Claims Technician

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

Job summary

Health Care Service Corporation in Richardson, TX is seeking a claims processor to handle complex medical claims under supervision. You will coordinate benefits, resolve pending claims and ensure accurate data entry in our system.

Initially onsite in Richardson, the role will move to primarily work from home after ~6 weeks with periodic in-office trainings as needed. Typical hours are Mon-Fri 8am-5pm, with a focus on accuracy and clear communication.

Qualifications

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

Responsibilities

• Process complex medical claims requiring investigation.
• Coordinate benefits and resolve pending claims.
• Maintain accurate data entry and documentation.

Skills

Data entry

Clear communication

Experience processing medical claims

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.

Work Location and Schedule

This role will start onsite in our Richardson, TX office. After approximately 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.

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.

Compensation

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.

Base Pay Range $17.75 - $26.17 Exact compensation may vary based on skills, experience, and location.

Equal Employment Opportunity

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 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.

Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association Copyright 2025 Health Care Service Corporation. All Rights Reserved.