Hybrid Provider Relations Specialist — Networks & Training

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

Benefits offered by this job

Hybrid work model

Job summary

HCSC in Albuquerque, NM is seeking a Provider Operations Specialist to assist practitioners with resolution of claims, pricing, coding, contracts, and provider service issues, while partnering with internal departments to evaluate and resolve provider and operational concerns. The role also supports provider network administration, manages more complex issues, and may assist with training and mentoring staff.

This Flex position requires 3 days in office and 2 days work from home.

Qualifications

• Bachelor’s degree is required.

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 and mentor staff on complex issues.

Education

Bachelor’s degree

Tools

Microsoft Office

Excel

Word

PowerPoint

Job description

HCSC in Albuquerque, NM is seeking a Provider Operations Specialist to assist practitioners with resolution of claims, pricing, coding, contracts, and provider service issues, while partnering with internal departments to evaluate and resolve provider and operational concerns. The role also supports provider network administration, manages more complex issues, and may assist with training and mentoring staff.

This Flex position requires 3 days in office and 2 days work from home.