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Supervisor, Provide File Operations

Supervisor, Provide File Operations

BlueCross BlueShield of South CarolinaColumbia, SC, US
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Provider Enrollment Manager

Supervises provider enrollment and quality assurance staff. Ensures providers are loaded accurately / timely into system, appropriately assigned to networks, and updated correctly when necessary. Manages activities related to the provider file including file maintenance, quality assurance, credentialing, electronic funds transfer payment, provider directories, and applicable contract related requirements.

This position is full-time (40-hours / week) Monday-Friday in a typical office environment. You will work an 8-hour shift scheduled during our normal business hours of 8 : 00AM-5 : 00PM. It may be necessary, given the business need to work occasional overtime. You may be required to travel between buildings. This role is located onsite at 17 Technology Circle, Columbia, SC, 29203.

To qualify for this position, you'll need the following : Required Education : Bachelors in a job-related field. Degree Equivalency : 4 years job-related work experience or Associate's and 2 years job related work experience. Required Work Experience : 3 years' provider network experience utilizing integrated computer systems. Required Skills and Abilities : Excellent verbal and written communication skills. Excellent organizational, customer service, and presentation skills. Excellent analytical or critical thinking skills. Good judgment skills. Proficiency in spelling, grammar, and punctuation. Ability to persuade, negotiate, or influence others. Ability to handle confidential or sensitive information with discretion. Knowledge of provider credentialing process. Required Software and Other Tools : Microsoft Office. Knowledge of computer systems support.

We prefer that you have the following : Preferred Work Experience : 5 years-of provider network experience utilizing integrated computer systems. Preferred Skills and Abilities : Knowledge of mathematical or statistical concepts. Ability to use complex mathematical calculations. Knowledge of the star system and medicare cost reporting guidelines.

Our comprehensive benefits package includes the following : Subsidized health plans, dental and vision coverage; 401k retirement savings plan with company match; Life Insurance; Paid Time Off (PTO); On-site cafeterias and fitness centers in major locations; Education Assistance; Service Recognition; National discounts to movies, theaters, zoos, theme parks and more.

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Operation Supervisor • Columbia, SC, US

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