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HomeCompaniesHirehoratiocxClaims Specialist - Healthcare (SDQ)

Claims Specialist - Healthcare (SDQ)

Hirehoratiocx · Distrito Nacional, Santo Domingo, 10128 · Active · JazzHR / ApplyToJob

Job facts

FieldValue
CompanyHirehoratiocx
TitleClaims Specialist - Healthcare (SDQ)
Normalized title-
Department / team-
LocationDistrito Nacional, Santo Domingo, 10128
Work model-
Employment typeFull Time
Salary-
Statusactive
ATS providerJazzHR / ApplyToJob
Posted / first seen2026-03-18 / 2026-05-30
Changed / last seen2026-05-30 / 2026-06-06

Related slices

PageWhat it containsOpen
Company jobsActive postings from Hirehoratiocx.Open
Company breakdownsRole, location, ATS, and work model facets for this company.Open
ATS provider jobsActive postings observed through JazzHR / ApplyToJob.Open
Provider filtered searchThe same provider as a filtered job collection.Open
Lifecycle eventsOpen, update, close, and reopen events for this posting.Open
Original postingCanonical source or apply URL captured from the ATS.Open

Linked records

CompanyHirehoratiocx
Sourcee3a0f67d-1afe-4d8c-9676-bd3acf0a67fd
ATS providerJazzHR / ApplyToJob

Description

Position Summary: Horatio is hiring RCM Specialists to manage post-submission healthcare claims for a U.S. organization. Operating within the CandidHealth platform, you will execute SOP-driven workflows, including denial management, appeals, and prior authorizations to ensure timely revenue recovery. This role requires close attention to detail and expertise in healthcare insurance workflows. Responsibilities: Conduct outbound calls to payers to investigate and resolve claim denials. Maintain precise call notes and claim updates within CandidHealth. Retrieve medical records and upload them to payer portals like UHC, Optum, and Availity. Process claim appeals following strict client SOPs and track progress to completion. Identify authorization issues on denied claims and coordinate required documentation for approval. Process claim appeals following strict client SOPs and track progress to completion. Identify authorization issues on denied claims and coordinate required documentation for approval. Required Skills/Abilities: 1–3 years in Healthcare RCM or medical billing.  Experience working with insurance claims, denials, or appeals workflows Fluent English (C1 level preferred) with strong payer outreach skills. Ability to thrive in high-volume, queue-based, and SOP-driven environments.  Attention to detail and documentation accuracy Familiarity with RCM platforms (CandidHealth preferred) and payer portals. Knowledge of HIPAA and healthcare data privacy. Benefits:  Insurance under ARS Humano Royal Plan (Option to upgrade to Max Royal Plan) Free snacks every day Free catered lunch every day Free catered dinner (for those on night shifts) Door-to-door transportation after 9:00 PM Happy hour on Fridays Holiday parties! An amazing, unique office environment (no cubes, no assigned workstations!) Growth and development opportunities (the most in the industry!) Professional development courses by leading business schools like Barna Yoga and workout classes Community service opportunities (#HoratioCares) Discounts at local restaurants and stores

Full job record

Job ID3ce45fc867c3edaf9c47263927990f3a5d9448ed
Org ID14d060df-9f95-4f76-b5a9-1192193d5776
Source IDe3a0f67d-1afe-4d8c-9676-bd3acf0a67fd
Board IDe3a0f67d-1afe-4d8c-9676-bd3acf0a67fd
Providerjazzhr
Provider Job KeyiRCuxUc7d3
TitleClaims Specialist - Healthcare (SDQ)
Normalized Title
Statusactive
Activeyes
Location TextDistrito Nacional, Santo Domingo, 10128
Department
Team
Employment Typefull_time
Workplace Type
Remote Policy
Country
Region
City
Salary Raw
Salary Min
Salary Max
Salary Currency
Salary Period
Source URLhttps://hirehoratiocx.applytojob.com/apply/iRCuxUc7d3/Claims-Specialist-Healthcare-SDQ
Apply URLhttps://hirehoratiocx.applytojob.com/apply/iRCuxUc7d3/Claims-Specialist-Healthcare-SDQ
First Seen At2026-05-30 06:08:21Z
Last Seen At2026-06-06 10:52:39Z
Last Checked At2026-06-06 10:52:39Z
Last Changed At2026-05-30 06:08:21Z
Inactive At
Source Posted At2026-03-18 00:00:00Z
Source Updated At
Raw Payload Uris3://job-postings-prod-raw-590183727216/raw/provider=jazzhr/board=hirehoratiocx/date=2026-06-06/2026-06-06T10-52-36-703Z-2994cc985fa4b38b294eac9b2a6ff33533756b924bd783a547c8b2aa17834331.json
Event Fields
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  "source_hash": "68d87921db6a553de92991b04e62ab99383d4c890151b824370716d58160a7fb",
  "last_changed_at": "2026-05-30T06:08:21.780Z",
  "active_status": "active"
}
Parsed Structured
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    "region": null,
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    "confidence": 0.8
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  "salary_max": null,
  "salary_min": null,
  "inferred_at": "2026-06-06T10:52:39.024Z",
  "launch_scope": {
    "reason": "jazzhr_production_catalog",
    "included": true,
    "location": {
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}
Extensions
{}
Native Structured
{
  "detail": {
    "url": "https://hirehoratiocx.applytojob.com/apply/jobs/details/iRCuxUc7d3?&",
    "heading": "Claims Specialist - Healthcare (SDQ)",
    "html_title": "JazzHR » Job Listings",
    "canonical_url": "https://hirehoratiocx.applytojob.com/apply/iRCuxUc7d3/Claims-Specialist-Healthcare-SDQ",
    "description_html": " <p style=\"line-height:1.38;margin-top:16px;margin-bottom:16px;\"><span style=\"font-size:16px;\"><u><span style=\"font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:700;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Position Summary:</span></span></span></span></span></span></u></span></p><p style=\"line-height:1.38;margin-top:16px;margin-bottom:16px;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Horatio is hiring RCM Specialists to manage post-submission healthcare claims for a U.S. organization. Operating within the CandidHealth platform, you will execute SOP-driven workflows, including denial management, appeals, and prior authorizations to ensure timely revenue recovery. This role requires close attention to detail and expertise in healthcare insurance workflows.</span></span></span></span></span></span></p><h3 style=\"line-height:1.38;margin-top:19px;margin-bottom:5px;\"><span style=\"font-size:16px;\"><u><span style=\"font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:700;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Responsibilities:</span></span></span></span></span></span></u></span></h3><ul><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Conduct outbound calls to payers to investigate and resolve claim denials.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Maintain precise call notes and claim updates within CandidHealth.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Retrieve medical records and upload them to payer portals like UHC, Optum, and Availity.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Process claim appeals following strict client SOPs and track progress to completion.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Identify authorization issues on denied claims and coordinate required documentation for approval.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Process claim appeals following strict client SOPs and track progress to completion.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Identify authorization issues on denied claims and coordinate required documentation for approval.</span></span></span></span></span></span></li></ul><h3 style=\"line-height:1.38;margin-top:19px;margin-bottom:5px;\"><span style=\"font-size:16px;\"><u><span style=\"font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:700;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Required Skills/Abilities:</span></span></span></span></span></span></u></span></h3><ul><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">1–3 years in Healthcare RCM or medical billing.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\"> Experience working with insurance claims, denials, or appeals workflows</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Fluent English (C1 level preferred) with strong payer outreach skills.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Ability to thrive in high-volume, queue-based, and SOP-driven environments.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\"> Attention to detail and documentation accuracy</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Familiarity with RCM platforms (CandidHealth preferred) and payer portals.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Knowledge of HIPAA and healthcare data privacy.</span></span></span></span></span></span></li></ul><h3 style=\"line-height:1.656;text-align:justify;margin-top:19px;margin-bottom:5px;\"><span style=\"font-size:16px;\"><span style=\"font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:700;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:underline;\"><span>Benefits: </span></span></span></span></span></span></span></span></h3><ul><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Insurance under ARS Humano Royal Plan (Option to upgrade to Max Royal Plan)</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Free snacks every day</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Free catered lunch every day</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Free catered dinner (for those on night shifts)</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Door-to-door transportation after 9:00 PM</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Happy hour on Fridays</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Holiday parties!</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">An amazing, unique office environment (no cubes, no assigned workstations!)</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Growth and development opportunities (the most in the industry!)</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Professional development courses by leading business schools like Barna</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Yoga and workout classes</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Community service opportunities (#HoratioCares)</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Discounts at local restaurants and stores</span></span></span></span></span></span></li></ul>",
    "description_text": "Position Summary:\n Horatio is hiring RCM Specialists to manage post-submission healthcare claims for a U.S. organization. Operating within the CandidHealth platform, you will execute SOP-driven workflows, including denial management, appeals, and prior authorizations to ensure timely revenue recovery. This role requires close attention to detail and expertise in healthcare insurance workflows.\n Responsibilities:\n Conduct outbound calls to payers to investigate and resolve claim denials.\n Maintain precise call notes and claim updates within CandidHealth.\n Retrieve medical records and upload them to payer portals like UHC, Optum, and Availity.\n Process claim appeals following strict client SOPs and track progress to completion.\n Identify authorization issues on denied claims and coordinate required documentation for approval.\n Process claim appeals following strict client SOPs and track progress to completion.\n Identify authorization issues on denied claims and coordinate required documentation for approval.\n Required Skills/Abilities:\n 1–3 years in Healthcare RCM or medical billing.\n  Experience working with insurance claims, denials, or appeals workflows\n Fluent English (C1 level preferred) with strong payer outreach skills.\n Ability to thrive in high-volume, queue-based, and SOP-driven environments.\n  Attention to detail and documentation accuracy\n Familiarity with RCM platforms (CandidHealth preferred) and payer portals.\n Knowledge of HIPAA and healthcare data privacy.\n Benefits:\n Insurance under ARS Humano Royal Plan (Option to upgrade to Max Royal Plan)\n Free snacks every day\n Free catered lunch every day\n Free catered dinner (for those on night shifts)\n Door-to-door transportation after 9:00 PM\n Happy hour on Fridays\n Holiday parties!\n An amazing, unique office environment (no cubes, no assigned workstations!)\n Growth and development opportunities (the most in the industry!)\n Professional development courses by leading business schools like Barna\n Yoga and workout classes\n Community service opportunities (#HoratioCares)\n Discounts at local restaurants and stores",
    "jsonld_jobposting": {
      "url": "https://hirehoratiocx.applytojob.com/apply/iRCuxUc7d3/Claims-Specialist-Healthcare-SDQ",
      "@type": "JobPosting",
      "title": "Claims Specialist - Healthcare (SDQ)",
      "@context": "http://schema.org/",
      "datePosted": "2026-03-18",
      "description": " <p style=\"line-height:1.38;margin-top:16px;margin-bottom:16px;\"><span style=\"font-size:16px;\"><u><span style=\"font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:700;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Position Summary:</span></span></span></span></span></span></u></span></p><p style=\"line-height:1.38;margin-top:16px;margin-bottom:16px;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Horatio is hiring RCM Specialists to manage post-submission healthcare claims for a U.S. organization. Operating within the CandidHealth platform, you will execute SOP-driven workflows, including denial management, appeals, and prior authorizations to ensure timely revenue recovery. This role requires close attention to detail and expertise in healthcare insurance workflows.</span></span></span></span></span></span></p><h3 style=\"line-height:1.38;margin-top:19px;margin-bottom:5px;\"><span style=\"font-size:16px;\"><u><span style=\"font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:700;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Responsibilities:</span></span></span></span></span></span></u></span></h3><ul><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Conduct outbound calls to payers to investigate and resolve claim denials.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Maintain precise call notes and claim updates within CandidHealth.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Retrieve medical records and upload them to payer portals like UHC, Optum, and Availity.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Process claim appeals following strict client SOPs and track progress to completion.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Identify authorization issues on denied claims and coordinate required documentation for approval.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Process claim appeals following strict client SOPs and track progress to completion.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Identify authorization issues on denied claims and coordinate required documentation for approval.</span></span></span></span></span></span></li></ul><h3 style=\"line-height:1.38;margin-top:19px;margin-bottom:5px;\"><span style=\"font-size:16px;\"><u><span style=\"font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:700;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Required Skills/Abilities:</span></span></span></span></span></span></u></span></h3><ul><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">1–3 years in Healthcare RCM or medical billing.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\"> Experience working with insurance claims, denials, or appeals workflows</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Fluent English (C1 level preferred) with strong payer outreach skills.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Ability to thrive in high-volume, queue-based, and SOP-driven environments.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\"> Attention to detail and documentation accuracy</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Familiarity with RCM platforms (CandidHealth preferred) and payer portals.</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Knowledge of HIPAA and healthcare data privacy.</span></span></span></span></span></span></li></ul><h3 style=\"line-height:1.656;text-align:justify;margin-top:19px;margin-bottom:5px;\"><span style=\"font-size:16px;\"><span style=\"font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:700;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:underline;\"><span>Benefits: </span></span></span></span></span></span></span></span></h3><ul><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Insurance under ARS Humano Royal Plan (Option to upgrade to Max Royal Plan)</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Free snacks every day</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Free catered lunch every day</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Free catered dinner (for those on night shifts)</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Door-to-door transportation after 9:00 PM</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Happy hour on Fridays</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Holiday parties!</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">An amazing, unique office environment (no cubes, no assigned workstations!)</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Growth and development opportunities (the most in the industry!)</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Professional development courses by leading business schools like Barna</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Yoga and workout classes</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Community service opportunities (#HoratioCares)</span></span></span></span></span></span></li><li style=\"list-style-type:disc;\"><span style=\"font-size:10.5pt;font-variant:normal;white-space:pre-wrap;\"><span style=\"font-family:Poppins, sans-serif;\"><span style=\"color:#073763;\"><span style=\"font-weight:400;\"><span style=\"font-style:normal;\"><span style=\"text-decoration:none;\">Discounts at local restaurants and stores</span></span></span></span></span></span></li></ul>",
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          "@type": "PostalAddress",
          "postalCode": "10128",
          "addressRegion": "Santo Domingo",
          "addressLocality": "Distrito Nacional"
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      },
      "validThrough": "2026-06-16",
      "uniqueJobCode": "job_20260318170929_BIQ6CBXSARUJBL2R",
      "employmentType": "FULL_TIME",
      "hiringOrganization": {
        "logo": "https://s3.amazonaws.com/resumator/customer_20211015160724_EPMX9TW8G2ML2KOS/logos/20211130082022_Group.png",
        "name": "Hire Horatio CX",
        "@type": "Organization",
        "sameAs": "https://www.hirehoratio.com/"
      },
      "experienceRequirements": "Experienced"
    }
  },
  "list_job": {
    "id": "iRCuxUc7d3",
    "title": "Claims Specialist - Healthcare (SDQ)",
    "detailUrl": "https://hirehoratiocx.applytojob.com/apply/jobs/details/iRCuxUc7d3?&"
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