Claim Technician

hcsc; United States; Hybrid; USD 25,000 - 36,000; Full time

Job summary

HCSC in Houston, TX is seeking a claims processor responsible for handling complex medical claims requiring further investigation, including coordination of benefits and resolving pended claims.

The role starts onsite in our Houston, TX office and, after seven weeks of training, moves to a work-from-home arrangement. Hours are Monday–Friday, 8:00 am–4:30 pm. Sponsorship is not available.

Qualifications

• High School diploma or GED required.
• Data entry/typing experience.
• Strong written and verbal communication skills.
• Experience processing medical claims.
• Blue Chip training or ability to complete the training.
• Knowledge of CPT, HCPCS, ICD9 coding is preferred.
• Coordination of benefits principles and terminology.
• Ability to multitask and prioritize effectively.

Responsibilities

• Under supervision, this position is responsible for processing complex claims requiring further investigation, including coordination of benefits and resolving pended claims.

Skills

Data entry / typing experience

Written and verbal communication

Experience processing medical claims

Blue Chip training

Medical terminology knowledge

Coordination of benefits knowledge

Multi-tasking / prioritization

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.

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:

• 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.

#LI-RV1

#LI-REMOTE

#INKT

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

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 .

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

This position requires on-site training with the ability to return for onsite training for up to 18 months at a designated Customer Service Hub. Remote Customer Service employees hired at and assigned to a Customer Service Hub location must live near one of the designated Customer Service Hubs. Customer Service Hubs are located in HCSC's six (6) state Headquarters (Illinois, Montana, New Mexico, Oklahoma, Tennessee and Texas) and in the following locations: Morgan Park, Pilsen, Springfield and Houston.

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.

Base Pay Range

$17.75 - $26.17

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