Provider Technical Specialist

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 Handling Multi-State/Enterprise Issues Or Situations Adversely Impacting Business Processes (IE Claims/Inquiries) And/Or Servicing Standards. Evaluating Severity Of Processing/Servicing Impacts Via Data Analysis And Trending. Developing And Facilitating Cohesive Alternative Solutions With Multiple Enterprise Touch Points To Resolve Challenges/Defects. Serving As Consultative Operational Resource For Provider Servicing Business Refinements. Creating Instructional/Informative Communication Deliverables For Internal And External Audiences. Designing And Executing Transaction Activities To Support Quality And Accuracy Of Data Exchange Between Hcsc Systems/Applications, Vendors And Providers. Collaborating With Stakeholders For End-To-End Implementation Efforts.

Required Job Qualifications: * High School Diploma OR GED. * 3 years of experience in claim administration/auditing with 2 years customer service OR 5 years customer service experience within HCSC. * Knowledge to include: BlueChip/Inter-Plan, Real Time Benefits, Dashboard, provider pricing/reimbursement and other supporting applications. * Experience defining systematic approaches to resolve issues and/or performing regression/user acceptance testing. * Knowledge with HIPAA administrative/financial/clinical transactions. * Clear and concise interpersonal, verbal and written communication skills. * Proficient in all Microsoft applications including access, excel, word and power point * Analytical skills, detail oriented, interpersonal and organizational skills.

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.

Flex employees are expected to be in the office a minimum of three days a week. Management will have discretion to modify an employee's weekly schedule for exigent circumstances.

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. We are a drug-free and smoke-free workplace. Employment may be contingent upon successful completion of drug screening in accordance with applicable law.

Base Pay Range$47,500.00 - $86,000.00

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