Correspondence Representative (Healthcare)

Location: Remote in Kentucky, United States; occasional travel to hirify.global offices may be required for training or meetings. Training and regular work follow Eastern Time business hours.

Salary: $40,000–$52,300 per year

Company

hirify.global is a U.S. healthcare and health insurance company serving members through hirify.global insurance and CenterWell healthcare services.

What you will do

• Research and resolve provider correspondence and disputes by reviewing claims, case details, documentation, and system information.
• Perform root-cause analysis and follow established processes to determine appropriate resolutions.
• Document case activity and generate required system-based correspondence.
• Route requests to internal departments when additional information or review is needed.
• Manage assigned case inventory while meeting productivity, accuracy, quality, and turnaround-time expectations.
• Participate in cross-training opportunities.

Requirements

• At least 1 year of healthcare claims experience.
• At least 2 years of customer service and/or administrative experience within the past 5 years.
• Proficiency with Microsoft Outlook for email communication.
• At least 1 year of technical experience using multiple system platforms and split screens simultaneously.
• Ability to work remotely from Kentucky and follow required Eastern Time schedules.
• During virtual training and required meetings, maintain a quiet dedicated workspace, be punctual, dress appropriately, and keep the camera on.

Nice to have

• Medicare and/or Medicaid experience.
• Familiarity with MHK, CAS, or CRM systems.
• Experience with provider reimbursement policy analysis and documentation.
• Knowledge of health insurance regulatory requirements and compliance standards.
• Microsoft Word and Excel experience, including formulas.

Culture & Benefits

• Full-time schedule of 40 hours per week.
• Virtual training lasting approximately 3–4 weeks, scheduled Monday–Friday from 8:00 AM to 4:30 PM EST, with possible extensions based on business needs.
• After training, flexibility to work any 8-hour shift between 6:00 AM and 6:30 PM EST, Monday–Friday; occasional weekends and overtime may be required.
• No time off is permitted during the first six weeks of initial training, and perfect attendance is expected during training and nesting.
• Home internet must provide at least 25 Mbps download and 10 Mbps upload speeds, with a dedicated workspace that protects member PHI and HIPAA information.
• Benefits include medical, dental and vision coverage, 401(k), paid time off, holidays, parental and caregiver leave, disability coverage, and life insurance.