Zohorecruit in Barranquilla, Colombia seeks an Out-of-Network Medical Claims Specialist to manage and resolve commercial OON claims. The role requires high-volume phone outreach to payers, meticulous EMR documentation, and timely escalation of denials. This is an on-site position in Barranquilla, Colombia.
Responsibilities include 75 claims per day, direct payer contact, denial tracking and escalations, precise data entry, and medical records assembly with internal reviews and consent.