Claims Technician

RiseMe; Richardson (TX); Hybrid; USD 50,861,000 - 74,988,000; Full time

Job summary

HCSC in Richardson, TX is hiring a claims processor to handle complex medical claims under supervision. The role starts onsite in our Richardson office with responsibilities including coordination of benefits and resolving pending claims.

After approximately six weeks, the position will move to primarily work from home with occasional in-office training and duties, typically Monday–Friday, 8am–5pm. A strong eye for detail and clear communication are essential.

Qualifications

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

Responsibilities

• Process complex medical claims requiring investigation.
• Coordinate benefits and resolve pending claims.
• Work onsite in Richardson, TX with transition to remote work after ~6 weeks.

Skills

Data entry

Typing

Written communication

Medical claims processing

Education

High school diploma or GED

Tools

Blue Chip 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

This role will start onsite in our Richardson, TX office. Under supervision, this position is responsible for processing complex claims requiring further investigation, including coordination of benefits and resolving pending 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 will start onsite in our Richardson, TX office. After apx 6 weeks the role will move to primarily work from home with periodic in office training or duties as business needs dictate. We expect the work schedule will fall primarily within Monday - Friday 8am-5pm.

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.

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.

Base Pay Range

$17.75 - $26.17

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