Claims Resolution Specialist

Job Summary: The Claims Resolution Specialist acts as a liaison between members, providers and employer groups in resolving verbal and written service issues and disputes.

Qualifications & Requirements:

• High School Diploma. Associates degree preferred.
• Thorough knowledge of CPT, ICD-10 and CDT coding and medical terminology.
• 1 years’ experience in health care claims processing, preferably in a managed care environment, including customer service experience.
• Ability to plan, organize, maintain priorities and schedules, as well as assure that deadlines are met.
• Certified coder preferred CCA or CCS designation or must be able to obtain certification within one year of employment.
• Excellent verbal and written communication skills.
• Ability to interpret health plan benefits and provider contracts.
• Must be able to deal with difficult customers in a professional manner.
• Ability to interpret and apply established policies and procedures.
• Excellent computer skills which must include working knowledge of Microsoft Office Suite.
• Must be a team player and have the ability to work independently with little supervision.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries.  We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.