Bilingual Medical Claims Processor

Bilingual Medical Claims Processor / Medical Claims Specialist Location: Glastonbury, CT 06033 (On-site) Schedule: Monday–Friday | 11:30 AM – 8:00 PM Pay Rate: $24.00/hour (Based on experience) Language Requirement: Bilingual – Spanish & English (Required) We are seeking a detail-oriented, organized, and compassionate Bilingual Medical Claims Processor / Medical Claims Specialist to join our growing team in Glastonbury, CT. This role is ideal for a professional who thrives in a fast-paced healthcare environment, demonstrates strong analytical abilities, and is committed to delivering exceptional service to patients, providers, and clients. Fluency in both Spanish and English is required to effectively support our diverse client base. Key Responsibilities Process and adjust medical insurance claims in accordance with company policies and industry regulations Review and interpret Explanation of Benefits (EOBs) and medical terminology Research, identify, and resolve claim discrepancies, including documentation requests Respond to inbound calls from clients and medical providers regarding claim status and payments Place outbound calls to providers and insurance companies to follow up on outstanding claims Process medical payments and assist with client appeals Maintain accurate financial records and assist with batch processing Audit outgoing payments to ensure accuracy and compliance Monitor workflow, manage call logs, and support team productivity Assist high-utilization clients and recommend process improvements Perform additional administrative and operational duties as assigned Qualifications Language: Fluent in Spanish and English (Required) Education: Associate’s degree (A.A. or A.S.) preferred, or equivalent relevant experience Experience: 2–4 years of experience in medical claims processing, medical billing, or insurance customer service Technical Skills: Proficiency in Microsoft Office, internet-based systems, and claims management software Preferred: Experience with medical coding, billing procedures, or insurance claims processing Skills & Competencies Strong verbal and written communication skills Exceptional attention to detail and accuracy Ability to manage multiple priorities in a high-volume environment Solid mathematical and analytical skills High level of professionalism and confidentiality Ability to work effectively with diverse populations Team-oriented with a proactive, solution-driven mindset Certifications Medical billing/coding or insurance claims processing certification (Required) 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. #J-18808-Ljbffr Kelly