Claim specialist Jobs in San Francisco, CA

Position: (Contract) Foundation Specialist
Employment Type: Contract, 6 months with possibility of extension
Employer: Kelly OCG, Managed Service Provider
Location: Remote, U.S.-based, from an approved work location (Must be within 100 miles of Columbus, OH; Orlando, FL; or Kansas City, MO)
Pay Range: $27 to $33 per hour

Work Location & Training Requirements: This is a remote position with no regular on-site work required and must be performed from an approved U.S.-based work location. Initial training and onboarding may require up to one week of travel, which will be communicated in advance.

Remote Work & Compliance Requirements: Must maintain a dedicated, distraction-free remote workspace with a closing door, separated from common living areas. A high-speed, reliable internet connection is required for all job duties. Ensure all phone conversations involving Protected Health Information (PHI) are private and that computer screens are not visible to unauthorized individuals. All work must be conducted exclusively through the corporate VPN, and local data downloads, unapproved caching, or local tokenization of sensitive records is strictly prohibited. Full compliance with HIPAA, Sensitive Personal Information (SPI) consent governance, and all regional data privacy laws is required at all times.

Position Overview: The Foundation Specialist evaluates patient eligibility for foundation program support and coordinates shipments of products to patients within program guidelines. This role is an individual contributor who reports to a senior supervisor.

Key Accountabilities: Learn and apply aspects of reimbursement including benefit investigations, payer policies, and applicable regulatory and administrative rules. Exhibit exceptional attention to detail, critical thinking, and analytical skills with proven ability to communicate effectively in both written and verbal formats. Solve problems under pressure, prioritize tasks, and provide excellent customer service. Work collaboratively within a team, responsibly delegate next steps, and demonstrate effective leadership. Follow written Standard Operating Procedures, manage change, apply technical expertise, and focus on achieving results while ensuring effective communication and teamwork. Support program awareness activities as needed, including sharing approved information about foundation resources, processes, and patient support pathways through various communication methods. Be prepared for periodic mandatory overtime, including weekends, during peak referral seasons or unexpected surges.

Qualifications: Bachelor’s degree is preferred; a minimum of three years reimbursement experience is preferred. The expected salary range for this position is $27 to $33 per hour; actual pay will be determined based on experience, qualifications, geographic location, and other job-related factors permitted by law.

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.

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About Kelly

Work 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.

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