Claims Intake Specialist

Health Care Service Corporation
United States, Texas, Richardson
1001 East Lookout Drive (Show on map)
Nov 13, 2024
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 This position is responsible for administrative claim setup as well as initial claim review including but not limited to eligibility, determine coverage amounts, policy requirement, group contacts and preferences and payment procedures. Editing member data in the billing systems. Responding promptly to inquiries from internal and external customers. JOB REQUIREMENTS: * High School Diploma OR GED and 3 years of claims experience OR Bachelor degree and 1 year of claims experience * Customer Service experience * Organizational skills * Ability to handle multiples tasks at once * Knowledge of state regulations, statutes, and ERISA * Clear and concise verbal and written communication skills * PC proficiency in Word, Excel, PowerPoint, Lotus Notes PREFERRED JOB REQUIREMENTS: * Knowledge of ECM, STAR (Claim System), Genelco/GIAS, Siebel, UTS, Casetrak, Docsql, Benefits Manager, ImagePlus, and Index Assist Tool * Aptitude for math and critical thinking skills * Knowledge of state regulations, statutes, and ERISA * Detailed oriented Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! HCSC Employment Statement: We are an Equal Opportunity Employment / Affirmative Action employer dedicated to providing an inclusive workplace where the unique differences of our employees are welcomed, 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. Base Pay Range$17.20 - $27.15