Claim Technician

Health Care Service Corp.; United States; On-site; USD 24,000 - 36,000; Full time

Benefits offered by this job

Total rewards package

Onsite training in Springfield, IL

Work-from-home option after training

Job summary

Health Care Service Corp. (HCSC) is seeking a Claims Processor to handle complex medical claims under supervision, coordinating benefits and resolving pended items.

Onsite training will occur at our Springfield, IL office with a full-time role leading to a potential work-from-home arrangement after training completion. The ideal candidate has a high school diploma, data entry skills, and experience processing medical claims, with strong communication and detail orientation to ensure accuracy and

Qualifications

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

Responsibilities

• Process complex claims needing investigation and coordination of benefits.
• Resolve pended claims.
• Maintain accurate documentation and timely follow-up.

Skills

Data entry

Communication

Medical claims processing

Attention to detail

Education

High School diploma or GED

Tools

Blue Chip claims 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 requires onsite training in our Springfield, IL office. The option to work-from-home full time will be available upon successful completion of all training requirements.

Sponsorship is not available.

Pay Transparency Statement

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.

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.

HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants.

If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations. Please note that only requests for accommodations in the application process will be returned.

All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to “candidate home” to view your job submissions.

For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren’t afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you’ll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants.