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Provider Relations Rep

Provider Relations Rep

Houston StaffingHouston, TX, US
1 day ago
Job type
  • Full-time
Job description

Job Opportunity

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

  • 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.

Preferred Job Qualifications

  • At least 2 years experience in provider relations.
  • Ideal candidate will be a self-starter that demonstrates initiative and a proactive personality.
  • 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 problemsolving 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.
  • Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.

    For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions.

    HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations.

    All applications, including resumes, must be submitted through HCSC's Career website on-line application process.

    Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association Copyright 2025 Health Care Service Corporation. All Rights Reserved.

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    Provider • Houston, TX, US