Provider Network Specialist

BlueCross BlueShield of Tennessee • Chattanooga, TN

2d

About The Position

The Provider Network Management team is excited to announce an opening for a Provider Network Service Representative. This role serves as a key point of contact for providers and provider networks, delivering first-line support and issue resolution for network-related inquiries and initiatives. Responsibilities include responding to phone and email inquiries, regarding provider contracting, credentialing, and network participation status while ensuring a high level of customer service and support. In addition to the core job requirements, our ideal candidates will have Facets experience. Training will be provided through a combination of job shadowing opportunities, hands-on learning, and collaboration with our Project Administrator and experienced team members. We are seeking an individual who is eager to learn, works well in a team environment, and is committed to providing exceptional service to our provider partners. We foster a culture where innovation is encouraged. That includes using AI enabled tools responsibly to support everyday work — guided by proven workflows, templates, and policies.

Requirements

• High School Diploma or equivalent
• Proficient in Microsoft Office (Outlook, Word, Excel and Powerpoint)
• Proficient oral and written communication skills
• Proficient interpersonal and organizational skills
• Ability to solve problems via the analysis and interpretation of conducting research
• Ability to work flexible hours in order to meet the needs of the business
• Able to handle multiple tasks and maintain expected performance
• Solid knowledge of the commercial health insurance market

Nice To Haves

• Facets experience

Responsibilities

• Answering inbound customer service calls.
• Providing entry-level troubleshooting and redirecting phone calls when appropriate.
• Addressing minor provider issues and resolving minor complaints.
• Ensuring all customer communication is clearly documented.
• Identifying provider issues and determining the appropriate course of action for effective resolution.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED