Claims Analyst - CoxHealth Plans

Skaggs Community Hospital Association; Springfield (MO); On-site; USD 25,000 - 36,000; 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 medical claims, ensuring accurate data entry of paper claims and validating scanned data.

You will document responses to inquiry letters and collaborate with a team within CHP Claims. A high school diploma is required, with 1–2 years of related experience preferred.

Qualifications

• High school diploma or equivalent is required.
• Preferred: 1-2 years related experience.

Responsibilities

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

Skills

Verbal and written communication

Independent teamwork

Self-starter

Computers / computer systems

Education

High School Diploma or Equivalent

Job description

Facility

CoxHealth Plans: 3200 S National Ave, Springfield, Missouri, United States of America, 65807

Department

1751 CHP Claims

Scheduled Weekly Hours

40

Hours

7A-5P

Work 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).

Benefits

Medical, Vision, Dental, Retirement with Employer Match and more (20+ hrs/week)

Job 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