Claims Specialist

### **Claims Specialist – Remote Healthcare Administrative Agent** Join LEC as a remote Healthcare Administrative Support Representative, helping healthcare clients manage insurance claims and payer-related inquiries. In this role, you’ll make outbound calls to insurance companies, navigate payer IVR systems, speak with claims representatives, and accurately document results in the client’s platform. ### Key Responsibilities * Follow up on claim status, including processed, approved, denied, delayed, and paid claims. * Inquire about claim adjudication and payment timelines. * Request missing documentation and clarification of denial reasons. * Clarify appeal requirements and prior authorization status. * Perform eligibility verification and provider credentialing status checks. * Ask structured, predefined questions and accurately record responses. * Navigate IVR systems and remain professional while managing hold times. * Maintain accurate documentation and complete follow-up tasks in required systems. * Meet client performance, quality, accuracy, and productivity expectations. ### Qualifications * 1–2 years of call center or customer service experience preferred. * Healthcare, insurance, claims, or revenue cycle experience is a plus. * Strong communication, active listening, typing, and multitasking skills. * Comfortable working with multiple systems and documenting information accurately. * Ability to work independently while following established processes and scripts. * High School Diploma or equivalent required. ### Position Details * **Remote / Work From Home** * **1099 Independent Contractor** * **Paid Training** * **Pay:** $15–$15.50/hour * **Schedule:** Monday–Friday, 9:30 AM–6:00 PM EST ### Hardware/Software Requirements * To be successful in this role, you must have your own computer and home office setup that meets the following minimum specifications: * **Personal computer** (laptop or desktop only; no Chromebooks, MacBooks, iPads, netbooks, or tablets). * **Processor:** Intel® Core™ i5 5200 series or greater; all computers must have at least **4 performance cores**. * Example: A 10-core computer with only 2 performance cores does _not_ meet this requirement. * Please check your system settings to confirm. * **Memory:** 8GB RAM minimum; Windows 11 (64-bit) or higher. * **Display:** Screen resolution of 1280x768 or higher; **dual monitors required** for efficiency. * **Internet:** Reliable high-speed internet with a wired **Ethernet connection** (hardwired to router). * **Audio:** USB noise-canceling headset. * **Security:** Up-to-date antivirus software with a recent scan completed; firewall must be enabled * \*\* Must have a wired USB headset with a microphone \*\* (Please use this in your interview) _**Must have a High School Diploma or equivalent**_ Originally posted on [Himalayas](https://himalayas.app)