Claims Specialist

About the Position

📍 Location: Georgia remote

🔎 Why Pharmbills?

Every day, thousands of healthcare claims hit roadblocks-errors, delays, missing details. It takes someone with precision, persistence, and a problem-solving mindset to set things right. That’s where you come in.

We’re a fast-growing international team of over 1,000 team members across 7 countries, and we put people first. Here, your attention to detail, problem-solving skills, and persistence make a real impact every day.

🎯 What’s This Opportunity About?

As a Claims Specialist, you’ll process and review healthcare insurance claims, track discrepancies, and cooperate closely with providers and insurance companies to ensure everything is handled smoothly. If you love diving into details, solving puzzles, and making sure things are done right, this is for you!

💡 Fix what others miss – make sure every claim is handled correctly.

Responsibilities

• Reviewing and processing healthcare insurance claims to ensure compliance with regulations.
• Investigating discrepancies and claim denials, cooperating with providers and insurance companies to resolve issues.
• Keeping detailed records of all claim activities, including payments, follow-ups, and communications.
• Handling denied claims, identifying causes, and assisting with resubmissions or appeals.
• Generating reports on claims status and trends to help improve accuracy and efficiency.
• Coordinating with U.S.-based healthcare teams to streamline claim processes.

Requirements

• Strong analytical skills – you’re great at spotting patterns and solving problems.
• Sharp attention to detail – accuracy matters when handling claims.
• Clear and professional English communication (B2+ level).
• Ability to manage multiple tasks efficiently and prioritize effectively.
• Familiarity with healthcare claims, billing, or insurance processes is a plus.
• Flexibility to align with U.S. time zones.

We Offer

• A stable, long-term cooperation opportunity with room to grow.
• An opportunity to make an impact – your accuracy keeps healthcare finances in check.
• Professional training & support to help you succeed.
• A supportive team that works with you, not over you.
• A chance to cooperate with leading U.S. healthcare companies while staying in your home country.

About the Company

At Pharmbills, every claim you handle makes a real impact.

📩 Ready to fix what others miss? Let’s talk! 🚀

Apply Now

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Because exciting updates are always around the corner.

It's a Pharmbills team, and you're invited!