Remote Hospital Claims Processor

Make an Impact from Anywhere

Step into a pivotal role that lets you take charge of your future, right from home. As a Remote Hospital Claims Processor, you'll join a forward-thinking healthcare team committed to accurate and timely claims handling. With our rapidly expanding operations and patient-first approach, this opportunity allows you to be part of something meaningful while enjoying the flexibility of a work-from-home position.

Why This Role Matters

This isn't just another data-entry job. It's an opportunity to contribute to a mission-driven organization that thrives on precision, empathy, and speed. We serve a crucial function by ensuring that hospital claims are processed accurately and on time, which directly impacts patient care and hospital revenue cycles. We’re looking for someone who takes ownership of outcomes, thrives under deadlines, and finds satisfaction in getting the details right.

Key Responsibilities

• Process inpatient and outpatient hospital claims using our advanced claims management system.
• Review documentation for completeness and adherence to payer guidelines.
• Identify coding discrepancies, denied claims, and follow up for resolution.
• Work with internal departments to obtain missing or corrected data.
• Maintain HIPAA compliance and uphold confidentiality standards.
• Generate routine claims reports and support audit processes.
• Communicate with payers to expedite claim approvals or appeals.
• Monitor and track claims status across multiple insurance platforms.
• Escalate complex claim issues to the team lead when appropriate.

Tools and Technology

Platforms and Software

• Cloud-based claim processing software
• Medical billing systems and EHR platforms

Productivity Aids

• Excel-based templates for reconciliation and tracking
• HIPAA-compliant internal communication tools
• Dual-monitor setup for efficient multitasking

Work Environment

Your Ideal Setup

Picture a home office where you control the flow of your day while staying connected with a collaborative remote team. Our virtual culture emphasizes real-time communication, knowledge-sharing, and accountability.

Team Collaboration

You'll attend daily check-ins, receive ongoing training, and be supported by a dedicated claims supervisor. Our environment strikes a balance between structure and flexibility, empowering you to deliver your best work while maintaining a balanced life.

Qualifications

Required

• At least 1 year of hands-on experience with hospital claims or medical billing
• Deep understanding of ICD-10, CPT, HCPCS codes, and payer-specific rules
• Familiarity with Medicare, Medicaid, and private insurance claim workflows
• Meticulous attention to detail paired with a structured task management method
• Proficiency in claim editing software and Excel-based tools
• Ability to work independently in a deadline-driven setting
• Strong communication skills for remote collaboration
• A quiet home workspace with a reliable internet connection

Preferred

• Previous experience in remote healthcare roles
• Formal training in medical billing or healthcare data systems
• Ability to analyze denial trends and recommend solutions
• Enthusiastic problem-solver who stays cool under pressure

Benefits and Compensation

What You’ll Receive

• Annual Salary: $40,493 (paid bi-weekly)
• Performance bonuses and annual raises
• Fully remote work setup with equipment reimbursement
• Paid time off, holidays, and wellness days
• Comprehensive health, dental, and vision plans
• 401(k) plan with company match
• Ongoing professional development and training access

Career Growth Opportunities

This role is designed with growth in mind. We believe that people who process claims today could lead teams tomorrow. As we scale our operations, we actively promote from within and provide cross-training opportunities in medical coding, utilization review, and remote revenue cycle management.

Your Impact on Healthcare

Every claim you process is a step toward greater healthcare efficiency. Your accuracy helps hospitals recover revenue and ensures uninterrupted patient care. You are not just part of the process—you’re helping to redefine how healthcare works behind the scenes. We celebrate excellence, and your contributions will always be visible, valued, and rewarded.

What Makes Us Different

We are innovators in the healthcare support space, powered by technology and compassion. Our mission is to deliver high-quality administrative healthcare solutions that enable providers to focus more on patient care and less on paperwork. Joining us means being part of a growing remote workforce that shares your drive for precision, passion for helping others, and hunger for growth.

Take the Next Step

Your next big opportunity awaits—apply now!
Don’t wait for change—be the one to lead it. If you’re ready to bring your claims expertise into a dynamic, fully remote role where your contributions directly impact lives, this is your moment. Take control of your career path and apply now. Make a difference with every claim you process.