Claims Analyst
@ Luminare Health

Hybrid
$45,000
Hybrid
Full Time
Posted 15 hours ago

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Job Details

About the Role

The Claims Analyst at Claims Analyst is responsible for the accurate adjudication and processing of medical, dental, vision, or other related claims. This includes handling related correspondence and electronic inquiries for assigned groups while adhering to plan documents, claim processing guidelines, and turnaround times.

Job Responsibilities

  • Process and adjudicate various types of claims accurately.
  • Handle inquiries via correspondence and electronic means.
  • Follow established guidelines and turnaround times.
  • Continuously improve processes and adapt to new systems.

Qualifications

Required: High School Diploma or GED, effective communication skills, ability to work in a fast-paced and customer-centric environment, teamwork, common sense, and proficiency in MS Excel/Word.

Preferred: 1 year of health insurance experience, experience with self-funded insurance or TPA, understanding of medical coding, terminology, and benefit descriptive tools.

Work Arrangement & Location

This is a telecommute (remote) role. Candidates must reside in one of the specified states: IL, IN, IA, KS, MO, MT, NM, NC, OK, PA, TN, TX, or WI.

Additional Information

Join HCSC, a purpose-driven organization that invests in professional development and offers a robust total rewards package. Employee referral processes apply for referred candidates. This role offers hourly compensation based on experience and skills.

Key skills/competency

  • Claims Processing
  • Adjudication
  • Medical Coding
  • Customer Service
  • Teamwork
  • Communication
  • Process Improvement
  • Healthcare
  • MS Excel
  • Telecommute

How to Get Hired at Luminare Health

🎯 Tips for Getting Hired

  • Customize your resume: Highlight health insurance experience and skills.
  • Research Luminare Health: Understand their mission and employee benefits.
  • Showcase adaptability: Emphasize remote work capability.
  • Prepare examples: Demonstrate claims processing and teamwork success.

📝 Interview Preparation Advice

Technical Preparation

Review claims processing systems.
Practice MS Excel and Word tasks.
Study medical terminology and coding basics.
Understand insurance guidelines deeply.

Behavioral Questions

Describe teamwork in a busy claims environment.
Explain adapting to new systems quickly.
Discuss handling high volume inquiries.
Share a process improvement example.

Frequently Asked Questions