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Work From Home Medical Claims Processing Jobs (NOW HIRING)

Imagenet

Claims Examiner - Remote

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 ...

IQVIA

Medical Biller/Claims Processing

Phoenix, AZ · Remote

$23/hr

We are excited to announce an opening for a 100% remote (work from home) Patient Support Medical ... Evaluate claims against program-specific business rules todetermineapproval or rejection.

IQVIA

Medical Biller/Claims Processing

Atlanta, GA · Remote

$23/hr

We are excited to announce an opening for a 100% remote (work from home) Patient Support Medical ... Evaluate claims against program-specific business rules todetermineapproval or rejection.

IQVIA

Medical Biller/Claims Processing

Houston, TX · Remote

$23/hr

We are excited to announce an opening for a 100% remote (work from home) Patient Support Medical ... Evaluate claims against program-specific business rules todetermineapproval or rejection.

CommonSpirit Health

Claims Processor

Omaha, NE · On-site +1

$16.25 - $20.50/hr

You'll also actively contribute to the ongoing improvement of our claims processing workflows. To ... Graduation from a post-high school program in medical billing or other business-related field, upon ...

VIVA Health

Claims Training Coordinator

Birmingham, AL · Remote

Reinforce training on professional and facility medical claims processing. * Work collaboratively with the claims trainer, claims leadership, quality, and operations teams. * Develop, maintain, and ...

Auxiant

Claims Examiner

Madison, WI · On-site +1

... processing medical claims and correspondence and handling customer service calls from members ... Work Customer Service Tickets. Nonessential Functions: * Other duties as assigned or appropriate ...

MedPOINT Management

Claims Auditor

Sherman Oaks, CA · Remote

$24 - $28/hr

... to hear from you! Responsibilities: * Audit medical claims for accuracy, completeness, and ... Collaborate with claims processing and provider relations teams to resolve discrepancies * Monitor ...

Health Care Service Corporation

Claim Technician

Houston, TX · On-site +1

$17.75 - $26.17/hr

Experience processing medical claims. Preferred Job Qualifications: * Referral preference given to ... After 5 weeks, the role will move to work from home with periodic in office training or meetings as ...

Moda Health

Supervisor, Medical Claims

Milwaukie, OR · Remote

$59K - $74K/yr

... from candidates that share our commitment to this diversity. Our diverse experiences and ... College degree or equivalent work experience. * 2 - 4 years medical claims processing experience ...

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 ...

TRILLIUM HEALTH RESOURCES

Claims Specialist II

NC · Remote

$42K - $61K/yr

Competitive benefits and work-from-home options for most positions * Opportunities for professional ... High School Diploma/GED and two (2) years of experience in claims processing, billing, or medical ...

Sanford Health

Manager, Claims

North Sioux City, SD · Remote

No Department Details This position allows some work from home options as well as a flexible ... The process includes the review and/or testing of claims, benefits and fee schedules to ensure ...

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

... work. This is a fast-paced role with the opportunity to build hands-on adjustment experience and potential for long-term growth. What You'll Do Processing (Training Ramp-Up) * Process medical claims ...

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

... work. This is a fast-paced role with the opportunity to build hands-on adjustment experience and potential for long-term growth. What You'll Do Processing (Training Ramp-Up) * Process medical claims ...

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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 Sep 5, 2026, the average hourly pay for work from home medical claims processing in the United States is $19.47, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $21.63 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.

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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 the United States as of August 2026, with employment types broken down into 84% Full Time, 8% Part Time, and 8% Contract. Highlights an 100% Remote job distribution, with an average salary of $40,493 per year, or $19.5 per hour.

Claims Examiner - Remote

Imagenet

Tampa, FL • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 3 days ago

Job description

Claims Examiner - Remote
Job Type: Full-time
Work Setup: This is a fully remote position
Work Hours: Pacific Time Zone
We are looking for Experienced Claims Examiner to join our rapidly growing team.
Experience is required for this position.
Job Overview:
As a Claims Examiner, you will be responsible for accurately reviewing, investigating, and processing medical claims and provider dispute requests in accordance with payer guidelines, contractual agreements, regulatory requirements, and internal policies.
Responsibilities:
  • Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of appropriate reimbursement methodologies.
  • Review and investigate provider dispute requests, appeals, and reconsiderations related to processed medical claims.
  • Verify patient eligibility, provider credentialing, and coverage details to facilitate accurate claims processing.
  • Communicate with internal resources, and internal stakeholders to resolve claim discrepancies, request additional information, or clarify issues.
  • Participate in ongoing training and professional development activities.
  • Maintain accurate and detailed records of claims processing activities.
  • Review claim forms and supporting documents
  • Determine eligibility, verify data accuracy
  • Request additional information when needed
  • Process claims end-to-end
  • Identify and escalate complex or unusual claims for further review or investigation.
  • Participate in ongoing training and professional development activities.
  • Handle more complex claims with multiple services, providers

Experience:
  • At least 1-2 years of experience working closely with healthcare claims or in a claims processing/adjudication environment.
  • Experience processing Provider Dispute Resolution (PDR), appeals, reconsiderations, or claim adjustments is highly preferred.
  • Understanding of health claims processing/adjudication
  • Ability to perform basic to intermediate mathematical computation routines
  • Medical terminology strongly preferred
  • Understanding of ICD-9 & ICD-10
  • Basic MS office computer skills
  • Ability to work independently or within a team
  • Time management skills
  • Written and verbal communication skills
  • Attention to detail
  • Must be able to demonstrate sound decision-making skills

What We Offer
  • Remote work offered
  • Equipment provided
  • Paid training to set you up for success
  • Comprehensive benefits: Medical, Dental, Vision, Life, HSA, 401(k)
  • Paid Time Off (PTO)
  • 7 paid holidays
  • A supportive team and a company that values internal growth

Ready to Grow Your Career?
We'd love to meet you! Click "Apply Now" and tell us why you'd be a great addition to the Imagenet team.
About Imagenet
Imagenet is a technology-forward healthcare operations partner with more than 25 years of experience helping healthcare payers manage critical administrative and operational processes. Founded in 2000 and headquartered in Tampa, Florida, Imagenet supports 150+ health plans through its payer clients.
Our teams help improve efficiency, accuracy, visibility, and service across complex healthcare operations, including digital mailroom, claims adjudication, contact center, member communications, and related administrative functions. By combining experienced operational teams, proven processes, and purpose-built workflow technology, Imagenet helps payers keep essential processes moving for the members, providers, and communities they serve.
Imagenet operates 10 secure facilities across the U.S. and one secure facility in Manila, Philippines.
Joining Imagenet means contributing to work that supports the healthcare operations members and providers rely on every day.

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