Job Summary:

The Elite Job is seeking a detail-oriented, highly organized, and compassionate Remote Medical Claims Support Specialist to join our dynamic virtual healthcare team. In this role, you will be the bridge between patients, healthcare providers, and insurance companies—ensuring that medical claims are processed accurately and efficiently. This is a fully remote opportunity tailored for professionals based in Canada who are passionate about delivering exceptional back-end healthcare support in a fast-paced, people-first environment.

Key Responsibilities:

• Review, verify, and process medical insurance claims submitted by healthcare providers and patients.

• Communicate with insurance companies to resolve discrepancies, denials, or pending claims.

• Maintain accurate and up-to-date patient and claim records using secure digital platforms.

• Liaise with healthcare providers and internal teams to ensure proper coding and documentation.

• Follow up on unpaid claims and initiate appeals when necessary.

• Handle patient inquiries regarding claim status, coverage, and billing issues.

• Maintain compliance with HIPAA regulations and other privacy policies.

• Generate reports for supervisors and collaborate on improving claims processing systems.

Required Skills and Qualifications:

• Strong understanding of medical terminology, insurance coding (ICD-10, CPT, HCPCS), and claims processing.

• Proficiency with electronic medical records (EMRs), billing software, and Microsoft Office Suite.

• Excellent verbal and written communication skills.

• Ability to multitask, prioritize tasks, and manage time effectively in a remote environment.

• High attention to detail and accuracy in data entry.

Experience:

• Minimum of 2 years of experience in medical billing, claims processing, or a related healthcare administrative role.

• Experience working remotely or in a virtual team is a plus.

• Familiarity with Canadian healthcare systems and private insurance practices preferred.

Working Hours:

• Monday to Friday, 9:00 AM to 5:00 PM (Eastern Standard Time)

• Flexible scheduling available upon request

• Occasional overtime may be required during peak periods

Knowledge, Skills, and Abilities:

• In-depth knowledge of Canadian health insurance processes (OHIP, MSP, private plans)

• Problem-solving mindset and critical thinking skills

• Ability to maintain confidentiality and professionalism

• Self-motivated and disciplined with a high degree of independence

• Strong organizational and documentation skills

Benefits:

• Competitive salary with performance-based bonuses

• Fully remote position with all necessary equipment provided

• Comprehensive health and dental insurance

• Paid time off, including vacation, sick days, and personal wellness days

• Ongoing training and professional development opportunities

• Supportive and inclusive virtual work culture

Why Join The Elite Job?

At The Elite Job, we believe in empowering professionals to thrive from anywhere. We are redefining how healthcare support services are delivered—remotely, efficiently, and compassionately. By joining our team, you become part of a forward-thinking, employee-first organization that values integrity, collaboration, and work-life balance. We invest in your growth and well-being because we believe happy employees create the best results.

How to Apply:

If you are passionate about healthcare support and want to make a meaningful impact from the comfort of your home, we want to hear from you!

➡️ Please submit your resume and a brief cover letter highlighting your relevant experience to us with the subject line: Remote Medical Claims Support – Application (Your Name)

Applications are reviewed on a rolling basis. Apply early to secure your spot!