Billing Specialist

TouchCare; Shrewsbury (NJ); Hybrid; USD 60,000 - 70,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Paid time off

Parental leave

Company-sponsored benefits

Job summary

TouchCare is seeking a dedicated Claims Specialist to join our healthcare concierge team. You will leverage claims knowledge to resolve medical, dental, and vision billing issues for members.

The role emphasizes independence, research, and excellent communication, with opportunities to grow in a fast-paced, remote/hybrid environment near Shrewsbury, NJ.

A bachelor’s degree and 3–5 years claims experience are preferred. TouchCare offers comprehensive benefits and a supportive team culture.

Qualifications

• Bachelor’s degree and/or 3-5 years claims experience.
• Previous medical office experience a plus.
• Strong research and analytical skills.
• Ability to work independently and elevate for assistance as needed.
• Strong communication and ability to work with various internal and external parties to resolve member issues.
• Excellent organizational, time management, and customer service skills.
• Ability to proactively identify payer and provider trends, and to communicate this to management.
• Excellent listening skills and ability to empathize with members.
• Excellent computer skills.

Responsibilities

• Apply claims knowledge to help members with billing issues.
• Resolve medical, dental, and vision billing issues for members.
• Research plan documents and benefits to identify discrepancies.
• Communicate with plan documents, carriers, providers, and members.
• Assist with claims resubmission to correct errors.
• Support other claims specialists as needed.
• Analyze plan documents, plan benefits, and eligibility for billing issues.

Skills

Analytical skills

Research skills

Communication

Customer service

Multitasking

Independence

Education

Bachelor’s degree

3-5 years claims experience

Tools

Microsoft Office Suite

Job description

TouchCare is a healthcare concierge service dedicated to simplifying the complexities of health insurance and the healthcare system. By assigning each member a personal assistant, TouchCare helps resolve billing issues, coordinate with providers, and save individuals time and money. Committed to providing a healthier understanding of healthcare, TouchCare makes navigating healthcare more convenient and stress-free for its users.

TouchCare is a health tech organization headquartered in Stamford, CT and with offices in Shrewsbury, NJ. The Company provides a personal on-demand, white-glove healthcare concierge service that helps its members find the highest quality, most convenient, lowest out-of-pocket care; available via web, phone, and mobile app.
The Company’s customers include large self-insured companies and small to medium-size businesses who provide TouchCare to their employees as a benefit.

Job Responsibilities

• If you have previous experience in a healthcare office, this role may be a good fit for applyingyour current claims knowledge to truly help members.
• A successful candidate will work on the members’ behalf to understand claims adjudication guidelines and resolve medical, dental and vision billing issues for our members.
• Excellent organizational skills, ability to manage multiple concurrent deadlines and exceptional attention to detail are essential to this position.
• It’s a rewarding position that encompasses investigation and communication skills.
• Essential Job Functions: Handle some escalated and complex cases in a timely manner to identify opportunities to resolve the issue by working with plan documents, carriers, providers, and members.
• Research plan information and identify where there may be conflicting information.
• Research billing issues to determine the possible cause of the error, and assisting with claims resubmission when needed to correct the issue.
• Serve as a resource of help to other claims specialists who need assistance and have questions on their cases.
• Working with these resources to analyze and resolve billing issues:
• Plan documents and plan benefits
• Interpretation of benefits
• Medical, dental, vision, behavioral health billing and claims adjudication
• FSA, HRA and HSA plans

Minimum Requirements

• Bachelor’s degree and/or 3-5 years claims experience
• Previous medical office experience a plus
• Strong research and analytical skills
• Ability to work independently and elevate for assistance as needed
• Strong communication and ability to work with various internal and external parties to resolvemember issues
• Excellent organizational, time management, and customer service skills
• Ability to proactively identify payer and provider trends, and to communicate this tomanagement
• Excellent listening skills and ability to empathize with members
• Excellent computer skills and experience in Microsoft Office Suite

About you

• You are a service-focused, highly personable individual who loves dealing with people,solving their problems, and providing them with a great customer experience
• You have a bachelor’s degree and/or 3-5 years claims management experience
• Ability to proactively identify payer and provider trends, and to communicate anyrecognizable trends to management
• Excellent listening skills and ability to empathize with members
• Excellent interpersonal and communications skills (verbal and written) is a must with theability to effectively collaborate with other Health Assistants, members, clients, and all levelsof management
• You are relentlessly inquisitive, love researching and finding new answers
• You have strong analytical skills and understand advocacy vs simply answering a question
• You act professionally, especially when assisting others who are experiencing challenges
• Multitasking and working quickly and efficiently is something you do well
• Must be able to work independently and as a part of a team with the ability to react to arapidly growing consumer base
• You are passionate about making a difference in people’s lives
• You have a positive outlook on life and you are willing to go above and beyond to offerassistance to others. Helping others is important to you.
• Excellent computer skills

We are a dynamic team, building the company from the ground up. We are hardworking and eagerto assist with building any area of the company where we can add value. We are looking for similarminded people who can continue on a path of growth and excellence.

Why Join Us?

• Professional Growth: Gain exposure to diverse accounting functions and portfolio company
• Collaborative Environment: Work closely with a supportive team that values your contribution.
• Fast-Paced & Rewarding: No two days are the same in our deadline-driven, high-energy office.

Compensation

The salary range for this role is $60,000-$70,000, based on experience, skills, qualifications, and alignment with the scope of the role.

Benefits

TouchCare offers a competitive benefits package, including medical, dental, vision, paid time off, parental leave, and other company-sponsored benefits.

Location & Work Environment

This is a remote/hybrid position. Candidates should be within reasonable commuting distance of our Shrewsbury, NJ office and available to work onsite as needed for team collaboration, meetings, and other business needs. Local candidates are preferred.

TouchCare is an Equal Opportunity Employer. We are committed to building a diverse and inclusive workplace and consider all qualified applicants without regard to race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, or any other legally protected status.