Appeals Specialist I (Hybrid) Job Listing at HCSC in Helena, MT (Job ID R0030547)

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 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. Must accurately respond 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 accordingly and must include the case requirements; and entry of appeals into the appropriate database. Ability to travel, Including overnight stays.

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.
• Ability to travel, including overnight stays.

PREFERRED JOB REQUIREMENTS:

• Knowledge of Health Insurance/Healthcare industry.
• Medical terminology.
• Professional writing skills.
• Ability to think clearly and maintain a professional, poised attitude under pressure.
• Research and analysis skills
• Detail oriented.

#LI-hybrid

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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