Internal Provider Ntwk Rep I

Job Summary

This position is responsible for learning to provide assistance to practitioners in resolution of claims, pricing, coding, and contract issues. And for working with internal departments to evaluate and resolve provider / contract and service issues.

Job Requirements :

• Bachelor Degree OR 4 years work experience in the health care / insurance industry.
• 3 years experience in Network Management, Credentialing and / or Customer Service.
• Understanding of health care contracts, applications and products.
• Working knowledge of claims processing systems.
• 3 years experience utilizing a PC.
• Verbal and written communication skills.
• Teamwork and problem solving skills.
• Analytical and organizational skills.
• Organizational skills and experience meeting deadlines and working well under pressure.
• Familiar with provider reimbursement methods.

Preferred Job Requirements :

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.

Base Pay Range $18.10 - $37.10. Exact compensation may vary based on skills, experience, and location.