Description
What You’ll Do :
- Oversees credentialing.
- Manages updates / maintenance of various other provider databases to ensure accurate reimbursement, network assignment, online and printed directories, and information for marketing disruption and member access studies also.
- Makes recommendations and executes changes to meet work requirements.
- Develops, implements, and completes all inventory, production, error, and tracking reports.
- Researches and responds to provider related inquiries from internal and external sources.
- Participates in system design, fulfillment of contract requirements, and in ongoing system testing.
- Work environment : Typical office environment. Some travel may be required.
To Qualify for This Position, You’ll Need :
- Bachelor's degree in Business Administration, Information Technology, or other job related field OR Four (4) years of job-related work experience.
- Three (3) years of provider network experience utilizing integrated computer systems. (May be concurrent)
- 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.
- Microsoft Office.
- Knowledge of computer systems support
We Prefer That You Have :
- Five (5) years of Provider Network experience utilizing integrated computer systems.
- Knowledge of mathematical or statistical concepts.
- Ability to use complex mathematical calculations.
What Blue Can Do For You :
Our comprehensive benefits package includes :
- 401(k) retirement savings plan with company match
- Subsidized health plans and free vision coverage
- Life insurance
- Paid annual leave the longer you work here, the more you earn
- Nine paid holidays
- On-site cafeterias and fitness centers in major locations
- Wellness programs and a healthy lifestyle premium discount
- Tuition assistance
- Service recognition
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