Hybrid Provider Relations Coordinator: Grow & Impact

Enterprise HCM; Albuquerque (NM); Hybrid; USD 42,000 - 93,000; Full time

Job summary

HCSC is seeking a provider operations specialist to assist practitioners with resolution of claims, pricing, coding, contract, and provider service issues, while collaborating across internal teams to resolve provider and operational concerns.

The role also supports provider network administration, handles more complex issues, and may train and mentor staff. This is a hybrid position with 3 days in office and 2 days remote.

Qualifications

• Bachelor's degree and 2 years managed care operations experience handling independent work, or 6 years of relevant experience.

Responsibilities

• Assist practitioners with resolution of claims, pricing, coding, contract, and provider service issues.
• Partner with internal departments to evaluate and resolve provider, contract, and operational concerns.
• Support provider network administration activities, manage more complex issues, and assist with training and mentoring staff.

Skills

Microsoft Office

Education

Bachelor's degree

Job description

HCSC is seeking a provider operations specialist to assist practitioners with resolution of claims, pricing, coding, contract, and provider service issues, while collaborating across internal teams to resolve provider and operational concerns.

The role also supports provider network administration, handles more complex issues, and may train and mentor staff. This is a hybrid position with 3 days in office and 2 days remote.