Provider Relations Representative

Health Care Service Corporation•San Antonio, TX

12d•$55,900 - $123,500•Hybrid

About The Position

This position is responsible for providing support to the provider recruitment and contracting process to ensure strategic coverage for assigned Providers. Specific responsibilities include establishing and maintaining good relations with physicians, hospitals and physician groups. In addition to developing and maintaining relationships with providers. This role will also provide support for complex hospital and physician provider activities. Minimal travel involved.

Requirements

Bachelor’s degree and 3 years of work experience in managed care, or a minimum of 5 years work experience in a managed care environment.
Minimum of 2 years of health care administration experience in clinical and financial settings, with direct provider communication experience.
Effective interpersonal, analytical, presentation and communication skills.
Knowledge of the health care industry.
Ability and willingness to travel within assigned areas for responsibility, including overnight stays.
Knowledge of contracts, applications, and products.
Understanding of provider reimbursement methods.
Working knowledge of claims processing systems.
Effective organizational and planning skills.
Analytical skills.
Ability to take initiative and work independently.
Demonstrated ability to meet deadlines and work well under pressure.
Clear and concise interpersonal, verbal and written communication skills.
Collaboration skills resulting in business/process improvements/changes.
PC experience and skills to include Word, Excel, PowerPoint, etc.
Facilitation, presentation and analytical skills.

Responsibilities

Establishing and maintaining good relations with physicians, hospitals and physician groups.
Developing and maintaining relationships with providers.
Providing support for complex hospital and physician provider activities.