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Customer Service Representative II

HCSC HCSC

Health Care Service Corporation (HCSC), an Independent Licensee of the Blue Cross and Blue Shield Association, is the largest customer-owned health insurer in the US, operating in five states.

Job Purpose:
This position is responsible for providing assistance to providers and Indian Health Services (IHS). This position researches, analyzes, and responds to telephone and written inquiries related to claims issues, pricing issues, and coordination of benefits. This position is also responsible for resolution of inquiries, including adjustments and making recommendations regarding process improvements. This position is a subject matter expert in regard to projects and testing. This position also works closely with the IHS customer and acts as a liaison between the provider and IHS.

Required Job Qualifications:
High school diploma OR GED;
6 months customer service experience OR 6 months experience in an office environment;
Data entry and/or typing experience;
Interpersonal, analytical and organizational skills.

Preferred Job Qualifications:
9 months of customer service experience;
Experience working with coordination of benefits (Medicare, Medicaid and other carriers);
Knowledge of medical terminology and anatomy;
Proven ability to learn quickly and adapt to change

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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.
Requirements:
Expertise Claims & Customer Service Job Type Full-Time Regular Location NM – Albuquerque

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Customer Service Representative II

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HCSC

Health Care Service Corporation (HCSC), an Independent Licensee of the Blue Cross and Blue Shield Association, is the largest customer-owned health insurer in the US, operating in five states.

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