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

Under supervision, this position is responsible for processing complex claims requiring further investigation, including coordination of benefits, and resolving pended claims.

(Dearborn)
Under supervision, this position is responsible for entering complex claims requiring extensive research in compliance with established procedures, and meeting production and quality standards. Identifying and resolving eligibility edits, and referring all other edits to claims technicians.

Preference in filling vacancies is given to qualified Indian candidates in accordance with the Indian Preference Act of 1934 (title 25, USC Section 472)

Native American Indian Preference shall apply to this position pursuant to the Indian Self-Determination and Education Assistance Act (24 U.S.C. 450, et seq.), 25 CFR 271.44 and other relevant laws (title 25, U.S. code, Section 472 & 473)

JOB REQUIREMENTS:
* High School diploma or GED.
* Data entry and/or typing experience.
* Clear and concise written and verbal communication skills.
* Experience processing medical claims.

PREFERRED JOB REQUIREMENTS:
* Referral preference given to applicants able to take and meet testing criteria.
* Must have trained on the six-eight week Blue Chip claims processing system, or have the ability to fully complete the six-eight week Blue Chip Training class.
* Understanding of medical terminology and CPT, HCPCS, and ICD9 coding.
* Knowledge of coordination of benefits principles and terminology.
* Ability to multi-task and prioritize.

(Dearborn)

JOB REQUIREMENTS:
* High School degree or GED.
* 6 months claims processor or insurance experience.
* PC experience including Windows and Microsoft Office.
* Organizational skills.
* Clear and concise verbal and written communication skills.
* Ability to prioritize tasks and workflow.
* Ability to work well under pressure and to meet deadlines.

PREFERRED JOB REQUIREMENTS:
* Knowledge of dental benefits and contracts.
* Knowledge of dental procedures and terminology.
* Leadership experience.

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.