Blue Shield of California

Provider Relations Representative, Senior

Blue Shield of California

Costa Mesa, CA, USA
Full-TimeDepends on ExperienceSenior LevelMasters
Job Description

We’re looking for a highly organized, compassionate, and dedicated individual to join our team as a Senior Provider Relations Representative at Blue Shield of California. In this role, you’ll be the primary point of contact for all provider relations inquiries and will build strong relationships with our providers to ensure we provide high-quality service and support. You’ll have the opportunity to work with a passionate team in a collaborative and inclusive environment.If you have a strong background in provider relations and a passion for making a positive impact in the healthcare industry, we’d love to hear from you! To be successful in this role, you’ll need to have a minimum of five years of experience in provider relations, an understanding of healthcare reimbursement, and excellent communication skills. If this sounds like you, we can’t wait to learn more about your qualifications and experience.

Responsibilities:

  1. Serve as the primary point of contact for all provider relations inquiries.
  2. Build strong relationships with providers to ensure high-quality service and support.
  3. Collaborate with a passionate team in an inclusive environment.
  4. Ensure that healthcare reimbursement requirements are met.
  5. Provide timely responses to provider inquiries and requests.
  6. Maintain accurate records of provider interactions.
  7. Document any issues that arise and work with other departments to resolve them.
  8. Develop and implement strategies to improve provider relations.
  9. Stay up-to-date with industry trends and regulations.
  10. Monitor performance metrics to ensure provider satisfaction.
Where is this job?
This job is located at Costa Mesa, CA, USA
Job Qualifications
  • Knowledge Of Medical Terminology

  • Proficient In Microsoft Office Suite

  • Excellent Interpersonal And Communication Skills

  • Strong Customer Service Skills

  • Knowledge Of Managed Care Delivery Systems

  • Ability To Maintain Positive Customer Relations

  • Ability To Analyze And Solve Complex Problems

  • Ability To Multi-Task And Prioritize Work

Required Skills
  • Documentation

  • Training

  • Networking

  • Marketing

  • customer service

  • Compliance

  • Contracting

  • Administrative

  • Coordinating

  • Problem-Solving

  • Interpersonal

  • Negotiating

  • Analyzing

  • Facilitating

  • Revenue Enhancement

Soft Skills
  • Communication

  • Leadership

  • Time management

  • Interpersonal Skills

  • Organization

  • Critical thinking

  • Creative Thinking

  • Teamwork

  • Adaptability

  • Problem-Solving

Compensation

According to JobzMall, the average salary range for a Provider Relations Representative, Senior in Costa Mesa, CA, USA is $61,000 to $77,000 per year. This salary range is based on the current salary data available for this position in the Costa Mesa area. Salary information may vary depending on experience, location, and other factors.

Additional Information
Blue Shield of California is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedJune 12th, 2023
Apply BeforeJune 21st, 2025
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About Blue Shield of California

Blue Shield of California is a health plan provider founded in 1939 and based in Oakland, California. The organization serves over 4 million health plan members and nearly 65,000 physicians across the state. Blue Shield of California was founded by the California Medical Association.

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