Healthcare Operations Support Specialist (SCA)

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

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

• Responds to client correspondence and email request for information

• Maintains provider information

• Re-prices claims using client contracts and systems

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

• Participates in special ad hoc projects and program initiatives as assigned

• Contributes to team effort by completing assigned projects on time

• Receives feedback and adjusts work priority as necessary

• Performs other duties as assigned

Knowledge, Skills and Abilities Needed

• Outstanding written and verbal communication skills

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

• Problem-solving and task management skills

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

• Ability to handle changing situations and work within a diverse group

• Strong Microsoft Office suite knowledge

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

• Ability to meet objectives with minimal supervision

• Strong technical skills are desired

• Ability to work effectively with diverse teams is desired

• Can meet objectives with minimal supervision

Required and Preferred Qualifications

• High School Diploma/GED is required

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

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

• Experience using Microsoft Excel and other Microsoft Office applications.