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Work From Home Healthcare Insurance Claims Processor Jobs

Sanford Health

Manager, Claims

Fargo, ND · Remote

No Department Details This position allows some work from home options as well as a flexible ... the areas of health insurance claims submitted by providers and patients for processing.

Sourcedge Solutions

FACETS Claims Processor

Albany, NY · Remote

$17 - $21.25/hr

Must have 5+ years of relevant claim processing experience in healthcare industry (managed care or ... Ability to work remote 8 hour day, Mon-Fri. Responsibilities: * The claims examiner is responsible ...

InnovAge

Claims Processor II

Denver, CO · Remote

$22.84 - $31.97/hr

Monitor Smart Data claims activity and work rejected claims by making necessary adjustments to the ... healthcare sciences, health information technology or a related field from an accredited college ...

TailorMed

Copay Claims Processor

New York, NY · On-site +1

$18.50 - $23.50/hr

Work closely with the Financial Navigation team to ensure accurate and timely processing of claims ... Experience working with insurance providers and healthcare organizations * Knowledge of all ...

PharMerica

Pharmacy Claims Processor / Remote

Louisville, KY · On-site +1

$15.50 - $19.75/hr

This position is 100% remote, giving you the freedom to work from anywhere! What You'll Do: As a ... Health, Dental, Vision, and Life Insurance * Company-Paid Disability Insurance * Tuition Assistance ...

PharMerica

Pharmacy Claims Processor / Remote

Louisville, KY · On-site +1

$15.50 - $19.75/hr

This position is 100% remote, giving you the freedom to work from anywhere! What You'll Do: As a ... Health, Dental, Vision, and Life Insurance * Company-Paid Disability Insurance * Tuition Assistance ...

BrightSpring

Pharmacy Claims Processor / Remote

Louisville, KY · Remote

$15.50 - $19.75/hr

This position is 100% remote, giving you the freedom to work from anywhere! What You'll Do: As a ... Health, Dental, Vision, and Life Insurance * Company-Paid Disability Insurance * Tuition Assistance ...

Amerita

Pharmacy Claims Processor / Remote

Louisville, KY · On-site +1

$15.50 - $19.75/hr

This position is 100% remote, giving you the freedom to work from anywhere! What You'll Do: As a ... Health, Dental, Vision, and Life Insurance * Company-Paid Disability Insurance * Tuition Assistance ...

NTT DATA

Medical 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 ...

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Work From Home Healthcare Insurance Claims Processor information

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$12

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$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 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:

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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.

Manager, Claims

Sanford Health

Fargo, ND • Remote

Full-time

Medical

Re-posted 29 days ago

Sanford Health rating

6.8

Company rating: 6.8 out of 10

Based on 553 frontline employees who took The Breakroom Quiz

499th of 891 rated healthcare providers

Job description

Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland.

Work Shift:

8 Hours - Day Shifts (United States of America)

Scheduled Weekly Hours:

40

Compensation:

Union Position:

No

Department Details

This position allows some work from home options as well as a flexible schedule

Summary

The Claims Manager is under the general supervision of the Sanford Health Plan Director of Claims, in the areas of health insurance claims submitted by providers and patients for processing.

Job Description

Responsible for the implementation and day-to-day performance of process activities related to claims research and resolution. The process includes the review and/or testing of claims, benefits and fee schedules to ensure claims process correctly. Accountable as a resource to all employees in the claims department as well as other departments in the organization. Responsible for the interviewing, hiring, discipline of employees and any other personnel issues that arise. Completes performance appraisals. Coordinates claims processing and adjustment activities within the claims department. Manages claims inventory, ensuring accurate and timely processing. Knowledge of various lines of business that the Sanford Health Plan services and how to differentiate services. Understands the details of professional and institutional claim processing which includes how benefits are assigned and pricing is calculated. Works to help develop and maintain claims policies and procedures. Must communicate effectively with a high level of diplomacy. Demonstrates analytical ability and a good awareness of pertinent details. Assimilates large amounts of information to maintain a broad knowledge base. Exercises good judgement in determining the best method for handling a variety of situations. Maintains good working relationships with staff, physicians, and enrollees. Handles pressure effectively. Maintains confidentiality. Other duties as assigned.

Qualifications

Bachelor's degree preferred.
Three years in a team lead or management role in claims processing or similar environment required.

Sanford is an EEO/AA Employer M/F/Disability/Vet.


If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-949-5678 or send an email to talent@sanfordhealth.org.

What Sanford Health employees say

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Benefits

Hours and flexibility

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About Sanford Health

Sourced by ZipRecruiter

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.

Industry

Health care and social assistance and hospitals

Company size

10,000+ Employees

Headquarters location

Sioux Falls, SD, US

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