Bilingual Healthcare Claims Specialist – Remote (PST)

Johnson Service Group, Inc.; Irvine (CA); Remote; USD 24,000 - 34,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

401(k)

Weekly pay

Job summary

Johnson Service Group, Inc. is seeking a Remote Customer Service - Claims Processor to support health insurance inquiries. This role requires living in PST, MT, or Central Time.

You will handle benefits, eligibility, and reimbursements, ensuring accuracy while maintaining HIPAA compliance. You'll interact via phone, email, and case management, collaborate across departments, and contribute to process improvements. The position offers weekly pay and comprehensive benefits.

Qualifications

• Bilingual English and Spanish required; excellent speaking and writing skills.
• 1-3 years of claims, accounting, or customer service experience, or related education.
• Strong knowledge of health insurance procedures, including eligibility, billing, and compliance.
• Proficiency in Microsoft Office Suite and basic computer systems.
• Excellent time management, multitasking, and problem-solving abilities.

Responsibilities

• Provide exceptional customer service via phone, email, and case management to assist clients with benefits, claims, and reimbursements.
• Educate clients on program eligibility and guidelines, resolving issues related to reimbursements and claims in real-time.
• Research and resolve eligibility discrepancies, process claims, and ensure accuracy across internal systems.
• Maintain HIPAA and ERISA compliance while managing sensitive client information.

Skills

Bilingual EN/ES

Claims experience

Health Insurance

MS Office

Time management

Independent work

Education

High school diploma

Tools

EDI systems

Case management systems

Job description

Johnson Service Group, Inc. is seeking a Remote Customer Service - Claims Processor to support health insurance inquiries. This role requires living in PST, MT, or Central Time.

You will handle benefits, eligibility, and reimbursements, ensuring accuracy while maintaining HIPAA compliance. You'll interact via phone, email, and case management, collaborate across departments, and contribute to process improvements. The position offers weekly pay and comprehensive benefits.