No Experience Required Claims Processing & Follow-Up

Remote Claims Processing Assistant

Support claims data entry, submission preparation, and payer follow-up — from home. No experience needed.

$17–$26 / hour 100% Remote Full-Time / Part-Time Multiple U.S. States High School Diploma

Job Overview

Virelia Health connects Claims Processing Assistants with remote opportunities across healthcare organizations — hospitals, medical practices, specialty clinics, billing companies, and revenue cycle teams.

We are seeking motivated Remote Claims Processing Assistants for entry-level and early-career opportunities supporting claims processing across the United States.

A Remote Claims Processing Assistant supports claims data entry, claims scrubbing, claims submission preparation, claims tracking, and payer follow-up for healthcare organizations. Working within the claims team's scope, the Claims Processing Assistant is the detail-driven professional who moves claims through the pipeline — entering claim data accurately, scrubbing claims for errors before submission, tracking claims as they move through payers, and following up on unpaid or pending claims so the organization gets paid for the care it delivered.

No prior healthcare or claims experience is required. Paid training is provided. This role is well-suited to candidates who are detail-oriented, comfortable with claims systems and payer portals, and take pride in accurate work — including career changers, recent graduates, and first-time remote workers coming from billing, insurance, data entry, or administrative roles.

The specific healthcare organization, claims focus, and scope of responsibilities will depend on the employer and assignment.

This opportunity may be suitable for professionals searching for claims processing jobs, remote claims processing assistant, work-from-home claims jobs, entry-level healthcare jobs no experience, claims follow-up jobs, or virtual claims assistant roles.

No Experience Required — We'll Train You

This is a true entry-level role. No prior healthcare or claims experience is required. Employers provide paid training on claims data entry, claims scrubbing, claim forms (CMS-1500 and UB-04), clearinghouses, payer portals, claims tracking, payer follow-up workflows, and HIPAA compliance. If you are detail-oriented, comfortable with claims systems and payer portals, and can learn new software, you're a great fit. Many of our Claims Processing Assistants come from billing, insurance, data entry, and administrative roles.

Structured Remote Claims Work with Predictable Hours

Remote claims processing runs on scheduled claim queues, submission cycles, and payer follow-up calendars, giving your workday predictability and structure. Programs typically offer daytime weekday coverage, with some claims teams supporting early morning, evening, or weekend coverage during peak billing periods. Many assistants work flexible 8-hour days, and some work part-time schedules around school or family commitments. There are no clinical duties, minimal patient-facing work, and no in-person office requirements. We offer both full-time and part-time positions. Discuss your preferred schedule during your interview.

What You'll Do

As a Remote Claims Processing Assistant, you may support claims processing across a range of claims tasks.

  • Support claims data entry — entering claim data accurately into claims systems.
  • Support claim scrubbing — reviewing claims for errors before submission.
  • Support claim edits — resolving claim edits and warnings from scrubbers and clearinghouses.
  • Support claim submission — preparing and submitting claims to payers and clearinghouses.
  • Support claim forms — supporting CMS-1500 and UB-04 claim form completion.
  • Support EDI submissions — supporting electronic claim submissions (837 files).
  • Support claim tracking — tracking claims as they move through payers.
  • Support claim status — checking claim status in payer portals.
  • Support payer follow-up — following up on pending and unpaid claims.
  • Support claim corrections — supporting claim corrections and resubmissions.
  • Support claim denials handoff — routing denials to the denial team.
  • Support claim documentation — documenting claims activity accurately.
  • Support claim correspondence — handling payer requests for additional information.
  • Support claim aging — flagging aging claims for follow-up.
  • Support payer requirements — following payer-specific submission rules.
  • Support multiple systems — working across billing, EHR, and payer systems.
  • Support claims quality — supporting claim accuracy and audit readiness.
  • Document claims activity accurately in claims systems.
  • Maintain HIPAA compliance — protecting patient information across all claims work.
  • Meet claims quality and productivity standards.
  • Participate in team meetings, training, and quality improvement.
  • Maintain current knowledge of claims systems, payer requirements, and claim submission standards.

Claims Processing Focus

Remote claims processing support is a growing area — driven by increased demand for claims capacity, expanded remote claims workflows, and the recognition that dedicated claims assistants improve clean claim rates, reduce claim errors, and improve revenue cycle performance. Remote Claims Processing Assistants extend claims capacity, support healthcare organizations, and improve claims outcomes across organizations.

Depending on the program, claims processing may focus on:

Claims data entry
Claims scrubbing
Claims submission
Claims tracking
Payer follow-up
Claims corrections

The Claims Processing Assistant's role is to provide claims support within the claims team's scope — including claims data entry, claim scrubbing, submission preparation, tracking, payer follow-up, and documentation. Clinical decisions, coding decisions, and revenue cycle decisions remain with clinical, coding, and billing leadership; the Claims Processing Assistant supports the claims process and coordinates with billing, coding, and revenue cycle teams.

This structure keeps the role focused on claims data entry, claim scrubbing, claims submission, claims tracking, payer follow-up, and claims documentation.

Claims Data Entry, Submission Prep & Payer Follow-Up

The Claims Processing Assistant handles the claims work that gets claims out the door and paid — claims need to be entered accurately, scrubbed for errors, submitted to the right payer, and followed up on when they go unpaid. You'll enter claim data (into claims systems), scrub claims (for errors before submission), prepare and submit claims (to payers and clearinghouses), track claims (through adjudication), and follow up with payers on pending and unpaid claims.

Depending on the claims focus, you may support claims by:

  • Supporting claims data entry — into claims systems.
  • Supporting claim scrubbing — pre-submission review.
  • Supporting claim edits — from scrubbers and clearinghouses.
  • Supporting claim submission — to payers and clearinghouses.
  • Supporting claim forms — CMS-1500, UB-04.
  • Supporting EDI submissions — 837 files.
  • Supporting claim tracking — through payer adjudication.
  • Supporting claim status — in payer portals.
  • Supporting payer follow-up — pending and unpaid claims.
  • Supporting claim corrections — corrections and resubmissions.
  • Supporting denials handoff — to the denial team.
  • Supporting claim documentation — accurately.
  • Supporting claim correspondence — payer requests for info.
  • Supporting claim aging — flagging aging claims.
  • Supporting payer requirements — payer-specific rules.
  • Supporting multiple systems — billing, EHR, payer systems.
  • Supporting claims quality — accuracy and audit readiness.
  • Documenting claims activity accurately.
  • Following claims policies — including escalation and documentation rules.
  • Maintaining HIPAA compliance across all claims work.

Attention to detail, comfort with claims data, and reliability are essential — Claims Processing Assistants help healthcare organizations get paid for the care they deliver.

Virtual Claims Processing Assistant Workflow

A Remote Claims Processing Assistant may follow a structured workflow across each claims cycle.

Depending on the employer's protocols, you may:

Start Shift & Open Systems Review Claim Queue Enter Claim Data Scrub & Fix Edits Submit Claim Track Claim Status Follow Up With Payer Document & Escalate If Needed

Patient Privacy & HIPAA Compliance

Claims processing work directly involves patient information, including names, medical record numbers, dates of service, diagnoses, procedure codes, payer IDs, and healthcare context. All claims work must comply with HIPAA privacy rules, organizational patient privacy policy, and claims documentation standards. Claims concerns requiring supervisor input, claims discrepancies, or issues affecting claims accuracy must be escalated following the employer's escalation protocol. Claims Processing Assistants must maintain HIPAA compliance and protect patient data across all claims work.

Required Qualifications

  • No prior healthcare or claims experience required — paid training provided.
  • High school diploma or equivalent preferred.
  • Strong attention to detail — accurate with claims data.
  • Comfort with claims data — comfortable with claim forms and codes.
  • Comfort with claims systems, payer portals, and spreadsheets.
  • Ability to learn new software and claims systems.
  • Strong typing and data entry skills.
  • Ability to work independently in a remote environment.
  • Ability to maintain confidentiality and HIPAA compliance.
  • Reliable internet and a private workspace suitable for confidential claims work.

Preferred Qualifications

Experience or background in any of the following may be beneficial — but none are required:

Billing or claims experience
Insurance or payer experience
Data entry or typing experience
Administrative or medical office experience
Call center or customer service experience
Remote work experience
Bilingual (Spanish/English)
Attention to detail in prior roles

Skills & Competencies

Claims & Revenue Cycle Skills

Claims Data Entry
Claims Scrubbing
Claims Submission
Claims Tracking
Payer Follow-Up
Claim Forms (CMS-1500, UB-04)
EDI / Clearinghouse
Claims Corrections

Data Accuracy & Organization

Attention to Detail
Data Accuracy
Numerical Accuracy
Time Management
Ethical Practice
Focus & Concentration
Follow-Through
Multi-tasking

Digital Tools & Technology

Claims Systems
Payer Portals
Clearinghouses
Practice Management Systems
EHR Systems
Spreadsheets (Excel)
Secure Messaging
HIPAA Compliance

A Typical Day

A typical day may begin by logging into the claims system — reviewing the day's claim queue, pending submissions, and any payer follow-up tasks from the previous shift.

You'll review the claim queue — pulling up each claim and identifying what claims work needs to be done.

You'll enter claim data — typing claim data accurately into claims systems (patient details, dates of service, diagnoses, procedure codes, charges).

You'll scrub and fix edits — reviewing claims for errors before submission, resolving claim edits and warnings from scrubbers and clearinghouses.

You'll submit claims — preparing and submitting claims to payers and clearinghouses per payer-specific rules.

You'll track claim status — monitoring claims as they move through payer adjudication and checking payer portals for status updates.

You'll follow up with payers — calling or checking portals on pending and unpaid claims, resolving issues, and responding to payer requests for additional information.

You'll document and escalate — recording your claims activity accurately and routing any denials to the denial team or issues to the claims supervisor.

Between tasks, you'll support claim corrections, claim aging flags, and continuous improvement efforts.

Throughout the day, you'll work across multiple claims, EHR, and payer systems, document your claims activity accurately, support claims quality goals, and maintain HIPAA compliance across all claims work.

The role combines claims data entry, claim scrubbing, submission preparation, claims tracking, payer follow-up, documentation, and claims quality support.

Unlike clinical roles that require a nursing license or clinical certification, this Claims Processing Assistant role is a true entry-level position — you help healthcare organizations get paid for the care they deliver.

Remote Work Environment

This position is designed for remote claims delivery.

Depending on the employer, you may work with:

Claims systems
Payer portals
Clearinghouses
Practice management systems
Spreadsheet tools
Secure messaging

Candidates should have a stable internet connection suitable for claims systems and payer portal remote access, a private workspace suitable for confidential claims data, and comfort with multiple claims and payer systems. Some employers provide equipment; others require you to supply your own computer. Requirements vary by employer.

Eligibility & Location

Remote Claims Processing Assistant roles are currently in highest demand in states with large healthcare systems, medical groups, and revenue cycle teams:

Top-demand states: Texas, Florida, California, New York, Pennsylvania, Ohio, Illinois, Georgia, North Carolina, Arizona, Tennessee, Michigan.

Strong secondary markets: Colorado, Indiana, Maryland, Massachusetts, Minnesota, Missouri, New Jersey, Virginia, Washington, Wisconsin.

Most remote Claims Processing Assistant roles require U.S. residency and eligibility to work in the United States. Some employers require specific state residency; others hire nationwide. Requirements vary by employer. Always confirm the specific eligibility requirements with the employer before applying.

New to remote healthcare? Read our free career guides — including how to get hired, what to expect, and how to build a remote healthcare career.

Compensation & Benefits

This position offers $17–$26 per hour, based on experience, geographic location, and assignment requirements. Entry-level candidates typically start near the lower end and advance with experience and performance. Remote Claims Processing Assistant roles typically offer scheduled weekday work and structured claims cycles.

Benefits are assignment-specific and may vary depending on whether the opportunity is full-time, part-time, contract, or direct hire. Depending on the employer, benefits may include:

Medical insurance
Dental coverage
Vision coverage
Paid time off
401(k) with employer match
Remote work stipend or equipment provided
Paid training
Career development
Advancement opportunities
Employee assistance programs
Flexible scheduling
Billing certification support (varies)

Why Consider Remote Claims Processing Assistant Work?

Remote claims processing support is expanding rapidly — driven by increased demand for claims capacity, expanded remote claims workflows, and the recognition that dedicated claims assistants improve clean claim rates and revenue cycle performance.

Many Claims Processing Assistants find remote roles appealing because they offer:

  • A true entry point into healthcare — no prior experience needed, paid training provided.
  • Predictable work schedule — structured weekday work without clinical duties or physical demands.
  • Clear career pathway — experience translates into claims specialist, denial management, billing specialist, revenue cycle roles, and claims leadership.
  • Financial skill development — claims, coding, and revenue cycle skills transfer across healthcare and insurance.
  • Growing employer demand — hospitals, medical practices, specialty clinics, billing companies, and revenue cycle teams are all hiring remote claims processing assistants.

It may be particularly suitable for career changers, recent graduates, first-time remote workers, and anyone who wants to start a career in healthcare without needing a clinical license or prior healthcare experience — especially those coming from billing, insurance, data entry, or administrative roles.

Ready to Start Your Healthcare Career?

No experience? No problem. Apply today and tell us about your attention to detail, comfort with claims data, and preferred schedule — we'll match you with the right entry-level claims role.

Questions? Contact: hr@virelia-health.com

Remote Work Setup

Remote Work Equipment for This Role

A practical workstation for healthcare billing, claims, insurance verification, accounts receivable, authorization, and revenue-cycle work.

Core equipment

Reliable computer or laptopSupports billing platforms, claims systems, EHRs, spreadsheets, and secure applications.
External monitorUseful for comparing claims, patient accounts, payer information, and documentation.
Keyboard and mouseSupports sustained data entry and account processing.
Reliable high-speed internetRequired for secure cloud systems and remote access.
UPS or battery backupHelps maintain continuity during short power interruptions.

Recommended additions

USB headsetUseful for payer calls, patient calls, and team meetings.
SmartphoneOften needed for multi-factor authentication.
Privacy screenHelpful when working with protected health or financial information.
Printer/scannerOptional and generally only needed when the employer specifically requires paper-document handling.
Important: Because billing and claims work can involve protected health and financial information, a private workspace and employer-approved security controls are important.

Why Choose Virelia Health for Entry-Level Healthcare Roles?

We connect motivated candidates with entry-level healthcare programs that provide training and support.

🎓

Paid Training Provided

No prior healthcare experience needed — employers train you on claims data entry, claim scrubbing, payer portals, and HIPAA.

📅

Predictable Work Days

Structured weekday work without clinical duties or physical demands.

🏥

Entry-Level Healthcare Network

We work with hospitals, medical practices, specialty clinics, billing companies, and revenue cycle teams nationwide.

📈

Career Pathway into Healthcare

Claims Processing Assistant experience opens doors into claims specialist, denial management, billing specialist, and revenue cycle roles.

Our Hiring Process for Claims Processing Assistants

1

Apply Online

Submit your application — highlight your attention to detail, comfort with claims data, and interest in healthcare.

2

Phone Screen

We review your attention to detail, comfort with claims systems, and remote work setup.

3

Employer Interview

Meet the claims team and learn about the payer mix, systems, and claims workflows.

4

Paid Training & Go-Live

Complete paid claims training and begin claims processing work with full support.

Start Your Remote Healthcare Career

No experience required. Full-time or part-time. Apply now and tell us what schedule works for you.

Chat with us!