Claims Analyst - CoxHealth Plans

CoxHealth; Springfield (MO); On-site; USD 42,000 - 52,000; Full time

Benefits offered by this job

Medical insurance

Vision insurance

Dental insurance

Retirement with employer match

Job summary

CoxHealth in Springfield, MO is seeking a Claims Analyst to review and adjudicate member and provider submitted medical claims, and to perform accurate data entry for paper claim forms. The role also involves validating scanned data and documenting responses to inquiry letters.

The ideal candidate has excellent verbal and written communication, can work independently and collaboratively, and is a self-starter.

Qualifications

• High school diploma or equivalent required.
• 1–2 years related experience preferred.
• Excellent verbal and written communication skills.
• Ability to work independently and in teams.

Responsibilities

• Review and adjudicate all member and provider submitted medical claims.
• Accurate data entry of paper claim forms.
• Validate scanned data recognized by scanning software.
• Document member responses to inquiry letters.

Skills

Communication skills

Independent work

Team collaboration

Education

High School Diploma or Equivalent

Tools

Computer systems proficiency

Job description

Facility:CoxHealth Plans: 3200 S National Ave, Springfield, Missouri, United States of America, 65807Department:1751 CHP ClaimsScheduled Weekly Hours:40Hours:7A-5PWork Shift:Day Shift (United States of America)CoxHealth is a leading healthcare system serving 25 counties across southwest Missouri and northern Arkansas. The organization includes six hospitals, 5 ERs, and over 80 clinics. CoxHealth has earned the following honors for workplace excellence:Named one of Modern Healthcare’s Best Places to work five times.Named one of America’s Greatest Workplaces, Greatest Workplaces in Healthcare (2025, 2026), Greatest Workplaces for Women (2023, 2024), and Greatest Workplaces for Diversity (2024) by Newsweek and Plant-A Insights Group.Acknowledged by Forbes as one of the Best Employers for New Grads.Healthcare Innovation's Top Companies to Work for in Healthcare (2025).BenefitsMedical, Vision, Dental, Retirement with Employer Match and more (20+ hrs/week)For a comprehensive list of benefits, please click here: Benefits | CoxHealthJob Description:The Claims Analyst reviews and accurately adjudicates all member and provider submitted medical claims. Responsible for accurate data entry of paper claim forms. Responsible for validating scanned data that is recognized by the scanning software. The Claims Analyst is responsible for documenting member’s response to inquiry letters.Education: Required: High School Diploma or Equivalent Experience: Preferred: 1-2 Years Related Experience Skills: Excellent verbal and written communication skills. Able to work independently and collaboratively in teams. Self starter. Proficient in using computers and computer systems Licensure/Certification/Registration: N/A