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Provider Relations Representative

$55.9k - $123.5k

TX PLAN

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. Responsibilities This position is responsible for providing support, as well as developing and maintaining cooperative working relationships with contracted providers. Responsible for facilitating and enhancing provider ease of doing business with HCSC. This includes issue tracking and resolution, educating, training, identifying trends and evaluating providers to ensure that all contractual and financial requirements are adhered to and performed. Qualifications Bachelor’s degree and 3 years of work experience in managed care, or a minimum of 5 years’ work experience in a managed care environment. Minimum of 2 years of health care administration experience in clinical and financial settings, with direct provider communication experience. Effective interpersonal, analytical, presentation and communication skills. Knowledge of the health care industry. Ability and willingness to travel within assigned areas for responsibility, including overnight stays. Knowledge of contracts, applications, and products. Understanding of provider reimbursement methods. Working knowledge of claims processing systems. Effective organizational and planning skills. Analytical skills. Ability to take initiative and work independently. Demonstrated ability to meet deadlines and work well under pressure. Clear and concise interpersonal, verbal and written communication skills. Collaboration skills resulting in business/process improvements/changes. PC experience and skills to include Word, Excel, PowerPoint, etc. Facilitation, presentation and analytical skills. Compensation $55,900.00 - $123,500.00 Exact compensation may vary based on skills, experience, and location Employment Statement 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. #J-18808-Ljbffr TX PLAN

Vacancy posted 18 hours ago
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