If you’re detail obsessed, good with numbers, and want a real work-from-home role that isn’t customer-facing all day, this one fits. As a Sr Reconciliation Representative with American Specialty Health, you’ll be the one making sure claim payments actually match what health plans say they’re paying.
About American Specialty Health
American Specialty Health (ASH) is a national health services company focused on helping people live healthier, longer lives. They partner with health plans, employers, and practitioners to deliver specialty health, fitness, and wellness programs across the country. Their claims and reconciliation teams help keep the money side clean and accurate so providers get paid correctly and programs run smoothly.
Schedule
- Remote, work-from-home role within the United States
- Full time position at $17/hour
- Company-provided technology and fully remote training
- Requires stable high-speed internet (minimum 50 Mbps download and 50 Mbps upload)
- Standard weekday schedule with production and quality targets set by the department
What You’ll Do
• Reconcile, research, and resolve 2-step claims and payments from health plan payors, including complex cases
• Manually reconcile claims from paper EOBs and spreadsheets to ensure accurate payment
• Call health plans to check claim status, resolve underpayments or incorrect denials, and request reprocessing when needed
• Use health plan and TPA websites to verify claim status, payment, and denials
• Work claims from department reports (aged, 14-day, unreconciled, rejected, etc.) and clear them within expectations
• Document all work clearly in internal systems (IHIS) and spreadsheets, including notes on findings and actions taken
• Flag trends in invalid denials and issues from TPAs or health plans to supervisors
• Review and respond to ASHCore logs within 48 hours of assignment
• Meet or exceed production and quality standards while maintaining strict confidentiality of all claim information
• Support the broader Claims Department with routine duties and special projects as assigned
What You Need
• High school diploma or GED
• Around 2 years of experience with claims processing, computer/typing/10-key and phone-based work preferred
• Familiarity with managed care concepts and health plan provisions (HMO, PPO, etc.)
• Basic knowledge of Microsoft Word and Excel
• Strong listening, communication, and documentation skills
• Ability to analyze information, spot issues, and recommend solutions
• Solid organization and time management skills with the ability to prioritize in a busy, changing environment
• Comfort working independently while still being a cooperative team player
• Commitment to strict confidentiality and professionalism
Benefits
• $17/hour in a fully remote, work-from-home role
• Company-provided equipment and remote training
• Hands-on experience in claims, reconciliation, and health plan operations
• Opportunity to grow into more advanced claims, analytics, or revenue cycle roles over time
Roles like this that mix remote work, steady pay, and real back-office healthcare experience get a lot of attention—don’t overthink it.
If you’re ready to put your focus and problem-solving skills to work making sure the numbers add up, this is your lane.
Happy Hunting,
~Two Chicks…