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Work From Home Medical Claims Processing Jobs (NOW HIRING)

ImageNetLLC

Claims Examiner - Remote

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 ...

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 ...

ImagenetLLC

Claims Examiner - Remote

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 ...

Imagenet

Claims Examiner - Remote (Alameda)

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 ...

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RemX

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REMOTE $19/hr. Healthcare Claims & Billing Specialist

Las Vegas, NV · Remote

$19/hr

M-Fri. (Must be able to work ANY 8hr Shift between these hours) Projected Start Date: Early TBA Key Responsibilities: Review and process medical claims submitted by healthcare providers. May perform ...

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NTT DATA

Medical Claims Processor - Remote

$18/hr

Medical Claims Processing Specialist Location: Remote-Work From Home Pay Rate: $18.00 per hour Start Date: 8/26/2026 Shift: M-F 7:00-4:00 pm CT Employment Type: Contract to Hire In this role the ...

NTT DATA

Medical Claims Processor, Remote

$17.50 - $22/hr

Remote Claims Processing Associate NTT DATA is seeking to hire a Remote Claims Processing Associate ... Previously performing - in P&Q work environment; work from queue; remotely * Key board skills and ...

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 ...

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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 6, 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 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 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.

More about Work From Home Medical Claims Processing jobs
What cities are hiring for Work From Home Medical Claims Processing jobs? Cities with the most Work From Home Medical Claims Processing job openings:
What states have the most Work From Home Medical Claims Processing jobs? States with the most job openings for Work From Home Medical Claims Processing jobs include:
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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 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $40,493 per year, or $19.5 per hour.

Claims Examiner - Remote

ImageNetLLC

Tampa, FL • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Job description

Salary:

Claims Examiner - Remote


Job Type: Full-time

Work Setup: This is a fully remote position
Work Hours:Pacific Time Zone


We are looking forExperienced Claims Examiner to join our rapidly growing team.

Experience isrequiredfor 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 trainingto 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?

Wed love to meet you! ClickApply Nowand tell us why youd be a great addition to the Imagenet team.


About Imagenet, LLC

Imagenet is a leading provider of back-office support technology and tech-enabled outsourced services to healthcare plans nationwide. Imagenet provides claims processing services, including digital transformation, claims adjudication and member and provider engagement services, acting as a mission-critical partner to these plans in enhancing engagement and satisfaction with plans members and providers.


The company currently serves over 70 health plans, acting as a mission-critical partner to these plans in enhancing overall care, engagement and satisfaction with plans members and providers. The company processes millions of claims and multiples of related structured and unstructured data elements within these claims annually. The company has also developed an innovative workflow technology platform, JetStreamTM, to help with traceability, governance and automation of claims operations for its clients.


Imagenet is headquartered in Tampa, operates 10 regional offices throughout the U.S. and has a wholly owned global delivery center in the Philippines.