Medicare Advantage Claims Processor - 100% remote
RAM Health · United States · US
General Business
Remote
Nurse
Dentist
Demand62
Career growth42
Healthcare fit58
Remote potential100
Salary band
USD 18 – 20
5-year outlook
Starts at $18-$20/hour with limited direct salary growth in claims processing; it can serve as a bridge into payer operations, utilization review support, or health plan analytics with additional skills.
Clinical license
Not required
Applicant reach
moderate
Seniority
entry
Employment type
full-time
Date found
2026-10-26
Intelligence details
Flexible work details
- Engagement type
- Permanent
- Hours
- Full-time
- Eligible countries
- United States
- Profession fit
- Nurse, Dentist
- Rate period
- Hourly
Listing via Himalayas.
Eligibility, licensing, and location restrictions can change. Always confirm details on the source posting before applying.
Why this is worth applying to
Consider this as a remote entry point into payer operations if you need healthcare administration experience and income. It is less suitable for clinicians seeking high-growth, strategic, or strongly clinical-adjacent non-clinical careers.
Who should apply
Healthcare graduates, IMGs, allied health professionals, and early-career clinicians seeking remote payer operations experience; not ideal for senior clinicians or those targeting clinical research, health tech strategy, or higher-compensation non-clinical roles.
CV angle
Frame real clinical workflow knowledge, Medicare/Medicaid exposure, claims or denials familiarity, HIPAA compliance, documentation accuracy, Excel reporting, and ability to meet production and quality targets. Do not overstate payer adjudication experience if you have not done it.
Skills to highlight
- Claims adjudication
- Medicare Advantage
- Managed Medicaid
- Encounter data submission
- Claims appeals and adjustments
- HIPAA compliance
- Microsoft Excel
- Attention to detail
Role summary
A fully remote claims processor role reviewing pended claims, applying business rules, finalizing claims, handling adjustments and appeals support, and preparing encounter data for Medicare Advantage or managed Medicaid plans.
We publish our own intelligence summary, never the full job description. Always confirm details with the employer when you apply.