Claims Specialist (Remote, Georgia-based)

About the role

Pharmbills is looking for a Claims Specialist who will work remotely from Georgia, aligned with the New York time zone. The role involves reviewing and processing healthcare insurance claims, tracking discrepancies and working closely with providers and insurance companies so that each claim is handled correctly.

Key responsibilities

• Review and process healthcare insurance claims to ensure compliance with regulations.
• Investigate discrepancies and claim denials, cooperating with providers and insurers to resolve them.
• Keep detailed records of claim activities, including payments, follow-ups and communications.
• Handle denied claims, identify their causes and assist with resubmissions or appeals.
• Generate reports on claims status and trends to improve accuracy and efficiency.
• Coordinate with U.S.-based healthcare teams to streamline claim processes.

Required profile

• Strong analytical skills and sharp attention to detail.
• Clear and professional English communication (B2+ level).
• Ability to manage several tasks at once and prioritize effectively.
• Familiarity with healthcare claims, billing or insurance processes is a plus.
• Flexibility to work in line with U.S. time zones.

What we offer

• A stable, long-term cooperation opportunity with room to grow.
• Professional training and support.
• A supportive team and a growing company with development opportunities.
• The chance to work with leading U.S. healthcare companies while staying in your home country.