Employment Spot

Job Description

Affiliated Computer Services, Inc. (ACS) is expertise in action™. We are a FORTUNE 500 company with 65,000 employees worldwide supporting client operations reaching more than 100 countries. We provide business process outsourcing and information technology solutions to world-class commercial and government clients. Our employees operate with integrity, and are flexible, reliable and responsive.

If you meet the requirements of this position and want to work for a world-class company with a great marketplace reputation, apply today.
SCHEDULE:
Core business hours are Monday through Friday from 8:00 AM to 5:00 PM.Provides administrative support to the claim processing function. May perform one or more of the following:

MAJOR POSITION RESPONSIBILITIES:

Provides administrative support to the claim processing function. May perform one or more of the following:

Processes complex claims for all physician, facility and specialty claims in accordance with company policies and procedures in a timely manner that meets or exceeds productivity and quality goals.
Researches unpaid and denied claims to determine course of action.
Researches customer information in response to difficult inquiries including, but not limited to, authorizations, payments, denials, coordination of benefits, and eligibility.
Assesses, investigates and resolves difficult issues to achieve customer satisfaction.
Interfaces with customer by telephone, correspondence and/or in person to answer inquiries and resolve concerns.
Comply with HIPAA legislation and company policy.
All other duties as assigned.

REQUIRED (minimum):

Requires a high school diploma or its equivalent and/or vocational training.
Experience in building/maintaining customer relationships
Works on assignments requiring considerable judgment and initiative. Understands implications of work and makes recommendations for solutions.
Determines methods and procedures on new assignments. May be informal team leader.
Typically requires a minimum of 8 years of related experience.
Ability to maintain production levels and quality goals.
Extensive customer service and/or team experience. Advanced knowledge of health care products under both fully insured and self-funded arrangements, medical terminology, diagnosis and procedure coding, and coordination of benefits.
Ability to establish and maintain effective working relationships.
Excellent organizational, interpersonal, and communication skills.
Strong analytical and problem solving skills.
Ability to train employees on all products and processes.
As a skilled incumbent, completes tasks in a resourceful and effective manner.

PERFERRED:

Detailed understanding of Medicaid policies and procedures at both Federal and state levels
Demonstrated proficiency in adapting/tailoring best practices/processes to business needs.

ACS is an Equal Opportunity Employer and does not Discriminate against any applicant on the basis of race, color, religion/creed, national origin, gender, or sex, marital status, age, disability, use of a guide dog or service animal, sexual orientation, military/veteran status, or any other status protected by Federal or State law or local ordinance. People with disabilities who need a reasonable accommodation to apply or compete for employment with ACS may request such accommodations by calling or by sending an e-mail to accommodations@acs-.

Job Requirements

Requires a high school diploma or its equivalent and/or vocational training.
Experience in building/maintaining customer relationships
Works on assignments requiring considerable judgment and initiative. Understands implications of work and makes recommendations for solutions.
Determines methods and procedures on new assignments. May be informal team leader.
Typically requires a minimum of 8 years of related experience.
Ability to maintain production levels and quality goals.
Extensive customer service and/or team experience. Advanced knowledge of health care products under both fully insured and self-funded arrangements, medical terminology, diagnosis and procedure coding, and coordination of benefits.
Ability to establish and maintain effective working relationships.
Excellent organizational, interpersonal, and communication skills.
Strong analytical and problem solving skills.
Ability to train employees on all products and processes.
As a skilled incumbent, completes tasks in a resourceful and effective manner.

PERFERRED:

Detailed understanding of Medicaid policies and procedures at both Federal and state levels
Demonstrated proficiency in adapting/tailoring best practices/processes to business needs.