Provider Network Contracts & Directory Lead

Blue Cross & Blue Shield of Mississippi; United States; On-site; USD 52,000 - 76,000; Full time

Job summary

Blue Cross & Blue Shield of Mississippi is seeking a Provider Administration Coordinator to maintain provider contracting documents and directory information. You will own contract inventories, templates, and bi-annual validations to ensure accuracy and alignment with reimbursement schedules.

You will publish GeoAccess and SAS reports to support network access requests and assist with provider information management, contract changes, and provider inquiries.

Qualifications

• Bachelor's degree in a business-related field required.
• 2 years’ experience in provider networks or 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.
• Understanding of healthcare provider office management and business processes.
• Strong communication skills.
• Understanding of healthcare benefits and network products.

Responsibilities

• Maintain provider contracting documentation and directory information.
• Own and maintain all Network Provider Contract inventories and templates.
• Bi-annual validation of provider contract completeness against reimbursement schedules.
• Publish GeoAccess reports to support Network Access requests and SAS reports for Provider Information Group.
• Coordinate provider contract changes, manuals, and updates.
• Coordinate provider-related mail-outs.
• Review provider categories and specialties in the online directory for accuracy.
• Credentialing activities related to Disease Specific Pharmacy providers.
• Serve as back-up to Provider Service Specialist for provider inquiries.

Education

Bachelor's degree in business-related field

Tools

Microsoft Office

Job description

Blue Cross & Blue Shield of Mississippi is seeking a Provider Administration Coordinator to maintain provider contracting documents and directory information. You will own contract inventories, templates, and bi-annual validations to ensure accuracy and alignment with reimbursement schedules.

You will publish GeoAccess and SAS reports to support network access requests and assist with provider information management, contract changes, and provider inquiries.