Provider Relations Specialist – Network Education & Support

BlueCross and BlueShield of South Carolina; Columbia (SC); On-site; USD 75,000 - 105,000; Full time

Benefits offered by this job

Health benefits

401(k) plan

Life Insurance

Paid Time Off

On-site facilities

Education Assistance

Service Recognition

Discount programs

Job summary

BlueCross BlueShield of South Carolina is hiring a Provider Relations Consultant to build and maintain positive relationships with network hospitals and practices. The role serves as the point of contact for provider issues, educates on contracts and policies, and prepares reports for management.

The position requires a Bachelor's degree and 5 years of healthcare/provider network experience, with 2 years in direct health plan programs. Office-based, full-time in Columbia, SC.

Qualifications

• Bachelor's degree required.
• Five years of healthcare or provider network experience.
• Two years with direct health plan/payer programs preferred.

Responsibilities

• Serve as main contact for provider issues related to contracts, reimbursement, benefits, and policies.
• Educate providers on lines of business and policy requirements; document contacts and communications.
• Conduct training on electronic filing, claims, and reimbursements.
• Conduct workshops and speak at conferences as requested by hospitals or provider groups.
• Prepare and submit reports to management.

Skills

Healthcare exp

Provider network

Claims management

Customer service

Analytical thinking

Microsoft Office

Education

Bachelor's degree

4 years related exp

Tools

Microsoft Office

Job description

BlueCross BlueShield of South Carolina is hiring a Provider Relations Consultant to build and maintain positive relationships with network hospitals and practices. The role serves as the point of contact for provider issues, educates on contracts and policies, and prepares reports for management.

The position requires a Bachelor's degree and 5 years of healthcare/provider network experience, with 2 years in direct health plan programs. Office-based, full-time in Columbia, SC.