Claim Technician

Customer Service; Albuquerque (NM); On-site; USD 50,861,000 - 74,988,000; Full time

Job summary

HCSC in Albuquerque, NM is seeking a claims processing specialist to handle complex medical claims, including coordination of benefits and resolving pended claims. The role emphasizes accuracy, timely processing, and clear communication with providers and members.

Ideal candidates will have a high school diploma, data entry or typing experience, and prior experience processing medical claims; knowledge of CPT/HCPCS coding is a plus and commitment to equal opportunity employment.

Qualifications

• High School diploma or GED.
• Data entry and/or typing experience.
• Clear and concise written and verbal communication skills.
• Experience processing medical claims.

Responsibilities

• Processing complex claims requiring investigation, including coordination of benefits and resolving pended claims.

Skills

Data entry

Typing

Communication skills

Experience processing medical claims

Education

High School diploma or GED

Job description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Under Supervision, This Position Is Responsible For Processing Complex Claims Requiring Further Investigation, Including Coordination Of Benefits And Resolving Pended Claims.

Required Job Qualifications:

• High School diploma or GED.
• Data entry and/or typing experience.
• Clear and concise written and verbal communication skills.
• Experience processing medical claims.

Preferred Job Qualifications:

• Referral preference given to applicants able to take and meet testing criteria.
• Knowledge of medical terminology and CPT, HCPCS, and ICD9 coding.
• Knowledge of coordination of benefits principles and terminology.
• Experience with multi-tasking and prioritizing.

Must Reside in New Mexico

Preference in filling vacancies is given to qualified Indian candidates in accordance with the Indian Preference Act of 1934 (title 25, USC Section 472)

Native American Indian Preference shall apply to this position pursuant to the Indian Self-Determination and Education Assistance Act (24 U.S.C. 450, et seq.), 25 CFR 271.44 and other relevant laws (title 25, U.S. code, Section 472 & 473)

Compensation: $17.75 - $26.17

Exact compensation may vary based on skills, experience, and location

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.