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Provider Relations Representative

Provider Relations Representative

BlueCross BlueShield of South CarolinaColumbia, Indiana, USA
1 day ago
Job type
  • Full-time
Job description

Summary

Provides education and training support for network providers / staff / suppliers / physicians / beneficiaries / referral agents as necessary. Develops and produces training and educational materials.

Why should you join the BlueCross BlueShield of South Carolina family of companies Other companies come and go but weve been part of the national landscape for more than seven decades with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina and much more. We are one of the nations leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy consider joining our team!

Description

Logistics : BlueCross BlueShield of South Carolina - About Us BlueCross BlueShield of South Carolina

Location : This position is full-time (40-hours / week) Monday-Friday in a typical office environment. You will work an 8-hour shift scheduled during our normal business hours of 8 : 00AM - 5 : 00PM. It may be necessary given the business need to work occasional overtime. You may be required to travel between buildings. This role is located onsite at 17 Technology Circle Columbia SC 29203.

What Youll Do :

  • Develops / prepares / reviews / updates all provider education materials. These may include : new highlights calendar of events job aids resource tools and web page content. conducts / facilitates workshops training class materials in support of teleconferences with providers provider groups staff suppliers physicians beneficiaries referral agents.
  • Supports relationships with providers provider groups staff suppliers physicians beneficiaries referral agents state / local medical / professional associations. Responds to educational needs.
  • Performs administrative functions in support of education and training. Produces / generates various reports to management and provides feedback on activities to management.
  • Contributes / participates / completes special projects as assigned.

To Qualify for This Position Youll Need the Following :

  • Required Education : Bachelors
  • Degree equivalency : 4 years job related work experience or Associates and 2 years job related work experience
  • Required Work Experience : 2 years of experience in customer service claims processing communications education / training provider relations healthcare or a combination.
  • Required Skills and Abilities : Demonstrated skills related to training materials development. Demonstrated skills related to classroom presentations to large groups. Demonstrated proficiency in word processing and spreadsheet software. Good judgment skills. Effective customer service organizational and presentation skills. Demonstrated verbal and written communication skills. Analytical and critical thinking skills. Basic business math proficiency. Ability to persuade negotiate or influence others. Ability to handle confidential or sensitive information with discretion. Ability to identify learning objectives. Strong course design skills to include use of media / other instructional methods. Ability to evaluate progress in addition to actual delivery of training sessions.
  • Required Software and Tools : Microsoft Office.

    • We Prefer That You Have the Following :

  • Preferred Requirements : Bachelors degree-in Communications / Journalism English Education Training Healthcare Administration or Nursing.
  • Preferred Work Experience : 2 years-of experience in claims processing graphic design / publications provider network sales / marketing insurance industry training.
  • Preferred Skills and Abilities : Knowledge of claims processing government healthcare programs. Ability to acquire working knowledge / understanding of specific programs. Ability to acquire working knowledge / understanding of Medicaid Medicare. Ability to acquire working knowledge / understanding of HIPAA policies / procedures.
  • Preferred Software and Other Tools : Working knowledge of Microsoft Access or other database software.
  • Work Environment : Typical office environment. Some / frequent travel between office buildings. Some / frequent out of town travel.

    • Our Comprehensive Benefits Package Includes The Following :

    We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment.

  • Subsidized health plans dental and vision coverage
  • 401k retirement savings plan with company match
  • Life Insurance
  • Paid Time Off (PTO)
  • On-site cafeterias and fitness centers in major locations
  • Education Assistance
  • Service Recognition
  • National discounts to movies theaters zoos theme parks and more

    • What We Can Do for You :

    We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills advance their careers and contribute their unique abilities to the growth of our company.

    What to Expect Next :

    After submitting your application our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.

    Equal Employment Opportunity Statement

    BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age race color national origin sex religion veteran status disability weight sexual orientation gender identity genetic information or any other legally protected status. Additionally as a federal contractor the company maintains affirmative action programs to promote employment opportunities for individuals with disabilitiesand protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal state and local laws and regulations.

    We are committed to working with and providing reasonable accommodations to individuals with disabilities pregnant individuals individuals with pregnancy-related conditions and individuals needing accommodations for sincerely held religious beliefs provided that those accommodations do not impose an undue hardship on the Company.

    If you need special assistance or an accommodation while seeking employment please email or call ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.

    We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Heres moreinformation .

    Some states have required notifications. Heres more information.

    Required Experience :

    Unclear Seniority

    Key Skills

    Data Entry,Deputy,Drafting,Hibernate,Administration Support,Activex

    Employment Type : Full-Time

    Experience : years

    Vacancy : 1

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