DST Systems Health Care Claims Specialist in Birmingham, Alabama

The speed of technology. The influx of data. Shifting regulations. Increased customer expectations.

That's where you'll find DST, helping clients find opportunity in ever-changing and complex customer, business, and regulatory requirements. Mastering complexity is a constantly changing and evolving challenge – one that only a few people can embrace and thrive upon.

If you see your opportunity in complexity, then we are the right fit for you.

Job Description:

Organizational Overview

DST Health Solutions provides healthcare reform through a full range of BPO and turnkey healthcare administration solutions. Our solutions, combined with our health outcomes optimization solutions, include advanced technologies and strategic consulting services designed to optimize our customer’s outcomes, revenues, and managing their risk. We help client’s master complexity in the world’s most demanding industries to ensure they continually stay ahead of the ever-changing customer requirements.

Role Overview

Health Care Claims Specialists process hospital and medical claims in accordance with policies and procedures established by the client. Responsibilities include adjudication of claims in moderate complexity categories, including claims involving hospital inpatient bills, Coordination of Benefits, co-surgeons, multiple surgical procedures, dual entitled members, adjustments, worker's compensation, or motor vehicle accidents.

Associates must meet or exceed production and quality standards for processing and follow documented policies and procedures. Health Care Claims Specialists may research, resolve, and respond to inquiries and problems of a moderately complex nature. They may be responsible for mentoring newer associates. They route claims that cannot be finalized.

Responsibilities

  • Adjudicate claims in moderate complexity categories.

  • Meet or exceed production and quality standards for processing.

  • Follow documented policies and procedures.

  • Research, resolve, and respond to inquiries and problems of a moderately complex nature.

  • May be responsible for mentoring newer associates.

  • Route claims that cannot be finalized.

Qualifications

  • High school diploma or equivalent.

  • 1-3 years of medical claims processing experience.

  • Knowledge of CPT, ICD-9, and HCPCS codes.

  • Post-secondary education is strongly preferred.

Location:

Birmingham Alabama

DST is an equal opportunity employer and values a diverse and inclusive workplace. All qualified candidates will receive consideration for employment without regard to age, race, color, religion, genetic information, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law. For more information about Equal Opportunity in the Workplace please click here and here. DST is committed to working with and providing reasonable accommodation to job applicants with disabilities. If you are a qualified individual with a disability and need an accommodation or accessibility assistance to complete the online application, please contact us at PeopleCenter@dstsystems.com for assistance.

DST Systems, Inc. is a leading provider of specialized technology, strategic advisory, and business operations outsourcing to the financial and healthcare industries. Combining unmatched industry knowledge, critical infrastructure and service excellence, DST helps companies master complexity in the world’s most demanding industries to ensure they continually stay ahead of and capitalize on ever-changing customer, business and regulatory requirements.

We work with companies in some of the world’s most demanding industries where rapid shifts in consumer, regulatory, and technology trends are increasingly affecting how our clients do business. For them, keeping up in a landscape of constant change is becoming more and more complex. Through our technology, strategic advisory, and business improvement solutions we work with clients to help them stay ahead of and capitalize on customer, business, and regulatory change.

Mastering complexity is not an end-state. It’s a constantly changing and evolving challenge – one that only a few people can embrace and thrive upon. If you see your opportunity in complexity, then we are the right fit for you.