Provider Contracts & Directory Coordinator

Blue Cross & Blue Shield of Mississippi; Flowood (MS); On-site; USD 52,000 - 75,000; Full time

Job summary

Blue Cross & Blue Shield of Mississippi is seeking a Provider Administration Coordinator to maintain provider contracting documentation and directory information for customers and Network Providers. The role includes ownership of contract inventories, templates, and bi-annual validation against reimbursement schedules.

The position also involves maintaining relational provider profiles, publishing GeoAccess and SAS reports, coordinating provider contract updates, mail-outs, and ensuring

Qualifications

• Bachelor’s degree in a business-related field required.
• 2 years’ experience in provider networks or provider office administration or two years' customer service experience 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 business processes.
• Strong communication skills.
• Excellent understanding of healthcare benefits and network products.
• Microsoft Office proficiency.

Responsibilities

• Maintain complete and accurate provider contracting documentation and directory information.
• Own and maintain all Network Provider Contract inventories and contract templates.
• Perform bi-annual validation against provider reimbursement schedules and update provider profiles.
• Maintain relational Network Provider profiles including provider location changes.
• Publish GeoAccess reports and SAS reports for provider information and claim activity.
• Coordinate and facilitate provider contract changes, including manuals and updates.
• Coordinate all provider related mail-outs and communications.
• Ensure the integrity and accuracy of the Provider Network Directories.

Skills

Diplomatic skills

Analytical thinking

Issue resolution

Business writing

Communication skills

Healthcare provider knowledge

Microsoft Office

Education

Bachelor’s degree in business-related field

Tools

Microsoft Office Suite

Job description

Blue Cross & Blue Shield of Mississippi is seeking a Provider Administration Coordinator to maintain provider contracting documentation and directory information for customers and Network Providers. The role includes ownership of contract inventories, templates, and bi-annual validation against reimbursement schedules.

The position also involves maintaining relational provider profiles, publishing GeoAccess and SAS reports, coordinating provider contract updates, mail-outs, and ensuring