Claims Specialist

Are you passionate about helping people and seeking a career that truly makes a difference? Pharmbills is looking for a detail-oriented and dedicated Claims Specialist to join our team and support American healthcare facilities, insurance companies, and patients by ensuring accurate and timely claims processing.

About Pharmbills:

Pharmbills has been a trusted partner in the healthcare industry for over a decade, delivering top-tier financial and administrative solutions. We’re excited to bring our services to Colombia, and our global team now includes over 1,000 professionals across the U.S., Georgia, Poland, Bulgaria, Portugal, Ukraine, and the Czech Republic. We’re on a mission to simplify healthcare billing and claims management, making it easier for healthcare providers, insurance companies, and patients to navigate their financial interactions.

Location: Bogota, Colombia – Office-based, aligned with the New York time zone

About the Role:

As a Claims Specialist, you will play a key role in ensuring that healthcare claims are accurately submitted, processed, and resolved. You’ll be at the forefront of claims communication, handling inquiries from U.S. healthcare providers, insurance companies, and patients, ensuring smooth processing and proactive issue resolution.

Key Responsibilities:

• Claims Management: Review, submit, and manage healthcare claims to insurance companies to ensure timely and accurate processing.
• Issue Resolution: Work directly with healthcare providers, insurance representatives, and patients to address and resolve claims-related inquiries.
• Follow-Up: Track claim statuses, initiate follow-ups as necessary, and facilitate any required adjustments.
• Documentation: Maintain accurate records and documentation for all claims and follow established processes for handling sensitive information.
• Process Improvement: Collaborate with the team to identify and implement strategies to improve claims management processes, enhancing service delivery and client satisfaction.

Qualifications:

• Proficiency in English (B2+ level) for effective communication with U.S.-based clients.
• Experience in healthcare claims, billing, or account management is a plus.
• Organizational Skills: Strong ability to multitask and handle high volumes of information with attention to detail.
• Problem-Solving Mindset: Ability to troubleshoot, think critically, and make sound decisions quickly.
• Excellent Interpersonal Skills: Professional and clear communication skills.
• Adaptability: Willingness to work within the New York time zone schedule.

What We Offer:

• Competitive Compensation in USD
• Professional Growth: Opportunities for advancement and skill development within a fast-growing, dynamic team.
• Collaborative Environment: Be part of a supportive and dedicated team committed to making a difference in the healthcare industry.
• Global Impact: A unique chance to work on meaningful projects with U.S. healthcare clients, ensuring positive outcomes for patients and providers.

If you're a proactive, detail-oriented individual looking to impact the healthcare sector, we'd love to meet you! Join Pharmbills and contribute to seamless healthcare claims processing, creating value for patients, providers, and insurers alike.

Apply today and become part of an inspiring journey in healthcare claims excellence!