Claim Technician

HCSC Group; Houston (TX); Hybrid; USD 25,000 - 36,000; Full time

Job summary

HCSC in Houston, TX is seeking a claims processor to handle complex medical claims under supervision, coordinating benefits and resolving pended claims.

Starting on-site in our Houston office, after 7 weeks of training the role will move to a work-from-home arrangement with a Mon-Fri schedule from 8:00 am to 4:30 pm. Sponsorship is not available for this role. Compensation ranges from $17.75 to $26.17 per hour, depending on skills, experience and location.

Qualifications

• High School diploma or GED is required.
• Data entry and typing experience is required.
• Clear and concise written and verbal communication skills are essential.
• Experience processing medical claims is preferred.

Responsibilities

• Under supervision, processes complex medical claims requiring further investigation.
• Coordinates benefits and resolves pended claims as part of the workflow.

Skills

Data entry

Medical claims processing

Communication skills

Typing

Education

High School diploma or GED

Tools

Blue Chip system

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:

• Must have trained on the six-eight-week Blue Chip claims processing system or have the ability to fully complete the six-eight-week Blue Chip Training class.
• Knowledge of medical terminology and CPT, HCPCS, and ICD9 coding.
• Knowledge of coordination of benefits principles and terminology.
• Experience with multi-tasking and prioritizing.

This role will start onsite in our Houston, TX office. After 7 weeks of training, the role will move to work from home. The work schedule will fall within Monday – Friday, 8:00 am-4:30 pm.

Sponsorship is not available for this role.

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. We are a drug-free and smoke-free workplace. Employment may be contingent upon successful completion of drug screening in accordance with applicable law.