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    Appeals Specialist I - Tulsa, United States - HCSC

    HCSC
    HCSC Tulsa, United States

    3 weeks ago

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    Description
    At HCSC, we consider our employees the cornerstone of our business and the foundation to our success.

    We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.

    Come join us and be part of a purpose driven company who is invested in your future

    Job Summary


    TELECOMMUTER ROLE FOR TULSA AND OKLAHOMA
    FAST-


    PACED ENVIRONMENT:

    KEY SKILLS NEEDED ARE TIME MANAGEMENT, TRACKING AND THE ABILITY TO WORK INDEPENDENTLY*BASIC FUNCTION:Under supervision, this position is responsible for processing, organizing, and coordinating all materials and information relating to processing appeals for all lines of business following federal, state, and accreditation requirements; and for accurately responding by telephone, in person, or through correspondence to all inquiries involving requests for appeals from members, the Department of Labor, or ERISA, providers, or a Member Authorized Representative; sending letters and updates according to the case requirements; and entry of appeals into the appropriate database.



    JOB REQUIREMENTS:

    • High School Degree or GED.
    • 1 year experience in a customer service role in a health insurance or medical environment
    • Analytical, problem solving and research skills.
    • Organizational skills to accommodate large volume of reference materials combined with time management skills to achieve accessibility to callers.
    • Verbal and written communication skills to clearly express oneself in a well-modulated tone with correct grammar and attention to enunciation.
    • Experience working both independently and in a team environment to meet deadlines according to regulations
    PREFERRED

    JOB REQUIREMENTS:

    • BlueChip claims payment experience.
    • Medical terminology.
    • Knowledge of appeals processing.
    • Ability to think clearly and maintain a professional, poised attitude under pressure.
    • Detail oriented.
    #LI-Remote

    Relocation assistance will not be provided for this position.

    Sponsorship will not be provided for this position.

    We encourage people of all backgrounds and experiences to apply.

    Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process


    HCSC Employment Statement:


    HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants.

    We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace.

    Drug screening and background investigation are required, as allowed by law.

    All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

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