Representative, Provider Relations

BlueCross BlueShield of South Carolina•Columbia, SC

5d•Onsite

About The Position

Position Purpose: Provides education and training support for network providers/staff/suppliers/physicians/beneficiaries/referral agents as necessary. Develops and produces training and educational materials.

Requirements

Bachelor's degree
4-years job-related work experience OR Associate's and 2-years job related work experience
2-years of experience in customer service, claims processing, communications, education/training, provider relations, healthcare, or a combination.
Demonstrated skills related to training materials development.
Demonstrated skills related to classroom presentations to large groups.
Demonstrated proficiency in word processing and spreadsheet software.
Good judgment skills.
Effective customer service, organizational, and presentation skills.
Demonstrated verbal and written communication skills.
Analytical and critical thinking skills.
Basic business math proficiency.
Ability to persuade, negotiate, or influence others.
Ability to handle confidential or sensitive information with discretion.
Ability to identify learning objectives.
Strong course design skills to include use of media/other instructional methods.
Ability to evaluate progress in addition to actual delivery of training sessions.
Microsoft Office

Nice To Haves

Bachelor's degree in Communications/Journalism, English, Education, Training, Healthcare Administration, or Nursing.
2-years’ experience in claims processing, graphic design/publications, provider network, sales/marketing, insurance industry training.
Knowledge of claims processing, government healthcare programs.
Ability to acquire working knowledge/understanding of specific programs.
Ability to acquire working knowledge/understanding of Medicaid, Medicare.
Ability to acquire working knowledge/understanding of HIPAA policies/procedures
Working knowledge of Microsoft Access or other database software.

Responsibilities

Develops/prepares/reviews/updates all provider education materials. These may include new highlights, calendar of events, job aids, resource tools, and web page content.
conducts/facilitates workshops, training class materials in support of teleconferences with providers, provider groups, staff, suppliers, physicians, beneficiaries, referral agents.
Supports relationships with providers, provider groups, staff, suppliers, physicians, beneficiaries, referral agents, state/local medical/professional associations.
Responds to educational needs.
Performs administrative functions in support of education and training.
Produces/generates various reports to management and provides feedback on activities to management.
Contributes/participates/completes special projects as assigned.