Provider Relations Representative

At BlueCross BlueShield of South Carolina, we are currently seeking an experienced, motivated Provider Relations Representative to join our team. The Provider Relations Representative will be responsible for building and maintaining relationships with healthcare providers and facilities to ensure effective implementation and ongoing compliance with the company's healthcare programs. The successful candidate should have a minimum of 2 years of experience in provider relations, healthcare operations, or a related field. They should also have excellent communication and interpersonal skills, with the ability to foster and maintain positive relationships with healthcare providers and facilities. Additionally, they should be able to work independently and collaboratively, have strong problem-solving skills, and be well organized and detail-oriented.If you have the required qualifications and are looking for an exciting opportunity to join our team, we encourage you to apply. We look forward to hearing from you!

Responsibilities of the Provider Relations Representative:

1. Develop and maintain relationships with healthcare providers and facilities.
2. Ensure the effective implementation and ongoing compliance of the company's healthcare programs.
3. Respond to provider inquiries and complaints in a timely and professional manner.
4. Monitor and evaluate provider performance to ensure contractual compliance.
5. Identify areas of improvement and review contracts to ensure they are up to date.
6. Assist in the development of policies and procedures related to provider relations.
7. Stay up to date on industry trends and changes in healthcare regulations.
8. Collaborate with other departments to ensure efficient operations.
9. Report any issues or concerns to management.
10. Participate in provider meetings, seminars, and other relevant events.

According to JobzMall, the average salary range for a Provider Relations Representative in Columbia, SC, USA is $34,000-$55,000 per year. The salary range is dependent on experience, qualifications, and the company offering the position.

BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross and Blue Shield Association. BlueCross serves 21.5 million people through private business and government contracts.