Medical Claims Resolution Specialist(s)

Greenville, NC 27834

Posted: 07/11/2024 Employment Type: Temporary Industry: Outreach/Behavioral Health Job Number: 321 Pay Rate: $16.00/hour

Job Description

Remote - Claims Resolution Specialists needed, multiple openings! (Contract)


We are seeking a highly organized and detail-oriented individual to join an established behavioral health agency as a remote Claims Resolution Specialist (Contract). In this role, you will be the  point of contact regarding claim issues, providing exceptional support and ensuring a smooth claims experience.


  • Review and address claim issues received via phone, email, and a ticketing system.
  • Research and gather information related to claim denials and approvals.
  • Communicate resolutions and summaries of claim issues clearly and concisely to providers.
  • Log and track all contact with providers.
  • Assist the Claims Department with additional duties as needed.

Job Requirements


  • Previous experience in medical claims processing, including reviewing claims, denials, and member eligibility (preferred).
  • Excellent communication and interpersonal skills, both written and verbal.
  • Strong analytical and problem-solving abilities.
  • Ability to work independently and manage multiple tasks simultaneously.
  • Proficient in Microsoft Office Suite (Word, Excel, Outlook).
  • Prior experience with a claims management system is a plus.

** Candidates must live within the company's service area in Eastern, NC. ** 

Additional Information


  • Remote position.
  • Opportunity to contribute to a growing and dynamic organization.
  • Work in a mission-driven environment, supporting access to quality mental healthcare.

#claims #claimresolution #claimresearch #staffing 

Apply Online

Send an email reminder to:

Share This Job:

Related Jobs:

Login to save this search and get notified of similar positions.

About Greenville, NC

Explore exciting job opportunities in and around Greenville, North Carolina, where endless growth possibilities await! Nestled in the heart of Eastern North Carolina, Greenville boasts a charming blend of Southern hospitality and vibrant culture. From the stunning scenery of the River Park North and the artistic flair of the Greenville Museum of Art to the delicious Eastern-style BBQ and lively events at the Dowdy-Ficklen Stadium, this area has something for everyone. Consider launching your career here and be part of a community that values innovation, career advancement, and quality of life. Start your job search today and unlock a world of possibilities in Greenville, NC!