Internal Provider Network Representative II
Health Care Service CorporationAbout the role
At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
Job Summary
This position is responsible for providing assistance to ancillary providers in resolution of claims, pricing, coding and contract issues; and working with internal departments to evaluate and resolve provider/contract and service issues. Handle more complex issues and may assist in training/mentoring staff.JOB REQUIREMENTS:
*Bachelor degree and two years experience resolving network management issues OR 6 years health care experience with two years resolving network management issues
*Knowledge of and experience with health care policies, products and procedures; contracts, applications and products.
*Knowledge of claims processing systems.
*PC proficiency including Word and Excel.
*Verbal and written communication skills; teamwork, and problem solving skills; analytical skills
*Organizational skills and experience meeting deadlines and working well under pressure.
PREFERRED JOB REQUIREMENTS:
*Leadership/training skills.
*Behavioral Health facility contracting and claims experience
*Independent Lab contracting and claims experience
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
HCSC Employment Statement:
We are an Equal Opportunity Employment / Affirmative Action employer dedicated to providing an inclusive workplace where the unique differences of our employees are welcomed, respected, and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
Base Pay Range
$36,500.00 - $76,500.00Apply for this role
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