Medical Claims Processor/Medical Claims Specialist

Job Title: Medical Claims Processor / Medical Claims Specialist Pay Rate: $23.00/hour Schedule: 11:30 AM – 8:00 PM Language Requirement: Bilingual–Spanish & English (Required) Location: Glastonbury CT 06033 (Not a remote position)Position Summary: We are currently seeking a detail-oriented, organized, and compassionate Medical Claims Processor / Medical Claims Specialist to join our growing team. This role requires fluency in both English and Spanish and the ability to thrive in a fast-paced environment. The ideal candidate will have strong analytical skills, a customer-focused mindset, and the ability to manage multiple priorities while maintaining accuracy and professionalism.Key Responsibilities:Process and adjust medical insurance claims in accordance with company policies and procedures Respond to incoming calls from clients and medical providers regarding payment statuses and claims Make outgoing calls to providers and insurance companies to follow up on outstanding items Interpret Explanation of Benefits (EOBs) and medical terminology Identify, research, and resolve claim issues, including documentation requests Promote teamwork and ensure service delivery standards are met Process medical payments and support client appeals processes Maintain accurate financial records and assist with batch processing Audit outgoing payments for accuracy and compliance Manage team workflow and call logs Assist high-utilization clients and suggest process improvements Perform additional administrative duties as assignedQualifications:Language: Must be bilingual in Spanish and English Education: Associate’s degree (A.A. / A.S.) preferred, or equivalent work experience Experience: 2–4 years in medical claims processing, billing, or insurance customer service Computer Skills: Proficiency with Microsoft Office, internet-based tools, and proprietary software Preferred: Experience with medical coding, billing, or claims processingSkills & Competencies:Strong communication and interpersonal skills Excellent attention to detail and ability to multitask Solid mathematical and reasoning abilities Ability to handle confidential information with integrity Comfortable working with diverse populations and high-volume workloadsCertifications:Medical billing/coding or insurance claims processing certification requiredIf you're passionate about healthcare administration and providing excellent support to patients and providers, we encourage you to apply today!As part of our promise to talent, Kelly supports those who work with us through a variety of benefits, perks, and work-related resources. Kelly offers eligible employees voluntary benefit plans including medical, dental, vision, telemedicine, term life, whole life, accident insurance, critical illness, a legal plan, and short-term disability. As a Kelly employee, you will have access to a retirement savings plan, service bonus and holiday pay plans (earn up to eight paid holidays per benefit year), and a transit spending account. In addition, employees are entitled to earn paid sick leave under the applicable state or local plan. Click here for more information on benefits and perks that may be available to you as a member of the Kelly Talent Community.Trust the office staffing pioneer.Finding the right job isn’t always easy. Kelly® Professional & Industrial takes the guesswork out of your job search by connecting you with great opportunities that work for you. That means your schedule, your interests, and your career plan. In fact, our company created the staffing industry with the goal of connecting people with great office jobs—so you could say we’re pretty good at it!About KellyWork changes everything. And at Kelly, we’re obsessed with where it can take you. To us, it’s about more than simply accepting your next job opportunity. It’s the fuel that powers every next step of your life. It’s the ripple effect that changes and improves everything for your family, your community, and the world. Which is why, here at Kelly, we are dedicated to providing you with limitless opportunities to enrich your life—just ask the 300,000 people we employ each year.Kelly is committed to providing equal employment opportunities to all qualified employees and applicants regardless of race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, age, marital status, pregnancy, genetic information, or any other legally protected status, and we take affirmative action to recruit, employ, and advance qualified individuals with disabilities and protected veterans in the workforce. Requests for accommodation related to our application process can be directed to the Kelly Human Resource Knowledge Center. Kelly complies with the requirements of California’s state and local Fair Chance laws. A conviction does not automatically bar individuals from employment. Kelly participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.

Created: 2025-07-08