Provider Network Rep jobs in United States
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Health Care Service Corporation · 2 days ago

Provider Network Rep

Health Care Service Corporation is a purpose-driven company that invests in the professional development of its employees. The Provider Network Rep position is responsible for provider recruitment and contracting, educating providers, and providing ongoing service to them.

Health InsuranceInsurance
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Growth Opportunities

Responsibilities

Provider recruitment and contracting
Education of providers
Ongoing provider service
Ability and willingness to travel within assigned areas of responsibility, including overnight stays

Qualification

Provider recruitmentContracting knowledgeClaims processing systemsProvider reimbursement methodsNegotiation skillsPC proficiencyLeadership abilitiesCommunication skillsOrganizational skills

Required

Bachelor's degree in business OR 4 years' experience in managed care environment
2 years' experience in a position that demonstrates leadership abilities and sound decision-making
Knowledge of contracts, applications and products; claims processing systems
Demonstrated proficiency in provider reimbursement methods
Demonstrated ability to meet deadlines and work well under pressure
Verbal and written communication skills; organizational and planning skills; ability to take initiative and work independently
PC proficiency to include Microsoft Office
Ability and willingness to travel within assigned areas of responsibility, including overnight stays

Preferred

Knowledge of contracting and Single Case Agreements
Negotiation skills
Strong documentation skills

Company

Health Care Service Corporation

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Health Care Service Corporation is a customer-owned health insurance company.