Coordinator

Health Care Service Corporation • Chicago, IL

3d • Onsite

About The Position

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 Assisting With Benefit Testing, Verification, Contract Coding And System Upgrades. Responsible For Releasing Prompt Pay And Highly Complex Claims. Tracking/Reporting Functions For Testing In Addition To Being Responsible For Acting As Liaison Between Fsu And Other Departments. Analyzing Processing Functions For Improvements And Assisting Management In The Implementation Of Procedural Revisions. Conducting Technical Training Programs For Claims Department Personnel In Utilization Of New Processing Functions And Procedural Matters. Ability to Travel Including Overnight Stays.

Requirements

• High School Diploma or GED.
• Knowledge of benefit provisions of group contracts and system interface skills.
• 3 years experience in claim administration, claims auditing, customer service or membership.
• 1 year experience resolving complex claims.
• 6 months experience investigating and resolving corporate audit and/or departmental cited errors.
• Experience with analysis, verification and testing of benefit/contract coding.
• Knowledge of medical and industry terminology.
• Clear and concise verbal and written communication skills.
• Experience meeting deadlines.
• Analytical skills.

Nice To Haves

• Medicaid experience, preferably Illinois
• FACETs Knowledge
• Experience with analysis, verification and support in testing of system and/or benefit/contract coding.
• Knowledge of benefit provisions of group contracts and system interface skills.
• Completion of Blue Chip training and experience with Blue Chip systems capabilities and/or processes.

Responsibilities

• Assisting with benefit testing, verification, contract coding and system upgrades.
• Releasing prompt pay and highly complex claims.
• Tracking/reporting functions for testing.
• Acting as liaison between FSU and other departments.
• Analyzing processing functions for improvements.
• Assisting management in the implementation of procedural revisions.
• Conducting technical training programs for claims department personnel in utilization of new processing functions and procedural matters.

Benefits

• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED