What are the responsibilities and job description for the Provider Relations Rep 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 enhancing relationships with facility and physician providers; and acting as liaison with providers through education, training, claims assistance and ongoing provider service.
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 enhancing relationships with facility and physician providers; and acting as liaison with providers through education, training, claims assistance and ongoing provider service.
Required Job Qualifications
- Bachelor Degree and 1 year managed care experience in products or contracts OR 5 years’ experience in managed care environment with 1 year experience in products or contracts.
- 1 year experience in a position that demonstrates leadership abilities and sound decision-making.
- Knowledge of contracts, applications and products; claims processing systems.
- Knowledge and experience in provider reimbursement methods.
- Meet deadlines and work well under pressure and take initiative to work independently.
- Verbal and written communication skills; organizational and planning skills.
- PC proficiency to include Microsoft Office.
- Ability and willingness to travel, including overnight stays.
- At least 2 years experience in provider relations.
- Ideal candidate will be a self-starter that demonstrates initiative and a proactive personality. This candidate will have the ability to perform detailed work with a high degree of accuracy and minimal guidance.
- Strong communication and analytical skills enabling them to provide explanations and information to internal and external stakeholders on difficult issues.
- Strong understanding of reimbursement methodologies/claims.
- Must have excellent decision-making and problem–solving skills.
- Effective communicator with the ability to build professional trust relationships with provider community and coworkers
- Identifies solutions to non-standard requests and problems
- Experience loading and maintaining Provider demographics
- Proficient in Microsoft Office applications, preferably advanced in Excel.
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 : $40,900 - $91,000