Provider Technical Specialist

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., Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.

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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 in the lives of our members and their communities.

Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren’t afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you’ll have to improve health care delivery in an open, collaborative environment.

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

If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations.

Please note that only requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through HCSC’s Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to “candidate home” to view your job submissions.

Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas,

Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association

• 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.

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.

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