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Work From Home Medical Claims Processor Jobs (NOW HIRING)

NTT Data Americas, Inc.

Medical Claims Processor

$17 - $18/hr

Entry to mid-level Location : Work at Home Pay Rate: 17.00-18.00 In this Role the candidate will be ... s) of Medical Claims experience * 2+ year(s) using a computer with Windows applications that ...

RemX

Be Seen First

$19/Hr. Work-From-Home Medical Claims Representative

Orlando, FL · Remote

$19/hr

Review and process medical claims submitted by healthcare providers. * May perform some outbound ... Great work attitude and willingness to help others.

NTT DATA

Medical Claims Processor

$17 - $18/hr

Medial Claims Processor In this role the candidate will be responsible for processing of ... Work independently to research, review and act on the claims. Prioritize work and adjudicate claims ...

ICONMA

Claims processor

$17.50 - $22/hr

Analyze medical claims and supporting documentation to determine eligibility and payment amounts ... Maintain detailed records of claims processed, decisions made, and communications with claimants ...

NTT DATA

Medical Claims Processor - Remote

$18/hr

Claims Processor At NTT DATA, we know that with the right people on board, anything is possible ... Previously performing - in P&Q work environment; work from queue; remotely * Key board skills and ...

CHI Health Clinic

Claims Processor

Omaha, NE · Remote

$18.96 - $26.78/hr

Job Summary and Responsibilities As our Claims Processor, you will be a vital part of our Revenue ... medical billing or other business-related field, upon hire Where You'll Work From primary to ...

CHI Health Clinic

Claims Processor

Omaha, NE · Remote

$18.96 - $26.78/hr

Job Summary and Responsibilities As our Claims Processor, you will be a vital part of our Revenue ... medical billing or other business-related field, upon hire Where You'll Work From primary to ...

CHI Health Clinic

$18.96 - $26.78/hr

Job Summary and Responsibilities As our Claims Processor, you will be a vital part of our Revenue ... medical billing or other business-related field, upon hire Where You'll Work From primary to ...

CHI Health Clinic

Claims Processor

Omaha, NE · On-site +1

$18.96 - $26.78/hr

Where You'll Work From primary to specialty care, as well as walk-in and virtual services, CHI ... timely submission of medical claims to payers. This role is perfect for a detail-oriented ...

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 ...

RemX

Be Seen First

$19/Hr. Work-From-Home Medical Benefits Representative

Augusta, GA · Remote

$19/hr

"Looking for an exciting work-from-home opportunity? Join us as a Remote Medical Benefits ... Review and process medical claims submitted by healthcare providers. * May perform some outbound ...

Karna, LLC

$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 ...

Karna LLC

Experienced Healthcare Claims Processor

$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 ...

KARNA LLC

$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 ...

Moda Health

Medical Claims COB Processor I

Milwaukie, OR · Remote

$18.39 - $20.58/hr

This is a FT WFH role. Pay Range $18.39 - $20.58 ​​​hourly, DOE. *Actual pay is based on ... medical claim processing or customer service dealing with all types of plans/claims and ...

CommonSpirit Health

Claims Processor

Omaha, NE · On-site +1

$16.25 - $20.50/hr

As our Claims Processor, you will be a vital part of our Revenue Cycle Management team, responsible ... Graduation from a post-high school program in medical billing or other business-related field, upon ...

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Work From Home Medical Claims Processor information

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

As of Jul 27, 2026, the average hourly pay for work from home medical claims processor 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 are the key skills and qualifications needed to thrive as a Work From Home Medical Claims Processor, and why are they important?

To thrive as a Work From Home Medical Claims Processor, you need a solid understanding of medical terminology, insurance policies, and claims procedures, often supported by a high school diploma or specialized certification. Familiarity with claims management software, electronic health record (EHR) systems, and billing codes like ICD-10 and CPT is typically required. Strong attention to detail, time management, and effective written communication are critical soft skills for this remote role. These skills ensure claims are processed accurately and efficiently, reducing errors and supporting timely reimbursement for healthcare providers.

What does a Work From Home Medical Claims Processor do?

A Work From Home Medical Claims Processor reviews, processes, and evaluates medical insurance claims submitted by healthcare providers and patients. They verify the accuracy of the information, ensure compliance with insurance policies, and determine the appropriate payment or denial of claims. This role requires attention to detail, knowledge of medical terminology and coding, and the ability to work independently using secure computer systems from a remote location.

What is the difference between Work From Home Medical Claims Processor vs Medical Billing Specialist?

AspectWork From Home Medical Claims ProcessorMedical Billing Specialist
CredentialsBasic medical claims processing certification, high school diplomaMedical billing certification, high school diploma or equivalent
Work EnvironmentRemote, home-basedRemote or office-based
Industry UsageInsurance companies, third-party administratorsHealthcare providers, clinics, hospitals
Job FocusReviewing and processing insurance claims for reimbursementCreating and managing patient invoices and billing records

While both roles involve working with healthcare financial data, a Work From Home Medical Claims Processor primarily reviews and processes insurance claims remotely, focusing on reimbursement. In contrast, a Medical Billing Specialist handles patient billing and invoicing, which may include creating bills and managing accounts. Both roles often require similar certifications and can be performed remotely, but they serve different functions within the healthcare revenue cycle.

What are some common challenges faced by Work From Home Medical Claims Processors, and how can they be managed?

Work From Home Medical Claims Processors often face challenges such as staying organized with a high volume of electronic claims, maintaining accuracy amidst complex medical codes, and communicating effectively with colleagues or clients remotely. To manage these challenges, it's important to establish a structured daily routine, utilize reliable claim management software, and participate in regular virtual team meetings. Additionally, continuous learning about updates in medical billing and insurance policies can help processors stay efficient and reduce errors.
What cities are hiring for Work From Home Medical Claims Processor jobs? Cities with the most Work From Home Medical Claims Processor job openings:
What states have the most Work From Home Medical Claims Processor jobs? States with the most job openings for Work From Home Medical Claims Processor jobs include:
Work From Home Medical Claims Processor jobs near you
Infographic showing various Work From Home Medical Claims Processor job openings in the United States as of July 2026, with employment types broken down into 91% Full Time, 7% Part Time, and 2% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $40,493 per year, or $19.5 per hour.
Medical Claims Processor

Medical Claims Processor

NTT Data Americas, Inc.

Remote

$17 - $18/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 3 days ago

NTT Data rating

7.4

Company rating: 7.4 out of 10

Based on 92 frontline employees who took The Breakroom Quiz

119th of 230 rated it services

Job description

Job Title : Medial Claims Processor

Industry : Healthcare

FSLA status : Non-Exempt

Department : Operations

Level : Entry to mid-level

Location : Work at Home

Pay Rate: 17.00-18.00

In this Role the candidate will be responsible for:

  • Processing of Professional and Hospital claim forms files by provider

  • Reviewing the policies and benefits

• Comply with company regulations regarding HIPAA, confidentiality, and PHI

• Abide with the timelines to complete compliance training of NTT Data/Client

• Work independently to research, review and act on the claims

• Prioritize work and adjudicate claims as per turnaround time/SLAs

• Ensure claims are adjudicated as per clients defined workflows, guidelines

• Sustaining and meeting the client productivity/quality targets to avoid penalties

• Maintaining and sustaining quality scores above 98.5% PA and 99.75% FA.

• Timely response and resolution of claims received via emails as priority work

• Correctly calculate claims payable amount using applicable methodology/ fee schedule/

Required Skills for this role include:

  • 2+ year(s) of Medical Claims experience

  • 2+ year(s) using a computer with Windows applications that required you to use a keyboard, navigate multiple screens and computer systems, and learn new software tools

  • 1+ years of working with Claims Adjudication Systems

  • High School diploma or equivalent

Preference

  • Ability to communicate (oral/written) effectively in a professional office setting

  • Effective troubleshooting skills where you can leverage your research, analysis and problem-solving skills

  • Time management skills that require the ability to cope with a complex, changing environment

Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly range for this remote role is $17.00-18.00. This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications. This position may also be eligible for incentive compensation based on individual and/or company performance.

This position is eligible for company benefits that will depend on the nature of the role offered. Company benefits may include medical, dental, and vision insurance, flexible spending or health savings account, life, and AD&D insurance, short-and long-term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally required benefits .

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About NTT DATA

Sourced by ZipRecruiter

NTT DATA Services is a global business and IT services provider specializing in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services. We are part of the NTT family of companies, a partner to 85 % of the Fortune 100.

Industry

It services

Company size

10,000+ Employees

Headquarters location

Plano, TX, US

Year founded

1967

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