Claims Specialist

Location: Remote

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