At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
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.. 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.
This role will start onsite only but has potential to become partially work from home (Flex / Hybrid) in the future, meaning it could rotate 1 week in office and 2 weeks work from home based on performance after you are in the role 6 months. Training Schedule will be Monday - Friday 8:00am - 4:30pm CST for apx 8 weeks. Then the regular work schedule after training will fall within Monday – Friday (7:00am – 9:00 pm CST).
#LI-TB1
#INKT
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
Pay Transparency Statement:
At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.
The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.
HCSC Employment Statement:
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
Base Pay Range$17.75 - $27.83
What We Do
Imagine Something New, Something Different.
Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC), is the largest customer-owned health insurer in the nation and the fourth largest overall. Operating through our Blue Cross and Blue Shield Plans in Illinois, Montana, New Mexico, Oklahoma and Texas (as well as a variety of affiliates and subsidiaries,) we are expanding access to high-quality, cost-effective health care. We are equipping members with information and tools so they can make the best health care decisions for themselves and their families.
HCSC is continuously recognized as an employer committed to community, diversity and inclusion, training and development.
HCSC is committed to pioneering the health care space in ways as effective as they are creative. If you are passionate about the impact you want to have through your work, with a desire to apply innovative thinking to new and emerging challenges, we encourage you to learn more about HCSC.
Learn about what we stand for, how we work and the difference we’re making in the lives of our 15 million members. Join HCSC and discover what new ways of thinking can mean for you, your community, our customers and our organization.
Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association.
