Medical Claims Representative

MUST LIVE : Mountain and Pacific Time Zones

MUST HAVES :

Knows CPT / HCPCS / REV / ICD 10 codes and the forms that providers and facilities use to bill insurance companies

1-2+ Years of previous experience within health insurance claims and benefits particularly - Scheduled Accident, Critical Illness, or Hospital Indemnity.

1+ year call center experience (remote call center preferred)

Know how to read medical claims forms (HCFA 1500 & UB04)

Understand how to read medical records, EOBs, CPT codes is helpful.

CPT and ICD 10 code knowledge. Must have medical claims experience - dr visits, diagnostic testing, hospital stays, etc.

Know what a HCFA 1500 is. Know what a UB04 is

SHIFT : REMOTE Mon - Fri | 8;30 - 5 Pacific Time OR 9 : 30-6pm Mountain time

POSITION OVERVIEW :

The REMOTE CSR provides Symetra's customers with timely, accurate, and customer-focused benefit and claim information for all of the products administered by Symetra Select Benefit. These products include SB Medical, Accident, Critical Illness, Rx, Dental, Vision, and MEC products. The CSR will solicit and enter the information needed to enter and process claims accurately and in a timely manner.

Responsibilities :

Average 40-50 Customer Service Calls per day : Provide customers with timely, accurate, and customer-focused benefit and claim information. Solicit and enter the information needed to enter and process claims accurately and in a timely manner. Record summaries of information exchanged in our claim system with a high level of accuracy and detail easily understood by the user. Issue timely and accurate claim acknowledgement correspondence. Process incoming documents with high coding integrity and distribute immediately.

80%

Claims Registration : Enter incoming claims information with high degree of accuracy, meeting or exceeding established metrics. ENTER 20 Claims per day.

15%

Perform other tasks requested by management.

5%

• Skills

Medical Claims, Customer Service, health claims, Insurance Claims, Claims, icd-10, HCFA 1500, UB04, Health Insurance, cpt, Revenue Cycle, appeals, denials, claims support, claim intake, Claim, Call center, Claims processing, medical billing, supplemental health claims

• Top Skills Details

Medical Claims,Customer Service,health claims,Insurance Claims,Claims,icd-10,HCFA 1500,UB04,Health Insurance,cpt,Revenue Cycle,appeals,denials,claims support,claim intake

• Additional Skills & Qualifications

medical claims

call center

CPT

Adobe

revenue cycle

• Experience Level

Expert Level

• Job Type & Location

This is a Contract to Hire position based out of Phoenix, AZ.

• Pay and Benefits

The pay range for this position is $20.00 - $22.00 / hr.

Eligibility requirements apply to some benefits and may depend on your job

classification and length of employment. Benefits are subject to change and may be

subject to specific elections, plan, or program terms. If eligible, the benefits

available for this temporary role may include the following :

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off / Leave (PTO, Vacation or Sick Leave)
• Workplace Type

This is a fully remote position.

• Application Deadline

This position is anticipated to close on Nov 18, 2025.

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About TEKsystems :

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.