Claims Technician (Healthcare)

Location: Springfield, Illinois, United States; mandatory onsite training for 13 weeks, Monday–Friday, 8:00 a.m.–4:30 p.m.; work-from-home provisions established after successful training

Salary: $17.75–$18.25 per hour. The listed base pay range is $17.75–$26.17 per hour.

Company

hirify.global provides health insurance services and invests in employee development.

What you will do

• Process and adjudicate complex healthcare claims across multiple queues.
• Investigate missing information, discrepancies, denials, duplicate claims, pended claims, and adjustments.
• Coordinate benefits and research other insurance, Medicare, and Medicaid coverage.
• Verify member and provider information and update patient files.
• Communicate with providers, participating plans, service units, members, and internal departments to resolve claim issues.
• Apply contract, regulatory, DOL ERISA, prompt-pay, and claims-system requirements.

Requirements

• High school diploma or GED.
• Strong data-entry and typing experience.
• Experience processing medical claims.
• PC experience with Windows and Microsoft Office.
• Strong attention to detail, problem-solving, organizational, verbal, and written communication skills.
• Availability for mandatory onsite training for 13 weeks with strict Monday–Friday attendance from 8:00 a.m. to 4:30 p.m.

Nice to have

• Training or experience with the Blue Chip claims processing system.
• Knowledge of medical terminology and CPT, HCPCS, and ICD-9 coding.
• Knowledge of coordination of benefits principles and terminology.
• Familiarity with claims adjudication systems, healthcare payer processes, BlueCard medical records, and adjustment requests.

Culture & Benefits

• Curated development plans and professional development opportunities.
• Health and wellness benefits, 401(k), pension plan, paid time off, and paid holidays.
• Paid parental leave, disability insurance, supplemental life insurance, and an employee assistance program.
• Tuition reimbursement and additional incentive programs.
• Periodic overtime may be required based on business needs.
• Relocation is not offered, and visa sponsorship is not available.