Billing and Claims Support Representative

Role overview Handle complex billing and claims questions for members of a healthcare service, with a focus on accurate processing and supportive customer care. The work includes investigating escalations, coordinating with payers and internal teams, and helping improve the information and processes used by the support department.

Responsibilities - Respond to escalated billing questions involving enrollment errors, refunds, claim adjustments, and requests for itemized bills; investigate issues and follow through to resolution. - Explain billing and claims procedures using internal guidance, communicating with empathy and keeping members informed. - Contact payers to discuss claim submissions and obtain employee assistance program authorizations; prepare itemized bills when requested. - Support billing-related work such as charge disputes, billing records requests, and written or verbal affidavits. - Share payer issue updates with client support colleagues, flag emerging contact trends, and contribute claims expertise to internal projects. - Improve knowledge materials and support processes, and assist with onboarding and training new team members.

Requirements - A bachelor’s degree in accounting, finance, or a related field, or relevant work experience. - At least one year of experience with electronic claims processing or billing software. - Proficiency with Microsoft Office, especially Excel. - Strong investigation, written communication, and customer service skills, including the ability to handle sensitive or escalated concerns with care.

Nice to have - Two or more years of billing or accounting experience. - Healthcare experience, familiarity with medical billing codes and terminology, or work in a provider’s office or health insurer.

Benefits and work setup Remote-first position aligned to Eastern Time. Benefits include medical, dental, and vision plans; HSA/FSA options; a matched 401(k); voluntary insurance; a monthly wellness stipend; flexible paid time off; team events; and access to the service for the employee and one household member. The listed rate is $24.50 per hour.