Internal Provider Ntwk Rep I
About The Position
At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job Summary This position is responsible for learning to provide assistance to practitioners in resolution of claims, pricing, coding, and contract issues. And for working with internal departments to evaluate and resolve provider/ contract and service issues.
Requirements
- Bachelor Degree OR 4 years work experience in the health care/insurance industry.
- 3 years experience in Network Management, Credentialing and/or Customer Service.
- Understanding of health care contracts, applications and products.
- Working knowledge of claims processing systems.
- 3 years experience utilizing a PC.
- Verbal and written communication skills.
- Teamwork and problem solving skills.
- Analytical and organizational skills.
- Organizational skills and experience meeting deadlines and working well under pressure.
- Familiar with provider reimbursement methods.
Nice To Haves
- Knowledge of health care policies, products and procedures.
- Understanding of health care contracts, applications and products.
- Working knowledge of claims processing systems.
Benefits
- health and wellness benefits
- 401(k) savings plan
- pension plan
- paid time off
- paid parental leave
- disability insurance
- supplemental life insurance
- employee assistance program
- paid holidays
- tuition reimbursement
- plus other incentives
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Number of Employees
5,001-10,000 employees
