Claim Technician

hcsc; Nashville (TN); Hybrid; USD 25,000 - 36,000; Full time

Job summary

Health Care Service Corporation (HCSC) in Nashville is seeking a claims processor to handle complex medical claims that require investigation and COB coordination. The role starts onsite in Nashville and, after approximately eight weeks, moves to a primarily work-from-home schedule with periodic in-office training.

Typical hours are Monday–Friday, 8am–5pm. The position requires a high school diploma or GED, data entry/typing experience, and strong written and verbal communication skills, with

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

• Process complex medical claims requiring further investigation.
• Coordinate benefits (COB) and resolve pended claims.
• Work onsite in Nashville for ~8 weeks then primarily remote with periodic in-office training.

Skills

Medical claims processing

Data entry

Typing

Written communication

Verbal communication

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.

Job Summary

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.
• 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 Nashville office. After apx 8 weeks the role will move to primarily work from home with periodic in office training or duties as business needs dictate. We expect the work schedule will fall primarily within Monday - Friday 8am-5pm.

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards .

Base Pay Range

$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.