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Work From Home Medical Claims Processing Jobs (NOW HIRING)

Claims Processing Executive

$17.50 - $22/hr

Healthcare Claims Processing Executive (QNXT Claims) Join our team as a Claims Processing Executive ... This remote position offers the flexibility of working from home during day shifts, allowing you to ...

New

... 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 ...

Claims Examiner I

Fresno, CA · On-site +1

$40K - $52K/yr

... work-from-home, in-office or hybrid options. With competitive compensation packages, premier ... Claims Examiner I is responsible for reviewing and processing medical, dental, vision, and ...

Be Seen First

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

Medical Claims Examiner

Los Angeles, CA · On-site +1

$24 - $30/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.

Claims Processor (52219)

Oklahoma City, OK · On-site +1

$15.75 - $20/hr

Two year of medical claims processing experience strongly preferred. KNOWLEDGE, SKILLS AND ... WORK ENVIRONMENT: * Current work environment is remote, however, some state exclusions apply. Must ...

$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 ...

Medical Claims Examiner

CA · On-site +1

$24 - $30/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.

Medical Claims Examiner

Los Angeles, CA · On-site +1

$24 - $30/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.

... 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 ...

... 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 ...

Showing results 21-40

Work From Home Medical Claims Processing information

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$13

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$25

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

As of Aug 12, 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:
What job categories do people searching Work From Home Medical Claims Processing jobs look for? The top searched job categories for Work From Home Medical Claims Processing jobs are:
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 1% As Needed, 78% Full Time, 17% Part Time, and 4% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $40,493 per year, or $19.5 per hour.

Claims Processing Executive

Apolis

Remote

$17.50 - $22/hr

Other

Posted 3 days ago

New


Job description

Healthcare Claims Processing Executive (QNXT Claims)

Join our team as a Claims Processing Executive in the healthcare sector where you will utilize your expertise in MS Excel to efficiently manage and process commercial claims. This remote position offers the flexibility of working from home during day shifts, allowing you to balance work and personal commitments effectively. Your contributions will directly impact the accuracy and efficiency of our claims processing, enhancing customer satisfaction and operational excellence.

Roles & Responsibilities:
  • Review, validate, and process healthcare claims submitted by providers in accordance with US insurance policies.
  • Work on the QNXT claims platform (Required).
  • Verify patient eligibility, coverage, benefits, and pre-authorization requirements under Medicare, Medicaid, and private insurance plans.
  • Approve, deny, or adjust claims based on payer guidelines and policy terms.
  • Maintain compliance with HIPAA regulations, CMS guidelines, and other US healthcare compliance standards.
  • Record claim activity, maintain audit trails, and prepare reports for management.
  • Utilize MS Excel for claims tracking, reporting, and analysis.
Required Skills:
  • QNXT Claims Processing (Required)
  • Healthcare Claims Processing
  • Commercial Claims
  • Medicare
  • Medicaid
  • Commercial Insurance
  • Claims Adjudication
  • Eligibility Verification
  • HIPAA Compliance
  • CMS Guidelines
  • EDI Transactions
  • Claims Management Software
  • MS Excel
  • Insurance Policy Interpretation
  • Analytical & Problem-Solving Skills
  • Strong Communication Skills
  • Detail-Oriented
Qualifications:
  • High school diploma or equivalent (Required).
  • 2–4 years of experience in US healthcare claims processing.
  • Strong knowledge of US healthcare insurance systems, including Medicare, Medicaid, and commercial payers.
  • Familiarity with claims management software and EDI transactions.
  • Excellent analytical, organizational, and communication skills.
  • Ability to interpret insurance policies and payer guidelines.
  • Detail-oriented with strong problem-solving abilities.
  • Must be a resident of Iowa.
  • Must be comfortable with a 3–6 month contract.