Top 32 Remote medical claims processing Jobs in Iowa

Senior Claim Benefit Specialist - Remote
CVS Health —Iowa
- $18.50 - $42.35 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Mentoring
- Health insurance
- Dental insurance
1d
Medical Biller - Remote
Orthos Inc —Iowa
- Full-time
- Remote
- Mid-level
- Organizational skills
- Communication skills
Quick Apply
Insurance Specialist (Remote)
Meduit —Des Moines, IA
- $17 - $19 an hour
- Monday to Friday
- Background check
- Microsoft Excel
- Microsoft Outlook
- Paid training
- Health savings account
Quick Apply
Customer Service Specialist/Follow-up
Iowa Radiology P C —Clive, IA
- Full-time
- English
- High school diploma or GED
- Organizational skills
- Paid holidays
- Disability insurance
9d
Revenue Cycle Coordinator (Prior Authorization) - Patient Access Management (PAM) - Patient Financial Services (PFS)
The University of Iowa —Iowa City, IA
- Full-time
- In person
- Microsoft Excel
- Mid-level
- Office
3d
Equal Employment Specialist
US Veterans Health Administration —Des Moines, IA
- $75,284 - $97,875 a year
- Online Application
- Background check
- Psychiatry
- Writing skills
5d
Financial Accounts Technician
US Veterans Health Administration —Des Moines, IA
- $45,777 - $59,510 a year
- Online Application
- Background check
- Psychiatry
- Customer service
- Flexible schedule
Contracts & Financial Analyst - Veterans Affairs & Workers' Compensation
Mercy Medical Center —Cedar Rapids, IA
- Full-time
- Hybrid work
- Hospital
- 5 years
- Office
Quick Apply
Underwriting Operations Manager
The Mutual Group —Iowa
- $105,000 - $160,000 a year
- Full-time
- Hybrid work
- Background check
- 7 years
- Office
- Wellness program
- AD&D insurance
Pharmacy Technician - Transitions of Care (Full Time)
UnityPoint Health —Cedar Rapids, IA
- Full-time
- Customer service
- Word processing
- Computer literacy
- Paid holidays
- Disability insurance
Consumer Safety Inspector
USDA Food Safety and Inspection Service —Hospers, IA
- $40,736 - $80,243 a year
- Online Application
- Background check
- 18 years or older
- Basic math
- Loan forgiveness
- Referral program
13d
Product Owner, FMS/Financial Intermediary Svc
Benelynk —Iowa City, IA
- $120,000 - $125,000 a year
- Full-time
- Remote
- Pass drug screening
- Analysis skills
- Continuous improvement
- Health insurance
- Dental insurance
Electronics Mechanic
US Veterans Health Administration —Des Moines, IA
- $30.06 - $35.07 an hour
- Part-time
- Background check
- Heavy lifting
- Psychiatry
11d
Full Stack Developer
Syms Strategic Group, LLC (SSG) —Waterloo, IA
- $85,389 - $116,975 a year
- Full-time
- Remote
- Azure
- Computer Science
- HIPAA
6d
Software Developer
Syms Strategic Group, LLC (SSG) —Davenport, IA
- $85,389 - $116,975 a year
- Full-time
- Remote
- Azure
- Computer Science
- HIPAA
2d
AVP, Enterprise Architecture
The Mutual Group —Iowa
- $200,000 - $250,000 a year
- Full-time
- Hybrid work
- Background check
- 7 years
- Azure
- Wellness program
- AD&D insurance
17h
Senior Data Engineer
Akumin —West Des Moines, IA
- $125,000 - $150,000 a year
- Full-time
- Remote
- Azure
- Computer Science
- 5 years
- Health savings account
- Paid holidays
Quick Apply
2d
Casualty Specialist II
First Acceptance Services Inc —United States
- Remote
- Microsoft Excel
- Mid-level
- High school diploma or GED

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Medical Biller - Remote
Orthos Inc —Iowa
Our Billing Specialists are responsible for answering patient inquiries, reviewing outstanding or denied insurance claims, submitting insurance appeals, and…
Quick Apply
Senior Claim Benefit Specialist - Remote
CVS Health —Iowa
Conducts outbound calls to obtain required information for claims or reconsideration requests. Trains and mentors as needed to enhance team performance and…
$18.50 - $42.35 an hour
1d

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Patient Accounts Representative - Hospital Prof Billing
Nationwide Children's Hospital —Columbus, OH
The ability to do data entry and work a calculator. Knowledge of medical terminology, various claim forms, third party contracts and payment patterns, CPT and…
Claims Finance Analyst
Branch Insurance —Columbus, OH
Assist in developing financial models and tools that improve claims analysis and forecasting. The process will include a number of interviews, which will all…
$63,000 - $90,000 a year

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remote medical claims processing jobs near iowa

Senior Claim Benefit Specialist - Remote

CVS Health -
Iowa

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Job Details

Full-time
$18.50 - $42.35 an hour
1 day ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

High school diploma or GED
Health insurance knowledge

Full Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary
Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established plan processing guidelines. Functions as a subject matter expert by providing coaching, and offering guidance on escalated or technically challenging issues. Supports customer service operations by addressing inquiries and resolving issues to ensure a positive member experience.

Additional Responsibilities

Reviews pre‑specified claims and those that exceed specialist adjudication authority or processing expertise.
Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication.
Ensures compliance with all regulatory requirements and confirms that payments align with company policies and procedures.
Identifies and reports potential overpayments, underpayments, and other claim irregularities.
Performs claim rework calculations as needed.
Trains and mentors as needed to enhance team performance and technical proficiency.
Conducts outbound calls to obtain required information for claims or reconsideration requests.

Required Qualifications

Minimum of 18 months of medical claim processing experience with a health insurance payor or third‑party administrator.
Proven success working in a high‑volume, production‑driven environment.
Demonstrated ability to manage multiple assignments with accuracy, efficiency, and attention to detail.

Preferred Qualifications

Self-Funding experience
DG system knowledge

Education

High School Diploma required
Preferred Associates degree or equivalent work experience.

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$18.50 - $42.35

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

remote medical claims processing jobs in iowa

Senior Claim Benefit Specialist - Remote

Medical Biller - Remote

Insurance Specialist (Remote)

Customer Service Specialist/Follow-up

Revenue Cycle Coordinator (Prior Authorization) - Patient Access Management (PAM) - Patient Financial Services (PFS)

Equal Employment Specialist

Financial Accounts Technician

Contracts & Financial Analyst - Veterans Affairs & Workers' Compensation

Underwriting Operations Manager

Pharmacy Technician - Transitions of Care (Full Time)

Consumer Safety Inspector

Product Owner, FMS/Financial Intermediary Svc

Electronics Mechanic

Full Stack Developer

Software Developer

AVP, Enterprise Architecture

Senior Data Engineer

Casualty Specialist II

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