Independent Dispute Resolution Rep

Job Summary

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.

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

Compensation

$17.75 - $28.39 Exact compensation may vary based on skills, experience, and location

About HCSC

Join HCSC and be part of a purpose-driven company that will invest in your professional development. HCSC is an Equal Opportunity Employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued.