Remote Medical Claims Specialist (Complex Claims)

HCSC Group; United States; Remote; USD 45,000 - 64,000; Full time

Job summary

Luminare Health is hiring a claims processor to handle complex claims under supervision, including coordination of benefits and resolving pended claims. After training, this role becomes fully remote, offering flexibility for work-from-home arrangements across the United States.

The ideal candidate will have a high school diploma, data entry experience, and strong written and verbal communication skills, plus familiarity with medical claims processing.

Qualifications

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

Responsibilities

• Under supervision, this position processes complex claims requiring further investigation, including coordination of benefits and resolving pended claims.

Skills

Data entry

Typing

Written communication

Verbal communication

Medical claims processing

Education

High School diploma or GED

Tools

Blue Chip claims processing system

Job description

Luminare Health is hiring a claims processor to handle complex claims under supervision, including coordination of benefits and resolving pended claims. After training, this role becomes fully remote, offering flexibility for work-from-home arrangements across the United States.

The ideal candidate will have a high school diploma, data entry experience, and strong written and verbal communication skills, plus familiarity with medical claims processing.