Healthcare Operations Support Specialist (SCA)Remote

The HCS Operations Support Services team performs activities to healthcare audit client inventory activities such as claim re-pricing, client inventory status reporting, responding to client inquiries, researches and resolves issues that may arise, and other client account ad-hoc reporting and inventory support activities. This position supports short and long term operational/strategic business initiatives, working closely with the business units and the audit teams as well as other team members to ensure on-time deliverables.

Key Responsibilities

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  Monitors internal and external reports and take specific actions based on the information

  
  
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  Responds to client correspondence and email request for information

  
  
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  Maintains provider information

  
  
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  Re-prices claims using client contracts and systems

  
  
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  Creates, documents, and modifies processes for new and existing clients as needed

  
  
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  Participates in special ad hoc projects and program initiatives as assigned

  
  
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  Contributes to team effort by completing assigned projects on time

  
  
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  Receives feedback and adjusts work priority as necessary

  
  
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  Performs other duties as assigned

  
  

Knowledge, Skills and Abilities Needed

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  Outstanding written and verbal communication skills

  
  
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  Good critical thinking, questioning, and listening skills; excellent attention to detail

  
  
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  Problem-solving and task management skills

  
  
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  Time management skills for managing multiple tasks simultaneously, while completing work within allocated time frames

  
  
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  Ability to handle changing situations and work within a diverse group

  
  
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  Strong Microsoft Office suite knowledge

  
  
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  Ability to work independently but also as a member of a team

  
  
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  Ability to meet objectives with minimal supervision

  
  
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  Strong technical skills are desired

  
  
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  Ability to work effectively with diverse teams is desired

  
  
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  Can meet objectives with minimal supervision

  
  

Required and Preferred Qualifications

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  High School Diploma/GED is required

  
  
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  Some college, Associate's or Bachelor's degree preferred

  
  
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  Health care data analysis experience including gathering and documenting requirements for projects of all sizes a plus.

  
  
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  Experience using Microsoft Excel and other Microsoft Office applications.