BlueCross BlueShield of Tennessee is hiring a dedicated Provider Research Associate to join our team. This role involves the accurate transfer of provider data into various systems, utilizing sources such as contracts, the credentialing application tool, and workflow tools.
In this role, you’ll load provider-related information into Provider Data applications for accurate claims processing and Provider Directory accuracy.
Job Responsibilities
- Administers, updates, and maintains complex and specialty provider accounts and files.
- Communicates with providers on inquiries, invoices, payments and other day-to-day concerns; addressing issues related to operations.
- Ensures accurate and timely loading of provider information.
- Keying of accurate information into information systems in a timely manner.
Job Qualifications
Education
- High School Diploma or equivalent
Experience
- 2 years - Experience in a Support function or Customer Service , experience with the military, or coursework towards a related degree.
Skills\Certifications
- Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint)
- Excellent oral and written communication skills
- Strong interpersonal and organizational skills
Number of Openings Available
1Worker Type:
EmployeeCompany:
BCBST BlueCross BlueShield of Tennessee, Inc.Applying for this job indicates your acknowledgement and understanding of the following statements:
BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.
Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:
BCBST's EEO Policies/Notices
BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.
Skills Required
- High School Diploma or equivalent
- 2 years experience in a support function or customer service, military experience, or related coursework
- Proficient in Microsoft Office (Outlook, Word, Excel, PowerPoint)
- Excellent oral and written communication skills
- Strong interpersonal and organizational skills
What We Do
As Tennessee's largest health plan, we've been helping Tennesseans find their own unique paths to good health for more than 70 years. More than that, we're your neighbors and friends – fellow Tennesseans with deep roots of caring tradition, a focused approach to physical, financial and community good health for today, and a bright outlook for an even healthier tomorrow. Our mission is simple: peace of mind through better health. We're an independent, not-for-profit, locally governed health plan company – meaning we live and work alongside our Tennessee business customers and plan members. Our 6,000 employees across the state have built our strong reputation for integrity, excellent service and community leadership. But we are also part of the BlueCross BlueShield Association, a nationwide association of health care plans. Because of this, our plan members have access to the same quality health benefits while traveling or living out of state that they have while in Tennessee. © 2018 BlueCross BlueShield of Tennessee, Inc., an Independent Licensee of the BlueCross BlueShield Association.
