Remote Claims Technician - Healthcare Claims Adjudication

hcsc; Springfield (IL); Remote; USD 24,000 - 36,000; Full time

Benefits offered by this job

Onsite training (13 weeks)

Job summary

Health Care Service Corporation seeks a Claims Technician to process complex healthcare claims, including CB coordination and denials review. The role emphasizes accuracy, productivity, and HIPAA compliance, with mandatory onsite training (13 weeks) and then remote work options.

Qualifications include a High School diploma, strong data-entry skills, and prior medical claims experience. Training hours run Monday–Friday 8:00–4:30, with relocation and sponsorship not offered.

Qualifications

• High School degree or GED required.
• Strong data entry and/or typing experience.
• Experience processing medical claims.

Responsibilities

• Process complex claims in various queues and adjudicate timely and accurately.
• Research missing information, make provider calls as needed.
• Resolve complex pended claims, duplicates and adjustments.
• Communicate with plans and service units to resolve issues.
• Research other insurances and update patient files when needed.
• Coordinate benefits and review explanations of benefits.

Skills

Data entry

Typing

Medical claims processing

Attention to detail

Verbal and written communication

Education

High School diploma or GED

Tools

Blue Chip system

Windows

Microsoft Office

Job description

Health Care Service Corporation seeks a Claims Technician to process complex healthcare claims, including CB coordination and denials review. The role emphasizes accuracy, productivity, and HIPAA compliance, with mandatory onsite training (13 weeks) and then remote work options.

Qualifications include a High School diploma, strong data-entry skills, and prior medical claims experience. Training hours run Monday–Friday 8:00–4:30, with relocation and sponsorship not offered.