BlueCross BlueShield of South Carolina

Provider Relations Representative

BlueCross BlueShield of South Carolina

Charleston, SC, USA
Full-TimeDepends on ExperienceMid-LevelBachelors
Job Description

Are you an experienced Provider Relations Representative looking for a new challenge in a fast-paced environment? BlueCross BlueShield of South Carolina is looking for a motivated individual to join our team. The successful candidate must possess excellent communication and interpersonal skills, as well as a commitment to customer service. The Provider Relations Representative will provide top-notch service to our provider network, ensuring that all provider inquiries, complaints, and issues are handled efficiently and effectively. The ideal candidate will have experience in provider relations, knowledge of healthcare operations, and a commitment to providing superior customer service. If this sounds like you, we'd love to hear from you!

Responsibilities:

  1. Establish and maintain relationships with providers in the BlueCross BlueShield of South Carolina network.
  2. Respond to provider inquiries, complaints, and issues in a timely and efficient manner.
  3. Serve as an advocate for providers and ensure that any service or quality issues are addressed immediately.
  4. Educate providers on available resources and services, and ensure that they have access to the necessary information.
  5. Monitor and analyze trends in provider relations and develop strategies to improve services.
  6. Develop and implement provider engagement activities to strengthen relationships and build loyalty.
  7. Participate in provider meetings and other outreach activities.
  8. Manage provider contracts and ensure that they are compliant with regulations.
  9. Develop and maintain provider databases and other records.
  10. Utilize customer service skills in interactions with providers.
Where is this job?
This job is located at Charleston, SC, USA
Job Qualifications
  • Proficiency With Microsoft Office Suite

  • Strong Interpersonal Skills

  • Excellent Verbal And Written Communication Skills

  • Ability To Effectively Manage Time And Prioritize Tasks

  • Knowledge Of Healthcare Provider Reimbursement And Contracts

  • Healthcare Provider Relations Experience

  • Understanding Of Healthcare Regulatory Environment

  • Knowledge Of Bluecross Blueshield Of South Carolina Products And Services

Required Skills
  • Networking

  • Data Analysis

  • Communication

  • Negotiation

  • Conflict Resolution

  • customer service

  • Relationship Building

  • Compliance

  • Contracting

  • Detail-oriented

  • Problem-Solving

  • advocacy

  • Interpersonal

  • Regulatory Knowledge

  • Healthcare Knowledge

Soft Skills
  • Communication

  • Leadership

  • Interpersonal Skills

  • creativity

  • Organization

  • Critical thinking

  • collaboration

  • Adaptability

  • Problem-Solving

  • Time-Management

Compensation

According to JobzMall, the average salary range for a Provider Relations Representative in Charleston, SC, USA is between $38,000 and $54,000 per year. The average salary for a Provider Relations Representative in Charleston, SC, USA is $46,000. This salary range can vary depending on the experience and qualifications of the individual.

Additional Information
BlueCross BlueShield of South Carolina 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 29th, 2023
Apply BeforeJuly 20th, 2025
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About BlueCross BlueShield of South Carolina

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.

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