Senior Provider Relations Representative - IRF RCD

BlueCross BlueShield of South Carolina•Georgia Center, VT

6d•Remote

About The Position

Provides education and training for network providers, staff, suppliers, physicians, beneficiaries, and referral agents as necessary. Develops and produces all training and educational materials. This is a full-time remote position. You must reside in Alabama, Georgia, or Tennessee. You will work an 8-hour shift scheduled during our normal business hours of 8 a.m. – 5 p.m. Must be able to travel up to 3-5 days a week. There may be some weekday and weekend overnight traveling involved. May include travel outside of the assigned areas of Alabama, Georgia, or Tennessee as necessary.

Requirements

Bachelor's Degree.
4 years of experience in customer service, claims processing, communications, education/training, provider relations, healthcare or combination.
Demonstrated skills related to training materials development.
Demonstrated skills related to classroom presentations to large groups.
Working knowledge/understanding of government healthcare programs, HIPAA policies, procedures.
Demonstrated proficiency in word processing, spreadsheet, database software.
Good judgment skills.
Demonstrated proficiency in spelling, punctuation, and grammar 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

4 years job-related work experience or Associate's and 2 years job related work experience
IRF (Inpatient Rehabilitation Facility) education consultant experience.

Responsibilities

Develops/prepares/reviews/updates all provider education materials. These may include: web-based training, computer-based training, ACT (ask the contractor) calls, outreach presentations/proposals, listserv articles, new highlights, calendar of events, job aids, resource tools, and web page content.
Conducts/facilitates meetings, workshops, training classes, teleconferences with providers, provider groups, staff, suppliers, physicians, beneficiaries, referral agents.
Develops relationships with providers, provider groups, staff, suppliers, physicians, beneficiaries, referral agents, state/local medical/professional associations.
Responds to educational needs.
Acts as liaison between division/above mentioned groups and appropriate state/federal agencies to ensure training needs are met.
Responds to/resolves problems/issues identified through meetings, workshops, correspondence, etc.
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.