilize digital tools for organization, and participate in regular virtual meetings for updates and clarification. Continuous learning and proactive communication are key to ensuring claims are processed efficiently and in compliance with regulations.

What is the difference between Work From Home Healthcare Insurance Claims Processor vs Healthcare Billing Specialist?

AspectWork From Home Healthcare Insurance Claims ProcessorHealthcare Billing Specialist
CredentialsHigh school diploma, certification in claims processing often preferredHigh school diploma, certification in medical billing recommended
Work EnvironmentRemote, home-basedTypically office-based, but some remote options available
Job FocusReviewing and submitting insurance claims for reimbursementPreparing and managing patient billing and invoices
Industry UsageCommonly used in insurance and healthcare companiesUsed in hospitals, clinics, and billing companies

The main difference is that a Work From Home Healthcare Insurance Claims Processor focuses on processing insurance claims remotely, while a Healthcare Billing Specialist handles patient billing and invoicing, often in an office setting. Both roles require knowledge of healthcare policies, but their primary tasks and work environments differ.

How to get a job as a work from home healthcare insurance claims processor?

To become a work from home healthcare insurance claims processor, candidates typically need a high school diploma or equivalent, strong attention to detail, and familiarity with insurance billing and coding software. Relevant certifications, such as the Certified Professional Coder (CPC), can improve job prospects. Employers often require prior experience in claims processing or customer service and may conduct remote interviews to assess technical skills and communication abilities.
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What cities are hiring for Work From Home Healthcare Insurance Claims Processor jobs?

Cities with the most Work From Home Healthcare Insurance Claims Processor job openings:

What states have the most Work From Home Healthcare Insurance Claims Processor jobs?

States with the most job openings for Work From Home Healthcare Insurance Claims Processor jobs include:

What job categories do people searching Work From Home Healthcare Insurance Claims Processor jobs look for?

The top searched job categories for Work From Home Healthcare Insurance Claims Processor jobs are:

Work From Home Healthcare Insurance Claims Processor jobs near you
Infographic showing various Work From Home Healthcare Insurance Claims Processor job openings in the United States as of August 2026, with employment types broken down into 64% Full Time, and 36% Part Time. Highlights an 100% Remote job distribution, with an average salary of $46,461 per year, or $22.3 per hour.

Claims Processing Executive

Apolis

Remote

$17.50 - $22/hr

Other

Posted 11 days ago

Job description

Healthcare Claims Processing Executive (QNXT Claims)

Join our team as a Claims Processing Executive in the healthcare sector where you will utilize your expertise in MS Excel to efficiently manage and process commercial claims. This remote position offers the flexibility of working from home during day shifts, allowing you to balance work and personal commitments effectively. Your contributions will directly impact the accuracy and efficiency of our claims processing, enhancing customer satisfaction and operational excellence.

Roles & Responsibilities:
  • Review, validate, and process healthcare claims submitted by providers in accordance with US insurance policies.
  • Work on the QNXT claims platform (Required).
  • Verify patient eligibility, coverage, benefits, and pre-authorization requirements under Medicare, Medicaid, and private insurance plans.
  • Approve, deny, or adjust claims based on payer guidelines and policy terms.
  • Maintain compliance with HIPAA regulations, CMS guidelines, and other US healthcare compliance standards.
  • Record claim activity, maintain audit trails, and prepare reports for management.
  • Utilize MS Excel for claims tracking, reporting, and analysis.
Required Skills:
  • QNXT Claims Processing (Required)
  • Healthcare Claims Processing
  • Commercial Claims
  • Medicare
  • Medicaid
  • Commercial Insurance
  • Claims Adjudication
  • Eligibility Verification
  • HIPAA Compliance
  • CMS Guidelines
  • EDI Transactions
  • Claims Management Software
  • MS Excel
  • Insurance Policy Interpretation
  • Analytical & Problem-Solving Skills
  • Strong Communication Skills
  • Detail-Oriented
Qualifications:
  • High school diploma or equivalent (Required).
  • 2–4 years of experience in US healthcare claims processing.
  • Strong knowledge of US healthcare insurance systems, including Medicare, Medicaid, and commercial payers.
  • Familiarity with claims management software and EDI transactions.
  • Excellent analytical, organizational, and communication skills.
  • Ability to interpret insurance policies and payer guidelines.
  • Detail-oriented with strong problem-solving abilities.
  • Must be a resident of Iowa.
  • Must be comfortable with a 3–6 month contract.

Apply