Dispute resolution

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.

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Job Summary

This is an in-office position

This Position Is Responsible For Intake, Processing, Coordinating All Materials And Information Relating To Processing Negotiations And Independent Disputes As Regulated By Federal Or State Regulations.

This Applies To All Plans At Hcsc, All Lines Of Business And All Products.. Additionally, This

Position Will Accurately Process And Respond According To The Hcsc Procedures Via The Required Notifications And Provider Resolution.

This Includes Entry Of New Requests Via The Appropriate Database.

JOB REQUIREMENTS :

• High School Degree or GED.
• Analytical, problem solving and research skills.
• Organizational skills to accommodate large volume of reference materials combined with time management skills.
• Verbal and written communication skills to clearly express oneself; exercises diplomacy.
• Experience working both independently and in a team environment to meet deadlines according to regulations
• 1 year experience in a customer service role OR in a health insurance or medical environment.
• Experience and skills to analyze and assist the provider based on knowledge of federal, state guidelines.
• Experience and skills to organize tasks and accommodate large volume of reference materials.

PREFERRED JOB REQUIREMENTS :

• BlueChip claims payment experience.
• Medical terminology.
• Ability to think clearly and maintain a professional, poised attitude under pressure.
• Detail oriented.
• 2-year experience processing claims and utilizing a claims payment system.

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants.

We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace.

Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

Last updated : 2024-03-24