Phoenix, AZ · Remote
$26.40 - $27.88/hr
... claims processing. If you have a strong foundation in medical claims and are passionate about ... Work closely with medical directors, providers, peer reviewers, and various internal teams. Key ...
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Phoenix, AZ · Remote
$26.40 - $27.88/hr
... claims processing. If you have a strong foundation in medical claims and are passionate about ... Work closely with medical directors, providers, peer reviewers, and various internal teams. Key ...
$17 - $18/hr
... processing of professional and hospital claim forms files by provider. Reviewing the policies and ... Work independently to research, review and act on the claims. Prioritize work and adjudicate claims ...
$17 - $18/hr
... processing of professional and hospital claim forms files by provider. Reviewing the policies and ... Work independently to research, review and act on the claims. Prioritize work and adjudicate claims ...
$20 - $25/hr
Minimum of 5 years' experience in medical claims processing, including professional and facility ... Capacity to work independently as well as collaboratively within a team. * Commitment to ongoing ...
$20 - $25/hr
Minimum of 5 years' experience in medical claims processing, including professional and facility ... Capacity to work independently as well as collaboratively within a team. * Commitment to ongoing ...
$22 - $25/hr
Minimum of 5 years' experience in medical claims processing, including professional and facility ... Capacity to work independently as well as collaboratively within a team. * Commitment to ongoing ...
$22 - $25/hr
Minimum of 5 years' experience in medical claims processing, including professional and facility ... Capacity to work independently as well as collaboratively within a team. * Commitment to ongoing ...
$22 - $25/hr
Minimum of 5 years' experience in medical claims processing, including professional and facility ... Capacity to work independently as well as collaboratively within a team. * Commitment to ongoing ...
$22 - $25/hr
Minimum of 5 years' experience in medical claims processing, including professional and facility ... Capacity to work independently as well as collaboratively within a team. * Commitment to ongoing ...
Los Angeles, CA · On-site +1
$20 - $25/hr
General information Client / Corporate Client Work Mode Hybrid Name Medical Claims Examiner Job ID ... Solid knowledge of Medicare and Medi-Cal managed care claims processing and compliance guidelines.
Los Angeles, CA · On-site +1
$20 - $25/hr
General information Client / Corporate Client Work Mode Hybrid Name Medical Claims Examiner Job ID ... Solid knowledge of Medicare and Medi-Cal managed care claims processing and compliance guidelines.
Sherman Oaks, CA · Remote
$20 - $25/hr
... want to hear from you! Responsibilities: * Review, analyze, and process medical claims in ... We foster a collaborative and supportive work environment where employees are empowered to grow and ...
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Sherman Oaks, CA · Remote
$20 - $25/hr
... want to hear from you! Responsibilities: * Review, analyze, and process medical claims in ... We foster a collaborative and supportive work environment where employees are empowered to grow and ...
Must be able to work 8am - 5pm Eastern Standard Time Responsibilities Claims Review and Processing * Analyze and process a variety of complex medical claims in accordance with program policies and ...
Must be able to work 8am - 5pm Eastern Standard Time Responsibilities Claims Review and Processing * Analyze and process a variety of complex medical claims in accordance with program policies and ...
Sherman Oaks, CA · Remote
$36 - $48/hr
This is an exciting opportunity to work in a dynamic environment that values clinical expertise and ... Provide support and guidance to claims processing teams as needed. * Assist in the development of ...
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Sherman Oaks, CA · Remote
$36 - $48/hr
This is an exciting opportunity to work in a dynamic environment that values clinical expertise and ... Provide support and guidance to claims processing teams as needed. * Assist in the development of ...
CA · On-site +1
$20 - $25/hr
Well-being and work-life balance: Paid time off, flexible schedule, and remote work choices ... Solid knowledge of Medicare and Medi-Cal managed care claims processing and compliance guidelines.
CA · On-site +1
$20 - $25/hr
Well-being and work-life balance: Paid time off, flexible schedule, and remote work choices ... Solid knowledge of Medicare and Medi-Cal managed care claims processing and compliance guidelines.
Plano, TX · Remote
Medical Claims Examiner - Remote * Processing of Professional claim forms files by provider ... Previously performing - in P&Q work environment; work from queue; remotely * Key board skills and ...
Plano, TX · Remote
Medical Claims Examiner - Remote * Processing of Professional claim forms files by provider ... Previously performing - in P&Q work environment; work from queue; remotely * Key board skills and ...
Tampa, FL · Remote
... processing medical claims and provider dispute requests in accordance with payer guidelines ... Ability to work independently or within a team * Time management skills * Written and verbal ...
Tampa, FL · Remote
... processing medical claims and provider dispute requests in accordance with payer guidelines ... Ability to work independently or within a team * Time management skills * Written and verbal ...
Plano, TX · On-site +1
Medical Claims Examiner - Remote * Processing of Professional claim forms files by provider ... Previously performing - in P&Q work environment; work from queue; remotely * Key board skills and ...
Plano, TX · On-site +1
Medical Claims Examiner - Remote * Processing of Professional claim forms files by provider ... Previously performing - in P&Q work environment; work from queue; remotely * Key board skills and ...
Plano, TX · Remote
Medical Claims Examiner - Remote * Processing of Professional claim forms files by provider ... Previously performing - in P&Q work environment; work from queue; remotely * Key board skills and ...
Plano, TX · Remote
Medical Claims Examiner - Remote * Processing of Professional claim forms files by provider ... Previously performing - in P&Q work environment; work from queue; remotely * Key board skills and ...
Tampa, FL · Remote
... processing medical claims and provider dispute requests in accordance with payer guidelines ... Ability to work independently or within a team * Time management skills * Written and verbal ...
Quick apply
Tampa, FL · Remote
... processing medical claims and provider dispute requests in accordance with payer guidelines ... Ability to work independently or within a team * Time management skills * Written and verbal ...
Tampa, FL · On-site +1
... processing medical claims and provider dispute requests in accordance with payer guidelines ... Ability to work independently or within a team * Time management skills * Written and verbal ...
Tampa, FL · On-site +1
... processing medical claims and provider dispute requests in accordance with payer guidelines ... Ability to work independently or within a team * Time management skills * Written and verbal ...
Seattle, WA · On-site +1
$30.70 - $41.54/hr
Do you have actual hands-on experience processing medical claims, from beginning to end? Do you enjoy applying your medical claims expertise to work one-on-one, or in small group settings, to help ...
Seattle, WA · On-site +1
$30.70 - $41.54/hr
Do you have actual hands-on experience processing medical claims, from beginning to end? Do you enjoy applying your medical claims expertise to work one-on-one, or in small group settings, to help ...
Mountlake Terrace, WA · On-site +1
$30.70 - $41.54/hr
Do you have actual hands-on experience processing medical claims, from beginning to end? Do you enjoy applying your medical claims expertise to work one-on-one, or in small group settings, to help ...
Mountlake Terrace, WA · On-site +1
$30.70 - $41.54/hr
Do you have actual hands-on experience processing medical claims, from beginning to end? Do you enjoy applying your medical claims expertise to work one-on-one, or in small group settings, to help ...
Federal Way, WA · On-site +1
$30.70 - $41.54/hr
Do you have actual hands-on experience processing medical claims, from beginning to end? Do you enjoy applying your medical claims expertise to work one-on-one, or in small group settings, to help ...
Federal Way, WA · On-site +1
$30.70 - $41.54/hr
Do you have actual hands-on experience processing medical claims, from beginning to end? Do you enjoy applying your medical claims expertise to work one-on-one, or in small group settings, to help ...
$17.50 - $22/hr
... from leadership. Required participation in ongoing developmental training to performing daily ... Preferred Qualifications 5+ years Claims processing, billing, or medical terminology experience ...
$17.50 - $22/hr
... from leadership. Required participation in ongoing developmental training to performing daily ... Preferred Qualifications 5+ years Claims processing, billing, or medical terminology experience ...
$13.94 - $15.01
6% of jobs
$15.01 - $16.08
6% of jobs
$16.08 - $17.15
11% of jobs
$17.27 is the 25th percentile. Wages below this are outliers.
$17.15 - $18.23
15% of jobs
The median wage is $19.01 / hr.
$18.23 - $19.30
16% of jobs
$19.30 - $20.37
11% of jobs
$21.38 is the 75th percentile. Wages above this are outliers.
$20.37 - $21.44
11% of jobs
$21.44 - $22.51
11% of jobs
$22.51 - $23.58
6% of jobs
$23.58 - $24.65
5% of jobs
$24.65 - $25.72
2% of jobs
$13
$19
$25
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.
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.
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.
Claims Reviewer Opportunity
Join a dynamic team where your expertise in claims review can make a real difference! We're looking for a detail-oriented Claims Reviewer who can apply clinical and coding knowledge to ensure accurate claims processing. If you have a strong foundation in medical claims and are passionate about quality, we want to hear from you!
Position Highlights
Role: Conduct retrospective review of medical, surgical, and behavioral health claims.
Focus: Evaluate claims for medical necessity, appropriateness, and adherence to program benefits.
Collaboration: Work closely with medical directors, providers, peer reviewers, and various internal teams.
Key Responsibilities
Review and validate claims using established criteria and processing guidelines.
Prepare cases for payment or further review.
Identify opportunities for process improvement and flag quality or fraud concerns.
Support peers and clinical/non-clinical staff with claims and coding inquiries.
What You Bring
Required:
High School Diploma or GED.
2+ years of experience in medical claims review.
Familiarity with medical claims processing and terminology.
Preferred:
Coding experience.
Knowledge of behavioral health claims.
Skills for Success
Strong technical skills in claims tools (e.g., CDST, Supercoder).
Organizational and team-building abilities.
Resilience in a fast-paced, high-intensity environment.
Effective communication and problem-solving.
Additional Requirements
Must pass background, credit, and drug screening.
Adherence to federal THC policies (medical card required if applicable).
Eligible Locations
The position is remote, but you can only reside in the following states: AK, AR, AZ, CO, DC, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NC, ND, NE, NM, NV, OK, OR, SC, SD, TN, TX, UT, VA, WA, WI, WY.
Ready to bring your claims expertise to a rewarding role? Apply today to be part of our team!
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TEEMA is an award-winning, industry-leading recruitment agency dedicated to building meaningful relationships across North America. We achieve this time after time by consistently sourcing, screening, managing and securing top talent tailored to employers’ specific needs. The team that makes this happen consists of hundreds of experienced professional recruiters backed by exceptional, tenured leadership and back-office support. No matter how unique or challenging your hiring needs may be or how misunderstood or undervalued your in-demand skills may be in your current role, we have you covered. Our primary objective is to provide an exceptional recruitment experience for our clients and candidates and an ecosystem that empowers our team to thrive.
Recruiting and staffing services
201 - 500 Employees
Litchfield Park, AZ, US
