Claims Technician

Health Care Service Corp.; Richardson (TX); Hybrid; USD 24,000 - 36,000; Full time

Job summary

HCSC Group in Richardson, TX is seeking a Claims Processor to handle complex medical claims requiring investigation, coordination of benefits, and resolution of pended claims. The role starts onsite in our Richardson office with a transition to remote work after six weeks of training.

Hours are Monday–Friday, 8:00 am–4:30 pm. A High School diploma or GED, data entry/typing skills, and familiarity with medical terminology and CPT/HCPCS coding are preferred.

Qualifications

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

Responsibilities

• Process complex medical claims requiring investigation, including coordination of benefits and resolving pended claims.

Skills

Data entry

Typing

Communication

Experience processing medical claims

Education

High School diploma or GED

Tools

Blue Chip claims processing 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

• 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 6 weeks of training, the role will move to remote/work from home. The work schedule will fall within Monday – Friday, 8:00 am-4:30 pm. Sponsorship is not available for this role. #LI-RV1 #LI-REMOTE #INKT

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.

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.

We are a drug-free and smoke-free workplace. Employment may be contingent upon successful completion of drug screening in accordance with applicable law.

HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. We are an equal opportunity employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace.

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.

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.