[Hiring] A/R Claims Specialist REMOTE USA
Position: A/R Claims Specialist
Date Posted: September 24, 2025
Industry: Health & Wellness / Finance / Administrative Services
Employment Type: Full Time
Experience: Minimum 2 years administrative office experience
Qualification: Associate degree or equivalent combination of education and experience
Location: Frisco, United States, REMOTE
Company: Careington International Corporation
Description:
Careington International Corporation
A/R Claims Specialist
Frisco, TX — About the job
Careington International Corporation has been a leader in the health and wellness benefits sector for over 45 years. Founded in 1979, the company initially focused on dental discount solutions and has since expanded to provide over 150 health, wellness, lifestyle, and virtual health products and services. Through its affiliated, nationally licensed third-party administrator (TPA), Careington delivers comprehensive administrative services, including customer service, licensed enrollment, claims administration, and individual and group billing.
Duties and Responsibilities
- Submit requests for funds (RFFs) for clients according to schedule or delivery requirements
- Submit client invoices promptly and accurately
- Collaborate with Finance to reconcile client funding accounts
- Provide low-balance client account information to the Account Management team
- Assist with voids, refunds, and recoupments from overpaid claims
- Support resolution of escalated DOI, OIG, OIC, and BBB complaints and appeals
- Process first submission claims that require re-adjudication
Required Qualifications, Experience, and Skills
- Advanced computer skills with proficiency in MS Office applications including Adobe, Excel, Word, and Outlook
- Prior Accounts Receivable experience
- Minimum of 2 years of administrative office experience
Preferred Qualifications
- Associate degree or equivalent combination of education and experience
- Background in claims processing
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