Complex Medical Claims Technician

Customer Service; Albuquerque (NM); On-site; USD 50,861,000 - 74,988,000; Full time

Job summary

HCSC in Albuquerque, NM is seeking a claims processing specialist to handle complex medical claims, including coordination of benefits and resolving pended claims. The role emphasizes accuracy, timely processing, and clear communication with providers and members.

Ideal candidates will have a high school diploma, data entry or typing experience, and prior experience processing medical claims; knowledge of CPT/HCPCS coding is a plus and commitment to equal opportunity employment.

Qualifications

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

Responsibilities

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

Skills

Data entry

Typing

Communication skills

Experience processing medical claims

Education

High School diploma or GED

Job description

HCSC in Albuquerque, NM is seeking a claims processing specialist to handle complex medical claims, including coordination of benefits and resolving pended claims. The role emphasizes accuracy, timely processing, and clear communication with providers and members.

Ideal candidates will have a high school diploma, data entry or typing experience, and prior experience processing medical claims; knowledge of CPT/HCPCS coding is a plus and commitment to equal opportunity employment.