BlueCross BlueShield of South Carolina

Provider Relations Representative

BlueCross BlueShield of South Carolina

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

We are looking for a highly motivated and organized Provider Relations Representative to join our BlueCross BlueShield of South Carolina team. In this role, you will be responsible for managing provider relationships and resolving any provider-related issues. The ideal candidate will have excellent communication and problem-solving skills, a positive attitude, and the ability to multi-task. If you are passionate about helping others and providing excellent customer service, this position is for you.Required Qualifications: • Bachelor’s Degree in Business Administration, Health Care Administration, or related field• 2+ years of related experience in provider relations, claims management, customer service, or a related field• Knowledge of healthcare industry, provider operations, and customer service• Ability to multi-task in a fast-paced environment• Ability to work both independently and as part of a team• Excellent communication, organizational, and problem-solving skills• Positive attitude and strong customer service skills

Responsibilities of a Provider Relations Representative: • Manage provider relationships and resolve any provider-related issues. • Identify opportunities to improve provider relations and customer service. • Communicate effectively with providers and other healthcare professionals. • Respond to provider inquiries and provide solutions to their issues. • Ensure compliance with relevant regulations and policies. • Develop and maintain a database of provider information. • Monitor provider performance and provide feedback as needed. • Maintain current knowledge of the healthcare industry and provider operations. • Develop and implement strategies to improve provider relations. • Assist with provider onboarding. • Create and manage provider contracts. • Facilitate provider meetings and presentations. • Prepare and present financial reports to senior management. • Analyze and interpret data to identify trends and potential areas of improvement.

Where is this job?
This job is located at Easley, SC, USA
Job Qualifications
  • Proficiency In Microsoft Office Suite

  • Excellent Communication And Interpersonal Skills

  • Ability To Work Independently And Collaboratively

  • Ability To Develop And Maintain Relationships

  • Bachelor's Degree In A Related Field

  • Knowledge Of Managed Care And Health Insurance Principles

  • Strong Problem Solving And Analytical Abilities

  • Understanding Of The Healthcare Industry

Required Skills
  • Data Analysis

  • Communication

  • Conflict Management

  • Organizational Skills

  • Negotiation

  • Conflict Resolution

  • customer service

  • network management

  • Regulatory compliance

  • Problem-Solving

  • network development

  • Relationship-Building

  • Regulatory Knowledge

  • Claim Resolution

  • Provider Engagement

Soft Skills
  • Communication

  • Leadership

  • Negotiation

  • Problem Solving

  • Time management

  • Interpersonal Skills

  • Critical thinking

  • Teamwork

  • Adaptability

  • organisation

Compensation

According to JobzMall, the average salary range for a Provider Relations Representative in Easley, SC, USA is between $38,000 and $50,000 per year. Salaries can vary depending on experience, education, and specialized skills. Bonuses and other forms of compensation may also be available.

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 30th, 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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