Claim Technician

HCSC Group; United States; Remote; USD 45,000 - 64,000; Full time

Job summary

Luminare Health is hiring a claims processor to handle complex claims under supervision, including coordination of benefits and resolving pended claims. After training, this role becomes fully remote, offering flexibility for work-from-home arrangements across the United States.

The ideal candidate will have a high school diploma, data entry experience, and strong written and verbal communication skills, plus familiarity with medical claims processing.

Qualifications

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

Responsibilities

• Under supervision, this position processes complex claims requiring further investigation, including coordination of benefits and resolving pended claims.

Skills

Data entry

Typing

Written communication

Verbal communication

Medical claims processing

Education

High School diploma or GED

Tools

Blue Chip claims processing system

Job description

At Luminare Health, our people are what set us apart. Their expertise, dedication, and passion for service excellence are the foundation of our success.

We’re committed to helping our employees grow through thoughtful development opportunities, meaningful work, and a culture that values collaboration and continuous improvement. When you join Luminare Health, you join a purpose-driven team focused on making healthcare simpler, better, and more affordable.

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.

After training this position will be fully REMOTE (work from home).

EEO 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.

Pay Transparency Statement

At Luminare, 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 associates.

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

Min to Max Range

$0.00 - $0.00

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