Claims Specialist

Location: Fully remote; work from a home office or other suitable remote location with reliable high-speed internet.

Salary: $34–$37 USD

Company

hirify.global is a genomics and diagnostic laboratory company focused on helping patients receive diagnoses earlier and live healthier lives.

What you will do

• Prepare, review, and submit claims for diagnostic laboratory services to commercial and government payers.
• Analyze denied claims, identify root causes, and manage appeals and resubmissions.
• Follow up on outstanding claims, monitor aging reports, and communicate with payers to expedite payment.
• Maintain accurate claim status, correspondence, and payer response records in the billing system.
• Collaborate with prior authorization, billing, and reimbursement teams on complex claims and revenue cycle initiatives.
• Generate claims performance reports and identify trends and process improvement opportunities.

Requirements

• 2+ years of experience in medical claims processing, preferably in a diagnostic laboratory or healthcare setting.
• Strong knowledge of insurance billing, payer requirements, and denial management.
• Familiarity with laboratory coding, including CPT and ICD-10, EOBs, and remittance advice.
• Proficiency with billing software and Microsoft Office Suite.
• Excellent attention to detail, organizational, and communication skills.
• Associate’s or bachelor’s degree in healthcare administration, business, or a related field preferred.

Culture & Benefits

• Fully remote work using standard computer, phone, and video conferencing equipment.
• Standard working hours will be established with the leader and may change with business needs.
• Work in a fast-moving environment focused on teamwork, ownership, continuous improvement, and meaningful patient impact.
• Competitive compensation and benefits reflecting local market practices and legal requirements in each country where the company operates.
• Reasonable accommodations are available for individuals with disabilities.