Remote Insurance Claims Specialist - Precision & Coding

remoting.work; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

Remoting.work is seeking an Insurance Claims Specialist to review, verify, and process healthcare claims with a strong emphasis on accuracy and compliance. The role supports asynchronous work in a distributed team and requires attention to detail and knowledge of medical terminology.

The candidate will handle claim submission, eligibility checks, coding (CPT/ICD-10), and documentation, ensuring timely processing across US time zones.

Qualifications

• Experience with claims processing in healthcare or insurance.
• Knowledge of insurance regulations and compliance standards.
• Strong attention to detail with a low tolerance for errors.
• Familiarity with medical terminology and clinical documentation.
• Experience with CPT and ICD-10 coding.
• Excellent written English.

Responsibilities

• Review submitted claims for completeness, accuracy, and compliance with regulations.
• Verify patient eligibility and coverage details before processing each claim.
• Apply CPT and ICD-10 codes to validate medical necessity and billing accuracy.
• Manage claim status and documentation within claim management and submission systems.
• Identify discrepancies or errors and resolve them according to established procedures.

Skills

Attention to detail

Written English

Medical terminology

CPT ICD-10 coding

Claims processing experience

Regulatory compliance

Job description

Remoting.work is seeking an Insurance Claims Specialist to review, verify, and process healthcare claims with a strong emphasis on accuracy and compliance. The role supports asynchronous work in a distributed team and requires attention to detail and knowledge of medical terminology.

The candidate will handle claim submission, eligibility checks, coding (CPT/ICD-10), and documentation, ensuring timely processing across US time zones.