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Work From Home Medical Claims Processing Jobs (NOW HIRING)

Sanford Health

Manager, Claims

Marshfield, WI · 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 ...

RemX

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REMOTE Medical Claims Specialists $19/hr

Irving, TX · Remote

$19/hr

Are you a hard-working individual looking for a REMOTE work from home position? Our Fortune 500 ... Remote Medical Claims Specialist Manager * Pay: $19/hr. Weekly Pay plus Benefits * Paid Training!

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 ...

Sanford Health

Manager, Claims

Fargo, ND · 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 ...

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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 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 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.

Manager, Claims

Sanford Health

Marshfield, WI • Remote

Full-time

Medical

Re-posted 14 days ago

Sanford Health rating

6.8

Company rating: 6.8 out of 10

Based on 557 frontline employees who took The Breakroom Quiz

497th of 898 rated healthcare providers

Job description

Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland.

Work Shift:

8 Hours - Day Shifts (United States of America)

Scheduled Weekly Hours:

40

Compensation:

Union Position:

No

Department Details

This position allows some work from home options as well as a flexible schedule

Summary

The Claims Manager is under the general supervision of the Sanford Health Plan Director of Claims, in the areas of health insurance claims submitted by providers and patients for processing.

Job Description

Responsible for the implementation and day-to-day performance of process activities related to claims research and resolution. The process includes the review and/or testing of claims, benefits and fee schedules to ensure claims process correctly. Accountable as a resource to all employees in the claims department as well as other departments in the organization. Responsible for the interviewing, hiring, discipline of employees and any other personnel issues that arise. Completes performance appraisals. Coordinates claims processing and adjustment activities within the claims department. Manages claims inventory, ensuring accurate and timely processing. Knowledge of various lines of business that the Sanford Health Plan services and how to differentiate services. Understands the details of professional and institutional claim processing which includes how benefits are assigned and pricing is calculated. Works to help develop and maintain claims policies and procedures. Must communicate effectively with a high level of diplomacy. Demonstrates analytical ability and a good awareness of pertinent details. Assimilates large amounts of information to maintain a broad knowledge base. Exercises good judgement in determining the best method for handling a variety of situations. Maintains good working relationships with staff, physicians, and enrollees. Handles pressure effectively. Maintains confidentiality. Other duties as assigned.

Qualifications

Bachelor's degree preferred.
Three years in a team lead or management role in claims processing or similar environment required.

Sanford is an EEO/AA Employer M/F/Disability/Vet.


If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-949-5678 or send an email to talent@sanfordhealth.org.

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About Sanford Health

Sourced by ZipRecruiter

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.

Industry

Health care and social assistance and hospitals

Company size

10,000+ Employees

Headquarters location

Sioux Falls, SD, US

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