Hybrid Provider Relations Coordinator — Claims & Contracts

hcsc; United States; Hybrid; USD 42,000 - 93,000; Full time

Job summary

Health Care Service Corporation is seeking an experienced professional to assist practitioners with claims, pricing, coding, contract and provider service issues. You will partner with internal departments to evaluate and resolve provider, contract, and operational concerns.

The role also supports provider network administration activities, handles more complex issues, and may assist with training and mentoring staff. This is a Flex position requiring 3 days in office and 2 days work from home.

Qualifications

• Bachelor's degree or 2 years managed care operations experience (or 6 years relevant experience).
• Strong MS Office proficiency (Excel/Word/PowerPoint).
• Experience maintaining provider policies, procedures and communications with high accuracy.

Responsibilities

• Assist practitioners with resolution of claims, pricing, coding, contracts and provider service issues.
• Support provider network administration activities and data maintenance.
• Assist with training and mentoring staff; manage more complex issues.

Skills

MS Office

Virtual meetings

Policy documentation

Time management

Data analysis

Education

Bachelor's degree in a relevant field

Tools

Microsoft Excel

Microsoft Word

PowerPoint

Job description

Health Care Service Corporation is seeking an experienced professional to assist practitioners with claims, pricing, coding, contract and provider service issues. You will partner with internal departments to evaluate and resolve provider, contract, and operational concerns.

The role also supports provider network administration activities, handles more complex issues, and may assist with training and mentoring staff. This is a Flex position requiring 3 days in office and 2 days work from home.