Healthcare Claims Specialist

Cobalt Benefits Group, LLC (DBA: Blue Benefit Administrators, CBA Blue & EBPA)

Healthcare Claims Specialist responsible for auditing and reviewing claims for healthcare benefits. Collaborating with clients and providers to address refund inquiries and resolve claim issues.

Posted 5/8/2026full-timeRemote • Texas • 🇺🇸 United StatesJunior💰 $21 - $22 per hourWebsite

About the role

Key responsibilities & impact

Audit, review, and adjust medical, dental, and flexible spending accounts and Health Reimbursement Account claims.
Review, apply and create refund letters for all lines of business to members and providers.
Reprocess payments when necessary.
Communicate with members, providers, employer group contacts, and other inquirers pertaining to specific refund questions.
Review plan documents for various groups to research and resolve claim processing questions and issues.
Act with urgency to respond to inquiries regarding refund request status-including research and resolution regarding outstanding request.
Perform other related duties, as assigned.

Requirements

What you’ll need

6 months’ experience in healthcare or insurance industry with respect to operations support, including provider maintenance, billing, coding, or customer support.
Experience in health care billing or a background with a health insurance carrier or Third-Party Administrator strongly desired.
Solid time-management skills, with the ability to prioritize multiple tasks, while working with a sense of urgency.
Strong interpersonal skills with excellent verbal and written communication skills.
Basic keyboard and Windows based computer skills required.
Familiarity with Microsoft Excel.
Eager to learn the TPA industry and new concepts and processes.

Benefits

Comp & perks

Website
LinkedIn
All Job Openings
51 - 200 employees
Who We Are:

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

healthcare billingclaim processingprovider maintenancecodingcustomer supportrefund processingtime management

Soft Skills

interpersonal skillsverbal communicationwritten communicationurgencyprioritization