Healthcare Billing & Claims Specialist (Remote)

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 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.