Oklahoma Staffing
Independent Dispute Resolution Representative
Oklahoma Staffing, Tulsa, Oklahoma, United States, 74101
Job Opportunity At HCSC
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. This position is responsible for intake, processing, coordinating all materials and information relating to processing negotiations and independent disputes as regulated by federal or state regulations. This applies to all plans at HCSC, all lines of business, and all products. Additionally, this position will accurately process and respond according to the HCSC procedures via the required notifications and provider resolution. This includes entry of new requests via the appropriate database. Job Requirements
High school degree or GED. Analytical, problem solving and research skills. Organizational skills to accommodate large volume of reference materials combined with time management skills. Verbal and written communication skills to clearly express oneself; exercises diplomacy. Experience working both independently and in a team environment to meet deadlines according to regulations. 1 year experience in a customer service role OR in a health insurance or medical environment. Experience and skills to analyze and assist the provider based on knowledge of federal, state guidelines. Experience and skills to organize tasks and accommodate large volume of reference materials. Preferred Job Requirements
Medical terminology. Ability to think clearly and maintain a professional, poised attitude under pressure. Detail oriented. 2-year experience processing claims and utilizing a claims payment system. This role will start onsite only but has potential to become partially work from home (Flex / Hybrid) in the future, meaning it could rotate 1 week in office and 2 weeks work from home based on performance after you are in the role 6 months. Training schedule will be Monday - Friday 8:00am - 4:30pm CST for apx 8 weeks. Then the regular work schedule after training will fall within Monday
Friday (7:00am
6:00 pm CST). 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. We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are 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 $17.75 - $28.39. Exact compensation may vary based on skills, experience, and location. 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. 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
Copyright 2025 Health Care Service Corporation. All Rights Reserved.
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. This position is responsible for intake, processing, coordinating all materials and information relating to processing negotiations and independent disputes as regulated by federal or state regulations. This applies to all plans at HCSC, all lines of business, and all products. Additionally, this position will accurately process and respond according to the HCSC procedures via the required notifications and provider resolution. This includes entry of new requests via the appropriate database. Job Requirements
High school degree or GED. Analytical, problem solving and research skills. Organizational skills to accommodate large volume of reference materials combined with time management skills. Verbal and written communication skills to clearly express oneself; exercises diplomacy. Experience working both independently and in a team environment to meet deadlines according to regulations. 1 year experience in a customer service role OR in a health insurance or medical environment. Experience and skills to analyze and assist the provider based on knowledge of federal, state guidelines. Experience and skills to organize tasks and accommodate large volume of reference materials. Preferred Job Requirements
Medical terminology. Ability to think clearly and maintain a professional, poised attitude under pressure. Detail oriented. 2-year experience processing claims and utilizing a claims payment system. This role will start onsite only but has potential to become partially work from home (Flex / Hybrid) in the future, meaning it could rotate 1 week in office and 2 weeks work from home based on performance after you are in the role 6 months. Training schedule will be Monday - Friday 8:00am - 4:30pm CST for apx 8 weeks. Then the regular work schedule after training will fall within Monday
Friday (7:00am
6:00 pm CST). 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. We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are 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 $17.75 - $28.39. Exact compensation may vary based on skills, experience, and location. 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. 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
Copyright 2025 Health Care Service Corporation. All Rights Reserved.