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.

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.

• 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.

• 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.devices 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 – 6:00 pm CST).

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,áciu 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, guitar holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees.

Learn more about our benefit offerings by visiting  .

The compensation offered will vary depending on your job-related skills SW research, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

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.

$17.75 - $28.39

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

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For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference…