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Work From Home Healthcare Insurance Claims Processor Jobs in Rochester, NY

HMG Careers

Work From Home Sales Specialist

Honeoye, NY · Remote

$69K/yr

Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers ... What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ...

Angels In Your Home

Medical Biller

Rochester, NY · Remote

$20 - $25/hr

... work collaboratively with internal departments, payers, managed care plans, insurance ... healthcare billing, home care billing, Medicaid Managed Care billing, or medical claims processing ...

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All JobsHealthcare Insurance Claims Processor JobsWork From Home Healthcare Insurance Claims Processor JobsWork From Home Healthcare Insurance Claims Processor Jobs in Rochester, NY

Work From Home Healthcare Insurance Claims Processor information

See Rochester, NY salary details

$11

$22

$33

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 Rochester, NY is $22.04, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $25.14 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.

What are popular job titles related to Work From Home Healthcare Insurance Claims Processor jobs in Rochester, NY?

For Work From Home Healthcare Insurance Claims Processor jobs in Rochester, NY, the most frequently searched job titles are:

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

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

Work From Home Healthcare Insurance Claims Processor jobs near you
Infographic showing various Work From Home Healthcare Insurance Claims Processor job openings in Rochester, NY as of August 2026, with employment types broken down into 66% Full Time, and 34% Part Time. Highlights an 100% Remote job distribution, with an average salary of $45,842 per year, or $22 per hour.

Work From Home Sales Specialist

HMG Careers

Port Gibson, NY • Remote

$69K/yr

Full-time

Re-posted 10 days ago

Job description

Remote Insurance Sales Representative | Flexible Schedule | Commission-Based

This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely, serving clients by providing guidance and protection solutions for individuals and families.

What We Offer

  • Remote, work-from-home career
  • Average first-year earnings of $69K through commissions and bonuses
  • Increased earning potential in later years through performance and renewals
  • Residual income opportunities through client renewals
  • Unionized position with stock options
  • Comprehensive benefits package including medical, dental, and prescription coverage
  • Ongoing training and mentorship from experienced managers
  • High-quality leads provided with no cold calling friends or family
  • Flexible scheduling within a career-focused structure
  • Advancement and recognition opportunities with promotion from within
  • Supportive and collaborative virtual team environment

Qualities We Value

  • Willingness to learn and be coached through structured training
  • Friendly, outgoing, and professional communication style
  • Genuine desire to help others by providing guidance and solutions
  • Strong verbal communication and relationship-building skills
  • Sales or customer service experience is helpful but not required

Qualifications

  • Laptop or desktop computer with a working camera
  • Insurance license required or willingness to obtain one
  • Basic computer skills
  • Must reside in North America including the United States or Canada
  • We do not hire candidates residing outside North America

Responsibilities

  • Contact provided leads to schedule virtual meetings with clients
  • Present benefit programs and assist clients with enrollment
  • Build and maintain strong client relationships
  • Work closely with your manager to set goals and achieve them