Healthcare Claims Researcher

Schedule: New York time zone 

About Us: Pharmbills is a trusted American outstaffing company, dedicated to connecting talented professionals worldwide with industry leaders in healthcare, finance, real estate, and more. With a rapidly growing international presence, we’ve been operating successfully in Georgia for over 3 years, empowering Georgian talent to deliver outstanding service to U.S.-based clients. Join us and become part of a company that values global collaboration, professional growth, and exceptional service. 

Position Overview: Pharmbills is seeking a detail-oriented and resourceful Healthcare Claims Researcher to manage and resolve unpaid claims for U.S.-based healthcare facilities. In this role, you’ll dive into complex, unpaid insurance claims, researching effective solutions and working with clients to help secure overdue payments. This position requires innovative problem-solving and out-of-the-box thinking to close old claims and drive financial outcomes. The role aligns with the New York time zone to ensure efficient communication with U.S.-based teams. 

Duties and Responsibilities: 

• Investigate unpaid insurance claims and uncover the reasons for non-payment, providing detailed analysis to clients. 

• Propose and implement creative solutions for resolving outstanding claims, exploring various strategies to maximize payments. 

• Communicate effectively with healthcare providers, insurance companies, and clients to facilitate timely payment processing. 

• Maintain organized records of all claims, research findings, and payment resolutions. 

• Generate regular reports on outstanding claims and provide insights for improving claims recovery processes. 

• Stay updated on healthcare industry regulations and insurance protocols to ensure compliance and effectiveness in claims management. 

Skills and Abilities: 

• Strong problem-solving skills with a creative, solution-oriented approach. 

• Excellent analytical and research abilities, with an eye for detail. 

• Proficiency in MS Office Suite, particularly Excel, for data management and reporting. 

• Strong communication skills in English, both written and verbal. 

• Ability to prioritize and handle multiple tasks efficiently, working independently in a remote setting. 

• Familiarity with healthcare claims, billing processes, or accounts receivable is an advantage. 

• Flexibility to work according to the New York time zone. 

What We Offer: 

• Competitive Compensation: Attractive salary and benefits package. 

• Growth Opportunities: Develop your expertise and career with an American company on the international stage. 

• Remote Flexibility: Work from anywhere within Georgia. 

• Global Team Culture: Be part of a diverse, supportive environment that values collaboration, growth, and innovation. 

This role offers a unique opportunity to leverage your skills within a global company while contributing to the financial well-being of U.S.-based healthcare clients. Working on a New York time zone schedule, you’ll join an enthusiastic, international team that values flexibility and professional development. 

Apply today to be a key contributor to the success of U.S. healthcare facilities from Georgia!