What are the responsibilities and job description for the Provider Network Consultant position at Health Care Service Corporation?
At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
This position is responsible for developing and maintaining cooperative working relationships with the contracting provider community; educating, training, researching problems; and identifying trends and evaluating providers to ensure contractual and financial requirements are adhered to and performed. Ability and willingness to travel, including overnight stays.
Required Job Qualifications
Exact compensation may vary based on skills, experience, and location
HCSC Employment Statement
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
To learn more about available benefits, please click https://careers.hcsc.com/totalrewards
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
This position is responsible for developing and maintaining cooperative working relationships with the contracting provider community; educating, training, researching problems; and identifying trends and evaluating providers to ensure contractual and financial requirements are adhered to and performed. Ability and willingness to travel, including overnight stays.
Required Job Qualifications
- Bachelor’s degree in health care or business administration or a minimum of 4 years work experience in a managed care environment.
- Minimum of 2 years of health care administration experience in clinical and financial settings, with direct provider communication experience.
- Effective interpersonal, analytical, presentation and communication skills.
- Knowledge of the health care industry and BCBSIL private business.
- Ability and willingness to travel within assigned areas for responsibility, including overnight stays.
- Extensive knowledge of contracts, applications, and products.
- Demonstrated proficiency in provider reimbursement methods.
- Working knowledge of claims processing systems.
- Effective organizational and planning skills.
- Ability to take initiative and work independently.
- Demonstrated ability to meet deadlines and work well under pressure.
- Working knowledge of software, including Microsoft Office
- Provider facing experience
- Claims processing experience is a plus
- Working knowledge of Medicare
Exact compensation may vary based on skills, experience, and location
HCSC Employment Statement
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
To learn more about available benefits, please click https://careers.hcsc.com/totalrewards
Salary : $55,900 - $123,500