Job Description
Job Summary
New York City Jobs is seeking a detail-oriented and highly organized Remote Medical Claims Processor to join our growing team. The ideal candidate will play a critical role in reviewing, analyzing, and processing medical claims efficiently and accurately. This is a remote, work-from-home position, offering a flexible environment for motivated professionals who thrive in a fast-paced healthcare administration setting.
Key Responsibilities
- Review and process medical claims submitted by healthcare providers and patients.
- Verify patient insurance coverage and ensure claims meet all regulatory and payer guidelines.
- Identify and resolve discrepancies or errors in claims documentation.
- Communicate with healthcare providers, insurance carriers, and internal departments regarding claim status and issues.
- Maintain accurate records of claim submissions, approvals, denials, and appeals.
- Stay updated with current healthcare regulations, coding standards (ICD-10, CPT), and insurance policies.
- Collaborate with the billing and accounts team to ensure timely reimbursement.
- Provide excellent customer service to patients and providers regarding claims inquiries.
Required Skills and Qualifications
- Strong knowledge of medical terminology, insurance procedures, and claims processing.
- Familiarity with electronic health record (EHR) systems and claims software.
- Excellent attention to detail and accuracy.
- Strong analytical and problem-solving skills.
- Exceptional communication skills, both written and verbal.
- Ability to prioritize tasks and manage time effectively in a remote work environment.
Experience
- Minimum of 1–3 years of experience in medical claims processing, medical billing, or related healthcare administration roles.
- Experience with insurance claim adjudication, denials management, and appeals is preferred.
Working Hours
- Full-time position, Monday to Friday.
- Flexible scheduling available to accommodate different time zones.
- Remote work setup; reliable internet connection required.
Knowledge, Skills, and Abilities (KSA)
- Proficiency in Microsoft Office Suite (Excel, Word, Outlook).
- Strong organizational and multitasking abilities.
- Ability to interpret medical coding (ICD-10, CPT, HCPCS).
- Knowledge of HIPAA regulations and patient confidentiality requirements.
- Ability to work independently while meeting deadlines and performance metrics.
Benefits
- Competitive salary with performance-based incentives.
- Health, dental, and vision insurance options.
- Paid time off (PTO) and holidays.
- 401(k) retirement plan with company matching.
- Professional development and training opportunities.
- Fully remote, work-from-home flexibility.
Why Join Us
At New York City Jobs, we value our team members and are committed to fostering a supportive, inclusive, and dynamic work environment. Joining our company means working with industry professionals who are passionate about healthcare administration and patient service excellence. Grow your career, enhance your skills, and contribute to a team that makes a difference in people’s lives every day.
How to Apply
Interested candidates are invited to submit their resume and a cover letter detailing their relevant experience and interest in the position to us. Please include “Remote Medical Claims Processor Application” in the email subject line. Qualified candidates will be contacted for a virtual interview.
Job Details
| Salary |
$10 - $20 |
| Job Type |
Full-time |
| Remote/Onsite |
Remote |
| Location |
|
| Last Apply Date |
2026-03-21 |