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Work From Home Medical Claims Processor Jobs in Raleigh, NC

HMG Careers

Work From Home Sales Specialist

Benson, NC · Remote

$69K/yr

What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ... Comprehensive benefits package including medical, dental, and prescription coverage * Ongoing ...

HMG Careers

Work From Home Sales Specialist

Cary, NC · Remote

$69K/yr

What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ... Comprehensive benefits package including medical, dental, and prescription coverage * Ongoing ...

HMG Careers

Work From Home Sales Specialist

Selma, NC · Remote

$69K/yr

What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ... Comprehensive benefits package including medical, dental, and prescription coverage * Ongoing ...

HMG Careers

Work From Home Sales Specialist

Stem, NC · Remote

$69K/yr

What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ... Comprehensive benefits package including medical, dental, and prescription coverage * Ongoing ...

HMG Careers

Work From Home Sales Specialist

Kenly, NC · Remote

$69K/yr

What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ... Comprehensive benefits package including medical, dental, and prescription coverage * Ongoing ...

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Work From Home Medical Claims Processor information

See Raleigh, NC salary details

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

As of Aug 16, 2026, the average hourly pay for work from home medical claims processor in Raleigh, NC is $18.92, according to ZipRecruiter salary data. Most workers in this role earn between $16.83 and $21.01 per hour, depending on experience, location, and employer.

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 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 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 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.

Work From Home Medical Claims Processor jobs near you
Infographic showing various Work From Home Medical Claims Processor job openings in Raleigh, NC as of August 2026, with employment types broken down into 75% Full Time, 8% Part Time, and 17% Contract. Highlights an 8% In-person, and 92% Remote job distribution, with an average salary of $39,362 per year, or $18.9 per hour.

Work From Home Sales Specialist

HMG Careers

Benson, NC • Remote

$69K/yr

Full-time

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

Job description

Remote Insurance Sales Representative | Flexible Schedule | Commission-Based

This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely, serving clients by providing guidance and protection solutions for individuals and families.

What We Offer

  • Remote, work-from-home career
  • Average first-year earnings of $69K through commissions and bonuses
  • Increased earning potential in later years through performance and renewals
  • Residual income opportunities through client renewals
  • Unionized position with stock options
  • Comprehensive benefits package including medical, dental, and prescription coverage
  • Ongoing training and mentorship from experienced managers
  • High-quality leads provided with no cold calling friends or family
  • Flexible scheduling within a career-focused structure
  • Advancement and recognition opportunities with promotion from within
  • Supportive and collaborative virtual team environment

Qualities We Value

  • Willingness to learn and be coached through structured training
  • Friendly, outgoing, and professional communication style
  • Genuine desire to help others by providing guidance and solutions
  • Strong verbal communication and relationship-building skills
  • Sales or customer service experience is helpful but not required

Qualifications

  • Laptop or desktop computer with a working camera
  • Insurance license required or willingness to obtain one
  • Basic computer skills
  • Must reside in North America including the United States or Canada
  • We do not hire candidates residing outside North America

Responsibilities

  • Contact provided leads to schedule virtual meetings with clients
  • Present benefit programs and assist clients with enrollment
  • Build and maintain strong client relationships
  • Work closely with your manager to set goals and achieve them