
Provider Relations Representative
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:
- Establish and maintain relationships with providers in the BlueCross BlueShield of South Carolina network.
- Respond to provider inquiries, complaints, and issues in a timely and efficient manner.
- Serve as an advocate for providers and ensure that any service or quality issues are addressed immediately.
- Educate providers on available resources and services, and ensure that they have access to the necessary information.
- Monitor and analyze trends in provider relations and develop strategies to improve services.
- Develop and implement provider engagement activities to strengthen relationships and build loyalty.
- Participate in provider meetings and other outreach activities.
- Manage provider contracts and ensure that they are compliant with regulations.
- Develop and maintain provider databases and other records.
- Utilize customer service skills in interactions with providers.
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
Networking
Data Analysis
Communication
Negotiation
Conflict Resolution
customer service
Relationship Building
Compliance
Contracting
Detail-oriented
Problem-Solving
advocacy
Interpersonal
Regulatory Knowledge
Healthcare Knowledge
Communication
Leadership
Interpersonal Skills
creativity
Organization
Critical thinking
collaboration
Adaptability
Problem-Solving
Time-Management
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.
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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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