Provider Contracts & Directory Administrator

bcbsms; Flowood (MS); On-site; USD 40,000 - 60,000; Full time

Job summary

Blue Cross & Blue Shield of Mississippi is seeking a Provider Administration Coordinator in Flowood to maintain provider contracting documentation, inventories, and directory information to support customers and network providers.

The role includes bi-annual validation, maintenance of provider profiles, publishing GeoAccess and SAS reports, coordinating mail-outs, and ensuring directory accuracy, with credentialing for Disease Specific Pharmacy providers; serve as backup to the Provider Service

Qualifications

• Bachelor's degree in a business related field required.
• 2 years’ experience in provider networks, provider office administration, or customer service with BCBSMS.
• Strong diplomatic, conflict resolution and negotiating skills.
• Excellent analysis and issue resolution skills.
• Excellent business writing skills.
• Excellent understanding of healthcare provider office management and network products.
• Strong communication skills.
• Microsoft Office proficiency.

Responsibilities

• Maintain provider contracting documentation and directory information.
• Own and maintain Network Provider Contract inventories and templates.
• Perform bi-annual validation of provider contracts against reimbursement schedules.
• Publish GeoAccess reports to support Network Access requests and SAS reports for Provider Information Group.
• Coordinate and facilitate all provider contract changes and mail-outs.
• Ensure integrity and accuracy of the Provider Network Directories.
• Credentialing activities related to Disease Specific Pharmacy providers.
• Back-up to the Provider Service Specialist to respond to provider inquiries.

Skills

Diplomacy

Conflict resolution

Negotiation

Analytical thinking

Business writing

Communication skills

MS Office

Education

Bachelor's degree in a business related field

Tools

Microsoft Office

Job description

Blue Cross & Blue Shield of Mississippi is seeking a Provider Administration Coordinator in Flowood to maintain provider contracting documentation, inventories, and directory information to support customers and network providers.

The role includes bi-annual validation, maintenance of provider profiles, publishing GeoAccess and SAS reports, coordinating mail-outs, and ensuring directory accuracy, with credentialing for Disease Specific Pharmacy providers; serve as backup to the Provider Service