Claims Technician, Springfield IL

Health Care Service Corp.; Town of Springfield (WI); On-site; USD 24,000 - 36,000; Full time

Benefits offered by this job

Health insurance

401(k) savings plan

Pension plan

Paid time off

Paid parental leave

Disability insurance

Employee assistance program

Paid holidays

Tuition reimbursement

Job summary

Health Care Service Corporation seeks a Claims Technician to process and adjudicate complex healthcare claims, investigate discrepancies, and coordinate benefits with high attention to detail. The role emphasizes HIPAA compliance and accurate data handling.

Note: a mandatory onsite training (13 weeks) with daily hours 8am–4:30pm is required. Upon successful completion, a work-from-home arrangement may be established to support ongoing efficiency.

Qualifications

• High School degree or GED required.
• Experience with data entry and typing.
• Experience processing medical claims.
• PC experience including Windows and Microsoft Office.
• Strong attention to detail, problem-solving, and organizational skills.
• Clear and concise verbal and written communication skills.

Responsibilities

• Process complex claims in various queues.
• Conduct research and investigation into missing information, make phone calls to providers to process and adjudicate claims timely and accurately.
• Resolve complex pended claims, duplicate claims and adjustments.
• Process claims involving communications with participating plans and/or Service Units.
• Research and identify other insurance (Medicare, Medicaid) and update patient files as needed.
• Coordinate benefits; request explanations of benefits as needed.

Skills

Data entry

Attention to detail

Verbal and written communication

Analytical thinking

Healthcare claims knowledge

Education

High School diploma or GED

Tools

Blue Chip

IMAGE/FSS

Windows

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

BASIC FUNCTION Under supervision, this position is responsible for processing complex claims requiring further investigation, including coordination of benefits and resolving pended claims. The Claim Technician is responsible for reviewing, processing, and adjudicating healthcare claims accurately and efficiently in accordance with company policies, payer guidelines, and regulatory requirements. This role investigates claim discrepancies, researches denials, verifies member and provider information, and ensures timely claim resolution. The Claims Technician also collaborates with internal departments, providers, and members to resolve claim issues while maintaining high standards of accuracy, productivity, compliance, and customer service.

The ideal candidate demonstrates strong analytical skills, attention to detail, and knowledge of healthcare claims processing, medical terminology, and applicable regulations, including HIPAA.

NOTE: there is a mandatory onsite training (13 weeks) with strict attendance requirements occurring Monday-Friday (8am to 4:30pm). Upon successful completion of this training, work from home provisions will be established.

The hourly rate for this role has been approved between $17.75 to $18.25. Relocation is not offered; sponsorship is not available.

JOB REQUIREMENTS

High School degree or GED.

Strong data entry and/or typing experience.

Experience processing medical claims.

PC experience including Windows and Microsoft Office.

Strong attention to detail, problem-solving, and organizational skills.

Clear and concise verbal and written communication skills.

PREFERRED JOB REQUIREMENTS

Must have trained on the Blue Chip claims processing system OR have the ability to fully complete the 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.

Familiarity with claims adjudication systems and healthcare payer processes.

Experience working BlueCard Medical Records and BlueCard Adjustment requests and responses.

KEY FUNCTIONS

Process complex claims in various queues.

Conduct research and investigation into missing information, make phone calls to providers (as necessary), access resource materials and support files in order to process and adjudicate claims timely and accurately.

Resolve complex pended claims, duplicate claims and adjustments.

Process claims, involving communications with participating plans and/or Service Units.

Resolve various issues.

Research and identify other insurance, Medicare, Medicaid and update patient file as needed.

Coordinate benefits; request explanation of benefits as needed.

Maintain a working understanding of medical terminology and CPT, HCPCS, and ICD9 coding.

Maintain knowledge related to specific contracts.

Read appropriate files in IMAGE and apply information to claims as needed using the Financial Suspense System (FSS).

Learn and maintain knowledge of DOL ERISA and prompt pay legislation.

Periodic overtime may be required at the sole discretion of the employer based on business needs.

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.

• 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

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.

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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.

HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. 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. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions.

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.