DXC Technology Healthcare Claims Appeals Coordinator in Reno, Nevada
DXC Technology (NYSE: DXC) is the world’s leading independent, end-to-end IT services company, helping clients harness the power of innovation to thrive on change. Created by the merger of CSC and the Enterprise Services business of Hewlett Packard Enterprise, DXC Technology serves nearly 6,000 private and public sector clients across 70 countries. The company’s technology independence, global talent and extensive partner alliance combine to deliver powerful next-generation IT services and solutions. DXC Technology is recognized among the best corporate citizens globally. For more information, visit www.dxc.technology at http://www.dxc.technology/ .
Job Description: The Insurance/Healthcarejob family contains positions associated with providing consultancy utilizing knowledge and expertise on insurance and healthcare. Develops and implements general insurance and health policies in accordance with state and federal laws. Provides expertise to investigate and adjudicate claim characteristics that do not match policy provisions. Responds to provider appeals and meets with providers to resolve problems/issues. Provides directions for utilization review. Approves any remedial or recoupment actions associated with escalated claims. Advises provider review councils, state officials and works with organized healthcare groups and associations on various medical issues related to insurance and healthcare programs.
Participates productively as member of team, possibly in a team lead role.
Completes complex tasks, assignments and defined processes with some level of independence.
Multiple assignments worked and completed simultaneously as directed by leadership.
Identifies, prioritizes and resolves most questions and issues independently. Answers questions of peers. Escalates more complex questions or issues appropriately.
Complies with contract requirements, business unit rules and related industry and legal regulations
DXC Technology is EEO F/M/Protected Veteran/ Individual with Disabilities