Claims Specialist

Pharmbills; Bogotá; Hybrid; COP 93,044,028 - 130,261,639; Full time

Benefits offered by this job

Stable long-term cooperation opportunity

Professional training and support

Supportive team environment

Impactful work with U.S. healthcare companies

Job summary

A healthcare finance company in Bogotá is seeking an Entry-Level Claims Specialist to review and process healthcare insurance claims. This role involves investigating discrepancies, maintaining detailed records, and ensuring compliance with regulations. The ideal candidate should possess strong analytical skills, attention to detail, and clear English communication. You'll have the opportunity to grow and make an impact while working with leading U.S. healthcare companies. This position allows for remote work after a successful trial period.

Qualifications

• Strong analytical skills for spotting patterns and solving problems.
• Sharp attention to detail, crucial for handling claims accurately.
• Professional English communication is required (B2+ level).

Responsibilities

• Review and process healthcare insurance claims for compliance.
• Investigate discrepancies and denials; cooperate to resolve issues.
• Keep detailed records of all claim activities and communications.
• Handle denied claims and assist with resubmissions or appeals.
• Generate reports on claims status and trends for accuracy improvement.
• Coordinate with U.S.-based teams to streamline claims processes.

Skills

Analytical skills

Attention to detail

Professional English communication (B2+)

Task management

Familiarity with healthcare claims

Flexibility to U.S. time zones

Job description

Pharmbills Bogota, D.C., Capital District, Colombia

Claims Specialist

📍 Location: Bogota based, remote after successful completion of the trial period

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.

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.

What’s in It for You?

• ✅ 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.

What You’ll Be Doing

• ✔️ 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.

What You Bring to the Table

• ✅ 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.

Why You’ll Love It Here

• ✨ A supportive, team‑driven environment where what you do makes a difference.
• ✨ A growing company with real opportunities to develop professionally.
• ✨ A chance to build relationships with top professionals in the U.S. healthcare industry.
• ✨ A place to learn, grow, and be part of something bigger.

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

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

Seniority Level

Entry level

Employment Type

Contract

Job Function & Industries

• Finance, Customer Service, and Consulting
• Outsourcing and Offshoring Consulting, Financial Services, and Office Administration