Remote Health Insurance Claims Specialist

TEKsystems; Enfield (CT); Remote; USD 28,000 - 30,000; Full time

Benefits offered by this job

Medical, dental & vision

401(k) Retirement Plan

Life Insurance

Time off / PTO

Job summary

TEKsystems is seeking experienced Remote Health Insurance Claims Specialists to support members with supplemental health benefits. This role involves processing and reviewing claims, responding to inquiries, and maintaining high-quality customer service from a remote setting.

The position requires knowledge of HCFA 1500, UB-04, CPT/ICD-10 coding, and prior call center experience. Major benefits and flexible scheduling are highlighted in the listing.

Qualifications

• Must have experience with supplemental health claims.
• Experience with Accident, Critical Illness, or Hospital Indemnity claims.
• Understanding of HCFA 1500 and UB-04 claim forms.
• Knowledge of CPT, HCPCS, Revenue Codes, and ICD-10.
• Experience reviewing medical claims, EOBs, medical records, provider bills, and facility claims.
• 1+ year of remote call center experience preferred.
• Ability to interpret healthcare documentation and insurance benefits accurately.

Responsibilities

• Handle 40-50 inbound customer service calls daily.
• Assist members with claim status, benefits, eligibility and inquiries.
• Review and interpret medical claim information.
• Enter and process new claims accurately.
• Register approximately 20 claims per day.
• Document customer interactions with attention to detail.
• Process incoming claim documentation and correspondence.
• Provide compassionate, professional service while meeting quality and productivity goals.

Skills

Supplemental Health Claims

Accident/Illness/Hospital Indemnity

HCFA 1500/UB-04

CPT/HCPCS/Revenue Codes/ICD-10

Reviewing medical claims/EOBs

1+ year call center (remote)

Interpret healthcare documents

Job description

TEKsystems is seeking experienced Remote Health Insurance Claims Specialists to support members with supplemental health benefits. This role involves processing and reviewing claims, responding to inquiries, and maintaining high-quality customer service from a remote setting.

The position requires knowledge of HCFA 1500, UB-04, CPT/ICD-10 coding, and prior call center experience. Major benefits and flexible scheduling are highlighted in the listing.