Claims Processor AND Customer Service Representative

Job Title: Claims Processor / Customer Service Representative

Location: Tulsa, OK (Onsite)

Industry: Healthcare / Benefits Administration

Pay: $20 – $22 / hour

Benefits: This position is eligible for medical, dental, and 401k benefits

About Our Client: Addison Group is partnering with our client, a well-established organization in the employee benefits and healthcare administration space, to hire a Claims Processor/Customer Service Representative. This is a great opportunity for candidates with medical billing, claims processing, or healthcare administrative experience looking to grow within a stable organization.

Job Description:

The Claims Processor will support day-to-day medical claims operations while assisting members and providers with benefit-related questions. This role involves reviewing and processing healthcare claims, verifying eligibility, explaining benefit coverage, and resolving claim-related inquiries with accuracy and professionalism.

Key Responsibilities:

• Review, evaluate, and process healthcare claims according to internal guidelines and benefit plans
• Handle incoming calls from members and providers regarding eligibility, coverage details, and claim questions
• Process claims related to HRA, Medicare, Medicaid, and other benefit programs
• Maintain accurate documentation and ensure timely claim resolution
• Enter and update claim/member information within internal systems
• Research and resolve discrepancies related to claims, billing, or coverage information
• Provide clear and professional customer support while managing multiple priorities throughout the day

Qualifications:

• High school diploma or GED required
• Previous experience in medical billing, claims processing, medical administration, or healthcare front office support preferred
• Familiarity with medical terminology and insurance processes
• Working knowledge of CPT, HCPCS, and ICD-10 coding preferred
• Understanding of coordination of benefits (COB) concepts is a plus
• Strong data entry and computer navigation skills
• Experience using healthcare systems such as Epic or similar EMR/claims platforms preferred
• Ability to communicate benefit information clearly to members and providers

Additional Details:

• Schedule: Monday–Friday, 8:00 AM–4:30 PM
• 30-minute lunch break plus two 15-minute breaks
• Contract-to-Hire opportunity
• Target start date: Mid-May
• One-step interview process

Perks:

• Competitive compensation
• Medical, dental, and vision benefits
• Retirement benefits including 401(k) contributions
• Opportunity for long-term growth and conversion to permanent employment
• Stable, team-oriented work environment

Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.

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