Claim Technician

Health Care Service Corporation • Nashville, TN

2d

About The Position

At HCSC, employees are the cornerstone of their business and the foundation to their success. They empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. HCSC is a purpose-driven company that invests in professional development. This position is responsible for processing complex claims requiring further investigation, including coordination of benefits and resolving pended claims, under supervision. For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping 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, they offer compelling careers that encourage resourcefulness, strategic thought and empower employees to make a difference in the lives of their 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. HCSC is an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants.

Requirements

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

Nice To Haves

• Experience processing and reviewing claims
• Referral preference given to applicants able to take and meet testing criteria
• Ability to fully complete the six-eight-week 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

Responsibilities

• Processing Complex Claims Requiring Further Investigation, Including Coordination Of Benefits And Resolving Pended Claims

Benefits

• 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
• other incentives
• annual incentive bonus plan

What This Job Offers

• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees