Provider Relations Representative

Reposted Yesterday
Be an Early Applicant
Albuquerque, NM, USA
In-Office
42K-93K Annually
Junior
Healthtech • Insurance
The Role
Serve as liaison to facility and physician providers by enhancing relationships through education, training, claims assistance, and ongoing service. Support provider inquiries, explain contracts and reimbursement methods, meet deadlines, work independently, and travel as needed for on-site engagement.
Summary Generated by Built In

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 enhancing relationships with facility and physician providers; and acting as liaison with providers through education, training, claims assistance and ongoing provider service.
Required Job Qualifications
*Bachelor’s Degree and 1-year managed care experience in products or contracts OR 5 years’ experience in managed care environment with 1 year experience in products or contracts.
*1 year experience in a position that demonstrates leadership abilities and sound decision-making.
*Knowledge of contracts, applications and products; claims processing systems.
*Knowledge and experience in provider reimbursement methods.
*Meet deadlines and work well under pressure and take initiative to work independently.
*Verbal and written communication skills; organizational and planning skills.
*PC proficiency to include Microsoft Office.
*Ability and willingness to travel, including overnight stays.
Preferred Job Qualifications
*1 year experience in provider relations.
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Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees.  Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are 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$41,700.00 - $92,800.00

Exact compensation may vary based on skills, experience, and location.

Top Skills

Claims Processing Systems
MS Office
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The Company
HQ: Chicago, IL
13,563 Employees

What We Do

Imagine Something New, Something Different. Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC), is the largest customer-owned health insurer in the nation and the fourth largest overall. Operating through our Blue Cross and Blue Shield Plans in Illinois, Montana, New Mexico, Oklahoma and Texas (as well as a variety of affiliates and subsidiaries,) we are expanding access to high-quality, cost-effective health care. We are equipping members with information and tools so they can make the best health care decisions for themselves and their families. HCSC is continuously recognized as an employer committed to community, diversity and inclusion, training and development. HCSC is committed to pioneering the health care space in ways as effective as they are creative. If you are passionate about the impact you want to have through your work, with a desire to apply innovative thinking to new and emerging challenges, we encourage you to learn more about HCSC. Learn about what we stand for, how we work and the difference we’re making in the lives of our 15 million members. Join HCSC and discover what new ways of thinking can mean for you, your community, our customers and our organization. Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association.

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