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Work From Home Medical Claims Processing Jobs in Minnesota

Gravie

Medical Claims Examiner II

Minneapolis, MN · On-site +1

Process complex claim scenarios in accordance with Summary Plan Descriptions (SPDs). Areas of ... Ability to set priorities, manage time and work independently * Functional comfort with Zoom ...

Posted today

The Jernigan Agency

WORK FROM HOME

Minneapolis, MN · On-site +1

$300 - $500/wk

We are looking for individuals interested in working from home, remotely, as life insurance sales ... See the application through the underwriting process and get our clients covered. Requirements for ...

New

The Jernigan Agency

WORK FROM HOME

Rochester, MN · On-site +1

$300 - $500/wk

We are looking for individuals interested in working from home, remotely, as life insurance sales ... See the application through the underwriting process and get our clients covered. Requirements for ...

HMG Careers

Work From Home Sales Specialist

Rice, MN · Remote

$69K/yr

What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ... Comprehensive benefits package including medical, dental, and prescription coverage * Ongoing ...

HMG Careers

Work From Home Sales Specialist

Hawley, MN · Remote

$69K/yr

What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ... Comprehensive benefits package including medical, dental, and prescription coverage * Ongoing ...

HMG Careers

Work From Home Sales Specialist

Tower, MN · Remote

$69K/yr

What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ... Comprehensive benefits package including medical, dental, and prescription coverage * Ongoing ...

HMG Careers

Work From Home Sales Specialist

Nevis, MN · Remote

$69K/yr

What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ... Comprehensive benefits package including medical, dental, and prescription coverage * Ongoing ...

HMG Careers

Work From Home Sales Specialist

Gibbon, MN · Remote

$69K/yr

What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ... Comprehensive benefits package including medical, dental, and prescription coverage * Ongoing ...

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Work From Home Medical Claims Processing information

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How much do work from home medical claims processing jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for work from home medical claims processing in Minnesota is $19.07, according to ZipRecruiter salary data. Most workers in this role earn between $16.97 and $21.20 per hour, depending on experience, location, and employer.

What is a work from home medical claims processing?

A Work From Home Medical Claims Processing job involves reviewing, verifying, and processing medical insurance claims from a remote location. Responsibilities typically include checking claims for accuracy, ensuring compliance with insurance policies, and submitting claims for reimbursement. This role requires knowledge of medical coding, billing procedures, and insurance guidelines. Strong attention to detail and proficiency with billing software are essential for success in this position. Many employers prefer candidates with prior experience or relevant certifications in medical billing and coding.

What are the key skills and qualifications needed to thrive in work from home medical claims processing?

To excel in Work From Home Medical Claims Processing, strong attention to detail, knowledge of medical terminology and billing codes, and prior experience in claims or healthcare administration are typically required. Familiarity with claims processing software (such as Facets, Epic, or Medisoft) and knowledge of HIPAA compliance are highly valuable, and certification such as Certified Professional Coder (CPC) can be an advantage. Excellent organizational skills, time management, and effective written communication help professionals handle caseloads efficiently and collaborate remotely. These skills and qualities are vital for ensuring accuracy, compliance, and timely processing of claims in a fast-paced, virtual environment.

What are some common challenges faced in work from home medical claims processing, and how can they be managed?

One common challenge in a remote medical claims processing position is maintaining clear communication and collaboration with colleagues and supervisors, since the team operates virtually. Staying organized and self-motivated is essential, as you'll need to manage a steady volume of claims independently and meet strict deadlines. To overcome these challenges, many employers provide regular virtual check-ins, ongoing training, and access to online support tools, making it easier to ask questions and share updates. By proactively reaching out when clarification is needed and effectively utilizing provided resources, remote claims processors can remain connected and productive.

What are popular job titles related to Work From Home Medical Claims Processing jobs in Minnesota?

For Work From Home Medical Claims Processing jobs in Minnesota, the most frequently searched job titles are:

What job categories do people searching Work From Home Medical Claims Processing jobs in Minnesota look for?

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What cities in Minnesota are hiring for Work From Home Medical Claims Processing jobs?

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Work From Home Medical Claims Processing jobs near you
Infographic showing various Work From Home Medical Claims Processing job openings in Minnesota as of August 2026, with employment types broken down into 2% Locum Tenens, 82% Full Time, 12% Part Time, and 4% Contract. Highlights an 12% In-person, and 88% Remote job distribution, with an average salary of $39,659 per year, or $19.1 per hour.

Medical Claims Examiner II

Gravie

Minneapolis, MN • On-site, Remote

Full-time

Medical, Retirement, PTO

Posted 9 hours ago

Posted today

Job description

Hi, we're Gravie. Our mission is to create health benefits that actually benefit small and midsize businesses and their employees. Our innovative benefit solutions and services are developed and delivered by a diverse group of unique people. We encourage you to be your authentic self - we like you that way.
A Little More About this Role:
As Gravie looks to continue its member-centric approach to healthcare, the Medical Claims Examiner II will support, review and adjudicate claims in our best in class claim system. They are a subject matter expert capable of thoroughly evaluating, researching, and analyzing claim submissions with a solid knowledge of national claims guidelines. In addition to owning a high-volume, high-complexity caseload, this role may serve as a go-to resource for other Examiners, contribute to training and special projects, and support leadership with inventory management, process development, and auditing.
You will:
  • Accurately review, investigate, and verify coverage to ensure proper processing of medical claims, identifying key processing requirements based on Summary Plan Descriptions (SPD), policies, and departmental procedures
  • Process complex claim scenarios in accordance with Summary Plan Descriptions (SPDs). Areas of expertise include, but are not limited to: Coordination of Benefits (COB), Prior Authorization, Claim Adjustments, Health Reimbursement Arrangements (HRA), Transplant Claims, and High Dollar Claims Processing.
  • Review claims queues and provide expertise to address nuances with appropriate parties.
  • Serve as a go-to resource for other Examiners, answering questions and helping resolve claims issues as they arise
  • Continually meet department metrics and quality standards set forth by leadership
  • Communicate complex claims issues clearly through documentation and direct communication
  • Provide ongoing feedback to leadership on workflow gaps, process improvements, system enhancements, and training needs
  • Support leadership with special projects as assigned, including inventory management, process development, and auditing

You bring:
  • High School Diploma
  • 4 + years of experience processing/adjusting and/or analyzing medical claims preferably in a TPA environment
  • Strong knowledge of CPT/HCPC and ICD-10 code rules
  • Ability to set priorities, manage time and work independently
  • Functional comfort with Zoom, Microsoft Teams, or Google Meets
  • General knowledge of CMS claims submission regulations
  • Strong collaboration and communication skills within a team setting

Extra credit:
  • Medical Coding experience/certification
  • Medical Billing experience
  • Understanding of provider data
  • Degree in Healthcare Administration or similar field
  • Previous experience using Javelina processing system
  • Experience with training and ability to create processes/procedure documentation
  • Previous start-up company experience
A Little More About Us:
  • We know healthcare. Our company was founded and is still led by industry veterans who have started and grown several market-leading companies in the space.
  • We have raised money from top tier investors who share the same long-term vision as we do of building an industry defining company that will endure over the long run. We are well capitalized.
  • Our clients love us. Customer satisfaction rates among employees using Gravie health plans consistently rank above 80% - nearly 40 points above the industry average.
  • Our culture is unique. We tend to be non-hierarchical, merit-driven, opinionated but kind people who thrive working in a high-performance, fast-paced environment. People at Gravie care deeply about making a positive impact in the lives of the people we serve.
Benefits
Our unique benefits program is the gravy, i.e., the special sauce that sets our compensation package apart. In addition to standard health and wellness benefits, Gravie's package includes alternative medicine coverage, flexible PTO, up to 16 weeks paid parental leave, paid holidays, a 401k program, transportation perks, education reimbursement, and 2 days of paid paw-ternity leave.

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