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Blue Cross of Idaho · 1 day ago

Provider Relations Representative

Meridian - Main

Full-time

Onsite

Mid, Senior Level

$26.12/hr - $31.90/hr

4+ years exp

Blue Cross of Idaho (BCI) is seeking a Provider Relations Representative to act as a primary liaison between the organization and healthcare providers. In this independent role, you will maintain open communication regarding provider policies and payment procedures while training and educating providers on BCI contact requirements and operational procedures.

Health InsuranceInsurance

Comp. & Benefits

Responsibilities

Coordinates the resolution of provider contracts, agreements, fee schedules, and payment problems

Collaborates with key stakeholders to identify and resolve issues

Coordinate’s resolution of contract or agreement issues. Communicates critical issues and provides recommendations to leaders

Educates providers on policies, procedures, practices, and data integrity. Ensures providers are informed on changes/updates to policies, procedures, and practices

Ensures department and provider compliance with regulatory agencies

Coordinates cross departmental activities and projects to support and adhere to the provider contract requirements

Performs research to respond to inquiries and interprets policy and procedures to determine effective response

Provides welcome information to newly contracted providers

Promotes provider participation in on-line tools and programs available

Performs other duties and responsibilities as assigned