Independent Dispute Resolution Rep

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.
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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 - $28.39

Exact compensation may vary based on skills, experience, and location.