Home › Companies › Hirehoratiocx › Claims Specialist - Healthcare (SDQ)
Claims Specialist - Healthcare (SDQ)
Hirehoratiocx · Distrito Nacional, Santo Domingo, 10128 · Active · JazzHR / ApplyToJob
Job facts
| Field | Value |
|---|---|
| Company | Hirehoratiocx |
| Title | Claims Specialist - Healthcare (SDQ) |
| Normalized title | - |
| Department / team | - |
| Location | Distrito Nacional, Santo Domingo, 10128 |
| Work model | - |
| Employment type | Full Time |
| Salary | - |
| Status | active |
| ATS provider | JazzHR / ApplyToJob |
| Posted / first seen | 2026-03-18 / 2026-05-30 |
| Changed / last seen | 2026-05-30 / 2026-06-06 |
Related slices
| Page | What it contains | Open |
|---|---|---|
| Company jobs | Active postings from Hirehoratiocx. | Open |
| Company breakdowns | Role, location, ATS, and work model facets for this company. | Open |
| ATS provider jobs | Active postings observed through JazzHR / ApplyToJob. | Open |
| Provider filtered search | The same provider as a filtered job collection. | Open |
| Lifecycle events | Open, update, close, and reopen events for this posting. | Open |
| Original posting | Canonical source or apply URL captured from the ATS. | Open |
Linked records
| Company | Hirehoratiocx |
| Source | e3a0f67d-1afe-4d8c-9676-bd3acf0a67fd |
| ATS provider | JazzHR / 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 ID | 3ce45fc867c3edaf9c47263927990f3a5d9448ed |
| Org ID | 14d060df-9f95-4f76-b5a9-1192193d5776 |
| Source ID | e3a0f67d-1afe-4d8c-9676-bd3acf0a67fd |
| Board ID | e3a0f67d-1afe-4d8c-9676-bd3acf0a67fd |
| Provider | jazzhr |
| Provider Job Key | iRCuxUc7d3 |
| Title | Claims Specialist - Healthcare (SDQ) |
| Normalized Title | — |
| Status | active |
| Active | yes |
| Location Text | Distrito Nacional, Santo Domingo, 10128 |
| Department | — |
| Team | — |
| Employment Type | full_time |
| Workplace Type | — |
| Remote Policy | — |
| Country | — |
| Region | — |
| City | — |
| Salary Raw | — |
| Salary Min | — |
| Salary Max | — |
| Salary Currency | — |
| Salary Period | — |
| Source URL | https://hirehoratiocx.applytojob.com/apply/iRCuxUc7d3/Claims-Specialist-Healthcare-SDQ |
| Apply URL | https://hirehoratiocx.applytojob.com/apply/iRCuxUc7d3/Claims-Specialist-Healthcare-SDQ |
| First Seen At | 2026-05-30 06:08:21Z |
| Last Seen At | 2026-06-06 10:52:39Z |
| Last Checked At | 2026-06-06 10:52:39Z |
| Last Changed At | 2026-05-30 06:08:21Z |
| Inactive At | — |
| Source Posted At | 2026-03-18 00:00:00Z |
| Source Updated At | — |
| Raw Payload Uri | s3://job-postings-prod-raw-590183727216/raw/provider=jazzhr/board=hirehoratiocx/date=2026-06-06/2026-06-06T10-52-36-703Z-2994cc985fa4b38b294eac9b2a6ff33533756b924bd783a547c8b2aa17834331.json |
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"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",
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"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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"addressRegion": "Santo Domingo",
"addressLocality": "Distrito Nacional"
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"validThrough": "2026-06-16",
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"logo": "https://s3.amazonaws.com/resumator/customer_20211015160724_EPMX9TW8G2ML2KOS/logos/20211130082022_Group.png",
"name": "Hire Horatio CX",
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},
"list_job": {
"id": "iRCuxUc7d3",
"title": "Claims Specialist - Healthcare (SDQ)",
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"detail_errors": []
}Get this page with API
Rendered from the bluedoor Job Postings API. Reproduce it:
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